Presentation on theme: "Heart Health 101 and ProArginine Plus"— Presentation transcript:
1Heart Health 101 and ProArginine Plus Janice Heasty RN BSN
2Dan Austin RN, High Desert Heart Institute, Nurse Clinical Coordinator and Directory of the CHF (Congestive Heart Failure) Unit“When you know what you know, you have the responsibility to pay it forward.”
3Assess Your Risk For a Heart Attack 1. How old are you?A (1 point)B (2 points)C (3 points)D (4 points)E. >66 ( 5points)
4Assess Your Risk For a Heart Attack 2. Do you have a family history of early coronary artery disease (a mother or sister who was younger than 60 years old or a father or brother younger than 50 years old when he/she had a first heart attack or symptoms of a heart attack?A. No (0 points)B. Yes (2 points)
5Assess Your Risk For a Heart Attack 3. Do you have high Blood Pressure(BP ≥ 140/90)?A. No (0 points)B. Yes (1 point)C. Don’t know (1 point)4. Do you have Diabetes or elevated blood sugar?B. Yes (3 points)
6Assess Your Risk For a Heart Attack 5. Are you physically active?A. I accumulate approx. 30” of moderate aerobic activity (walking, going up stairs, vacuuming, dancing, gardening, aerobics, swimming, cycling, spinning, or jogging almost every day. (0 points)B. I exercise only occasionally: I accumulate thirty minutes of aerobic activity one or two days per week. (1 point)C. I rarely engage in regular moderate aerobic physical activity. (2 points)D. I never engage in moderate physical activity.(3 points)
7Assess Your Risk For a Heart Attack 6. Which of the following best describes your Cholesterol?A. <200mg/dL (0 points)B mg/dL (1 point)C. >240mg/dL (2 points)D. Don’t know (2 points)
8Assess Your Risk For a Heart Attack 7.Which of the following best describes your HDL (good) cholesterol?A. <45 mg/dL (2 points)B mg/dL (1 point)C mg/dL (0 points)D. >60 mg/dL (-1 point)E. Don’t know (1 point)
9Assess Your Risk For a Heart Attack 8. Which of the following best describes you LDL (bad) cholesterol?A. <100 mg/dL (0 point)B. <130 mg/dL (1 point)C. >160 mg/dL (1 point)D. Don’t know (1 point)
10Assess Your Risk For a Heart Attack Which of the following best describes your triglyceride level?A mg/dL (0 points)B mg/dl (1 point)C. >250 mg/dL (2 points)D. Don’t know (1 point)
11Assess Your Risk For a Heart Attack 10. Do you smoke?A. Yes (3 points)B. Smoked previously, stopped within the last year. (2 points)C. Smoked previously, stopped years ago (1 point)D. Smoked previously, stopped years or more ago (0 points)E. No (0 points)
12Assess Your Risk For a Heart Attack 11. Flossing and Heart Disease: medical research has found a correlation between any level of periodontal disease (including gingivitis) and atherosclerosis, or hardening of the arteries.A. I floss almost every day and see my hygienist at least once/year, if not 2x’s/year. (0 points)B. I don’t floss, and maybe see my hygienist once/year. (1 point)C. I have no idea what you are talking about (1 point)
13Assess Your Risk For a Heart Attack 12. Look at a BMI (body mass index)chart. Determine your personalBMI which is considered a better indicator of “fatness” than weight alone. What is your BMI?A (0 points)B (1 point)C (2 points)D (3 points)E. >35 (4 points)
14Assess Your Risk For a Heart Attack 13. How would you describe the way you handle anger?A. I avoid getting to the breakingpoint. (0 points)B. I yell or slam doors. (1 point)C. I always hold my anger in. (2points)
15Assess Your Risk For a Heart Attack 0: Great! You are presently healthy, and following the suggestions of the presentation should make you even healthier.1-10: Low Risk! It pays to investigate the areas where you amassed points and modify your lifestyle accordingly. You should find this presentation particularly motivating and helpful.11-20: Moderate Risk! This presentation will help you understand why it’s important to begin changing your lifestyle NOW!>20: HIGH RISK FOR HEART DISEASE! Though you may feel well now, get a complete physical ASAP. In the meantime, understand more about your heart and how it works. And you’ll learn what changes you need to make to begin reducing your risk.
16Assess Your Risk For a Heart Attack My goal is to help you recognize your personal risk factors for heart disease and motivate you to make the necessary lifestyle changes to keep your heart healthy.YOUR goal is to change the risk factors you can control, so that YOU can greatly reduce the chance of having a heart attack.
28Coronary Heart Disease Disorder of the blood vessels in the heart that can lead to a heart attack.A heart attack happens when an artery becomes blocked, preventing blood flow from getting to the heart muscle.
33Coronary Heart Disease (cont.) The arteries become narrowed by fatty deposits which develop into plaque.The blood supply (that is carrying oxygen, sugar and nutrients) cannot get to the heart muscle.The heart muscle cannot keep up with increased demands (exercise, stress, surgery, illness) with these blockages.
34How Critical is the Problem? C-Shop: Cardiac School age Health Opportunities ProgramWestern Nebraska: Bridgeport, NE1 out of 3 students tested: Elevated Cholesterol, Triglycerides, or BPShocking fact: 5th gradersEducation to both students and parents about curbing heart disease through healthy lifestyle choices.Retest will be when they reach 10th grade.
35How critical is the problem? #1 Killer of both men and women (more than the next 7 causes of death combined including cancer).50% of all Americans will die of some form of Cardiovascular Disease.1 in 3 will die from Coronary Heart Disease.
37How Critical is the Problem? (cont.) One woman in America dies from heart disease every minute. (African-American women are 30% more likely to die from CHD).If you combine Heart Disease and Stroke, there is one death every 33 seconds.Heart Disease begins before age 20, many years before anyone has symptoms.
38How Critical is the Problem? (cont) 62% of women believe that cancer is a woman’s greatest threat.Only 13% of American women consider heart disease a health risk themselves.9,000 U.S. women younger than 45 years old have had a heart attack each year.In women younger than 65 years who have a heart attack; their death rate is twice that of men.
41Classic Symptoms of Heart Disease “It’s the Big One”Chest discomfort: pain, pressure, tightnessPain radiating to the left arm or shoulderCold SweatsNauseaDoes everyone experience these symptoms?
42Vague symptoms of heart attack Unusual or sudden extreme fatigueShortness of BreathFlu-like symptoms: nausea or vomiting, cold sweats, weaknessFeelings of anxiety “Something is wrong”Pain in one or both arms, shoulders, elbows, neck, jaw, stomach or back.
43Only 30% of people experience classic signs and symptoms before having a heart attack. Women, diabetics, and older men do not experience the classic symptoms of having a heart attack!64% of women who died from coronary heart disease had no previous symptoms.Symptoms can often be vague so they are difficult to diagnose. Sometimes, treatment is delayed because their heart attack presents as something else.
44Women Have Poor Outcomes The entire artery is lined with diffuse disease rather than one area.Women start off with smaller vessels, so a small amount of disease is much more significant.The collaterals (small connecting blood vessels, nature’s little bypasses) are gone.More complications with angioplasty (ballooning the artery open) and stenting.More go for Coronary Artery Bypass Graft surgery (CABG), which is more invasive, carries more risks and has more complications.
46What Can We Do? Education is the Key…. Know the facts. Seek the informationMake the necessary lifestyle changesTLC (therapeutic lifestyle changes)Prevention is the Best Medicine!!!Research shows you can lower your risk for CHD enormously (82%) simply by leading a healthy lifestyle.
47Risks Factors That Cannot Be Controlled GenderIncreasing Age: the average age of our population is changing so CHD will remain a MAJOR health issue.Family History, Genetics1st degree relativesFather, Brother: < 55 years old with CVDMother, Sister: < 65 years old with CVDRace
48“With the many risk factors for heart disease, a woman’s greatest Risk is Ignorance”. former 1st lady, Laura Bush
49Risk Factors That Can Be Controlled Hypertension, High Blood PressureHigh cholesterol, Elevated Blood LipidsSmoking, Tobacco UseDiabetesObesity, Excessive Body FatPhysical InactivityStressOther: Inflammation: CRP (c-reactive protein)Homocysteine
51High Blood Pressure “Facts” Usually doesn’t cause symptoms.HTN—increases with age and body weight.Higher in African-Americans, Hispanics, Native Americans, and Hawaiians than Caucasians.½ of all patients with their first heart attack are hypertensive.HTN doubles the risk for CVD “heart failure”.Increased risk for “End-Organ” damage (kidney failure, CVA (stroke), MI—heart attack).
53Pulmonary Hypertension Elevated pressure in the arteries in the lungs.Normal: 25 mmHg pressure at restRight ventricular failure.Must work harder to pump blood through the lungsHeart muscle weakens and/or fails
55Angelo CiCi Pulmonary artery pressure: 96/ Severe shortness of breath, on oxygen 24/7Right-sided heart failure: everything backs up: liver congestionOn Dec 20, 2008 Angelo had massive heart failure (congestive heart failure, congestive pulmonary failure and pacemaker failure) with simultaneous renal failure.From this point on he was in and out of the emergency room. "I was so weak I couldn't even open a bottle of water by myself and I had decided I had had enough. I told the nurses I wanted all the IV's removed and I just wanted to go home and die." Angelo CiCi
56Angelo CiCi Pro-Arginine Plus (4 scoops/day) “I have seen a dramatic, a dramatic reversal in Angelo’s symptoms” Dan Austin RN“I expected a marginal improvement in the symptoms…what we ended up seeing was remarkable, positive, remodeling of the heart, positive pulmonary artery changes, pulmonary vascular changes…” Dr. Siva Arunasalam“The best thing? I can walk through the mall and hold my wife’s hand.” Angelo CiCi
57IV- You have symptoms even at rest. WHO (World Health Organization) functional classification for Pulmonary HypertensionI- Although you have been diagnosed with pulmonary hypertension, you have no symptoms.II- You don’t have symptoms at rest, Ordinary physical activity results in undue fatigue or shortness of breath, chest pain, or heart syncope.III- You are comfortable at rest. Less than ordinary physical activity causes undue fatigue or shortness of breath, chest pain, or heart syncope.IV- You have symptoms even at rest.
58High Blood Pressure—Initial Treatment Weight lossDecrease in salt intakeStop smoking and avoid 2nd hand smokeRegular exercise decreases BP, stress and weightDecrease alcohol consumption
59Pro-Argi-9 PlusL-arginine becomes nitric oxide which relaxes the walls of the artery decreasing blood pressure.Dr. Siva’s High Desert Heart Health Study13% decrease in systolic BP (decrease the workload of the heart).17% decrease in diastolic BP (decrease end-organ damage).CASP (central aortic systolic pressure) measured by B-Pro decreased 6.2%.
60CholesterolNarrowing of the arteries occurs when extra cholesterol and fat circulates in the blood and builds up in the walls of the arteries that supply blood to the heart, the brain, and other organs.Cholesterol does not dissolve in the blood. The lipo-proteins (HDL, LDL) carry the cholesterol in the bloodstream.Blood lipid profile—start at age 20 and retest every 5 years.
62LDL Low-Density Lipoprotein “Bad Cholesterol” Major carrier of cholesterol in the blood. Builds up on the arterial walls.Optimal < 100 mg/dLNear Optimal mg/dLBorderline High mg/dLHigh mg/dLVery High mg/dL and >
63HDL High-density lipoprotein “Good/Healthy” cholesterol Carries cholesterol from other parts of the body back to the liver.Good/Protective: mg/dL and >Borderline/Desirable: mg/dLLow/Major Risk: < 40 mg/dL
64Triglyceride LevelsA type of fat found in the body (from food and produced in the liver). Unused calories are converted to triglycerides and transported to fat cells to be stored and released via hormone signals to be used as energy.Good: < 150 mg/dLBorderline High: mg/dLHigh: mg/dL and >
65Pro-Argi-9 PlusDr. Siva’s study: Remember that these were maximally medically managed patients…..Total Cholesterol: no significant changeLDL: no significant change, though we know ProArgi9+ reduces LDL oxidation.HDL: Increased 18%.Dr. Siva says: “This is what ‘REVERSES’ heart disease” We can’t say that!This is a difficult marker to increase.Triglycerides: Decreased 45% (released and used for energy? Is this why we feel so energetic on Pro-Argi-9 Plus?)
66Smoking “America’s Health Crisis” Smoking is the leading preventable cause of death in the nation.Smoking is the single biggest risk of Cardiovascular Disease.Tobacco Use---Tobacco Abuse--- includes anything with nicotine (chewing tobacco, patches, gum)
67Smoking “America’s Health Crisis” NicotineDecreases oxygen in the bloodDamages the blood vessel which causes plaque to formTriggers blood clots to developReduces HDL (“good cholesterol”)Causes irregular heart rhythms that could lead to cardiac arrest
68Smoking “America’s Health Crisis” Smokers are 2-6 X’s more likely to suffer a heart attack than nonsmokers.Male smokers lose 13.2 years of life expectancy.Female smokers lose 14.5 years of life expectancy.Second-Hand smoke doubles a non-smoker's risk of heart disease.
69Smoking “America’s Health Crisis” The Good NewsDon’t smoke, and if you do,QUIT NOW!Quitting begins to decrease cardiovascular risk immediately.Over time (10 years), the risk of heart disease returns to nearly normal.
70Pro-Argi-9 PlusPro-Argi-9 Plus provides us with the amino acid L-arginine which converts to nitric oxide.On Dr. Siva’s list: smoking consumes nitric oxide, the body needs more. Every tissue utilizes Nitric Oxide.* Lowers Blood Pressure* Protects against heart attack and stroke (interferes with unwanted blood clotting)* Keeps the normal endothelial layer as protective* Protects against atherosclerosisRed Wine Extract (Resveratrol): An Antioxidant---acts as a sponge that absorbs free-radicals. Also, keeps the LDL from becoming “sticky”.
71Diabetes Now affects 10% of the U.S. population Has nearly doubled in the last yearsAbout 65% of diabetics die of some type of heart disease at an earlier age than the rest of the population.Diabetes increases the risk of Coronary Heart DiseaseWomen: 3-7 X’sMen: X’s
72Diabetes Good Blood Sugar: < 100 mg/dL ABC’s of Diabetic Control A1c (hemoglobin A1c) a blood test that measures your average blood glucose level over the last 3 months.BP (blood pressure) the higher your BP, the harder your heart has to work and the more damage inside your arteries.Cholesterol: LDL (bad) builds up and “clogs” your arteries.
73Dr. Siva’s study with Pro-Argi-9 Plus ●Glucose:Decreased 8% (Dr. Siva rated this a highly significant finding)●Blood Pressure:Systolic BP decreased 13%Diastolic BP decreased 17%●Blood Lipids:HDL increased 18%Triglycerides decreased 45%
76Dr. Siva’s study with Pro-Argi-9 Plus ABI Ankle-Brachial IndexThe # represents the % of decreased blood flow in the lower extremities.PAD (peripheral arterial disease) is common in diabetic patients.ABI increased 16%. HUGE!When people can walk around with leg pain (claudication is cramping the calves—the muscles is screaming for oxygen that the clogged arteries cannot deliver). When they can walk without leg pain, their quality of life improves, their ability to exercise improves.
77Obesity More than 30% of adults are now considered obese. More alarming: at least 15% of children are obese.People who are 30 pounds or more overweight are more likely to develop heart disease, even if they have no other risk factors. OUCH!
78ObesityThe risk is greater if the weight is around the stomach instead of around the hips (apple vs pear shape).Being overweight increases the chances of developing other major risk factors (high blood pressure, high cholesterol, diabetes).
79Obesity Waist measurements BMI (Body Mass Index) Women: > 35”BMI (Body Mass Index)Overweight: > 25Obese: > 30Morbid Obesity: 100 pounds over your desired weight
80Pro-Argi-9 PlusNot a weight loss product, but people seem to lose 1 pound/month taking this product.Dr. Siva spoke about muscle physiology.(Big improvements in 6-minute walk-test)Performance enhancementIncreased exercise capacityDelivering more oxygen to the tissueMore efficient to remove lactic acid
82Exercise and Heart Disease 60% of Americans do not get the recommended amount of physical activity.Research shows that as little as 30 minutes of moderate activity on most, preferable all, days of the week help protect your heart.The BEST heart healthy exercise program includes both aerobic exercise and resistance training. Resistance training helps improve heart health by decreasing BP, changing fat into muscle, increasing your Basal Metabolic Rate.
83Exercise and Heart Disease Aerobic exercise increases HDL. The more the exercising, the higher the HDL.Diabetes is better controlled with regular moderate exercise.
84Pro-Argi-9 Plus Move Faster Recover Faster Lose Weight Performance enhancementIncreased exercise capacityDeliver more oxygen to the tissuesMore efficient to remove lactic acidFaster RecoveryFeel BetterMove MoreMove FasterRecover FasterLose Weight
85Vitamin D & Heart Disease November 2009 reportIntermountain Medical Center in UtahResearchers found that low levels of vitamin D significantly increase the risk for stroke, heart disease, and death.
86November 2009 report Intermountain Medical Center in Utah The study followed 27, 686 people age 50 and older with no history of CVD.The participants were divided into 3 groups based on their Vitamin D levels normal, low, or very low.After 1 year, the very low levels:77% more likely to die45% more likely to develop CAD78% more likely to have a stroke compared to those with normal Vit. D levels“We concluded that among pts 50 years or >, even a moderate deficiency of Vit. D levels was associated with developing CAD, heart failure, stroke and death,” said study co-author Heidi May.
87Vitamin D & Heart Disease Dr. Tracy Stevens, MD, FAAC, Cardiology, Kansas City, Missouri“Get your vitamin D levels checked”She thinks that this essential vitamin is seriously underrated.In a recent program involving 600 women, Dr, Stevens and her colleagues found that 97% of the participants were deficient in Vitamin D and low levels of the vitamin have been linked to marked increases in heart disease. When the women took supplements, they reported feeling more energy as their vitamin D levels increased.
88Pro-Argi-9 Plus D3 (Cholecalciferol) is your best source of vitamin D. Each scoop has 2,500 IU of Vitamin D3 or 625% of your daily values.
89Dr. Siva’s Study with Pro-Argi9 Plus Dr. Siva’s study found their 33 maximally medically managed patients to be 95% deficient in vitamin D.Vitamin D3 increased 183% in their patients. Many “measureable data points” improved in this study. In addition to improvement of lab values and medical test results, the quality of life (demonstrated by the 6-minute walk test) dramatically improved in these 33 patients.
90If you don’t take care of your body, where will you live?”