1. Cardiovascular Disease Prevention Know, Understand, and Act University of Ottawa Heart Institute Division of Prevention & Rehabilitation

2. Cardiovascular Disease  Conditions affect heart & blood vessels  Coronary Artery Disease (CAD) = most common  Atherosclerosis = hardening & narrowing of arteries  leads to CAD  Chronic disease  Heart Attack  Death

3. Know the Risk Factors

4. Age  Heart weakens  Less efficient  Risk increases after 55 (men) & 65 (women)

5. Sex  Men are at higher risk for CVD than premenopausal women  Heart disease 3-5x more likely in men  Women are more likely to die following a heart attack

6. Family History Family History 1.5-2 x increased risk

7. 80%

8. Understand the Risk Factors

9. Diabetes  Risk increases by 3-5x  Develop heart disease 10-15 years earlier  80% die of CVD or stroke  Type 2 diabetes and pre-diabetes

10. Cholesterol

11. Cholesterol

12. Blood Pressure  Systolic/diastolic  Puts excessive force on artery walls  “Silent Killer”  95% of Canadians develop hypertension  6x more likely develop diabetes

13. Nutrition  Essential for overall health  High in vitamins, minerals and fibre  Low in sodium and fat  Affects other heart health risk factors

14. Physical Activity  2x risk of CVD  Decreases workload of heart and lungs  Improves cholesterol, blood pressure and blood sugar  Reduce heart attack risk by 35-55%  Never too late

15. Smoking  Most preventable cause of CVD  Blocks arteries, raises blood pressure  Doubles the risk of stroke  Quitting lowers heart attack risk by 50%

16. Stress, Anxiety & Depression  Increase blood clotting  Plaque buildup  Blood pressure increases  Irregular heart beat or spasms  Leads to unhealthy behaviours

17. Weight Management Body Mass Index (BMI)

18. 18 Act & Reduce the Risk Factors CardioPrevent® Virtual Care Program Women@Heart

19. 1 year Behavioural-based Counselling Full risk factor screening Facilitator/Health Coach Personalized programming & Education

20. Eligibility Moderate to High risk No known CVD 18 years+ Physician/Nurse Practitioner referral Impacts to Date FRS change score: -27% TC/HDL-C: 0.6 unit decrease Weight (kg): 3.2 kg reduction WC (cm): 4.6 cm reduction

21. Virtual Care Program The Virtual Care Program is an online cardiovascular health management system that provides best practice strategies for the control and management of heart disease risk factors.

22. Jill X

23. Women@Heart Peer Support program For Women by Women Recovery needs Group sessions Community 6 months: 12 sessions

24. Women@Heart Female Have Cardiovascular Disease – Coronary artery disease – Valve disorder – Heart failure No significant cardiac symptoms or hospitalization within the last 6 weeks Managing risk factors post-event can reduce recurrence up to 50%

25. Natalie Martin 613.798.5555 x18099 nmartin@ottawaheart.ca Prevention & Wellness Centre pwc.ottawaheart.ca 613.761.4753

26. Health Risk Assessment