1. HEART HEALTHY LUNCH AND LEARN
WELCOME TO UNION COUNTY’S WELLNESS EVENT
HEART HEALTHY LUNCH AND LEARN
FEBRUARY 13, 2018
AGENDA
12:00 – 12:15 REGISTRATION AND LUNCH
12:15 – 12:20 WELCOME Andrew Smarra, Treasurer
12:20 – 12:50 UNDERSTANDING HEART Michele Daniel, M.S., DISEASE Memorial Hospital
12:50 – 12:55 WELLNESS ANNOUNCEMENTS Ginger Yonak,
AND RAFFLE DRAWING HR Director

3. Understanding heart disease
Michele Daniel, M. S.

4. What is the leading cause of death in the United States of America for men?
A. Heart Disease
B. Colon Cancer
C. Lung Cancer
D. Stroke
What is the leading cause of death in the United States of America for women?
A. Heart Disease
B. Breast Cancer
C. Lung Cancer
D. Stroke

5. Atherosclerosis

6. Disease progress by age with typical American diet

7. Myocardial Infarction - Spasm
Coronary artery spasms are an involuntary constriction of the coronary artery walls. This is a form of unstable angina. Spasms typically occur at rest, between the hours of 12 midnight and 8 am. For people who experience these spasms There is also a greater risk of developing arrhythmias (abnormal heart rhythms) such as ventricular tachycardia and ventricular
Myocardial Infarction - Blood Clot
Blood clots are a part of a natural process in the body to prevent excessive bleeding, eventually they dissolve on their own. When the clot fails to dissolve it can block the blood flow in the artery and cause a heart attack or stroke.
In order to prevent incidents of heart attack and stroke medications such as anticoagulants (prevent blood clots), and clot busters (dissolve clots) are prescribed.

8. Stent placement vs. Coronary Artery Bypass Grafts

10. What is Angina?
What do you do if you experience Angina at home?
What do you do if you experience Angina away from home?

11. When do you experience Angina?
During exercise or other activity due to increase in heart rate and the heart’s increased need for oxygen.
During emotional and stressful events that cause the heart rate to increase, heart spasms constricting blood flow to the narrowed coronary arteries.

12. The 22 leading diagnoses for health expenditures, United States, 2010 (in billions of dollars).

13. What are your risk factors for Coronary Artery Disease?
Smoking
Cholesterol
Hypertension
Obesity
Sedentary Lifestyle
Stress
Diabetes
Family History
Age/Gender

15. Cigarette Smoking
Each cigarette that you smoke narrows the blood vessels in your body so the heart has to beat faster and harder
It also raises your blood pressure and robs your heart of oxygen that it needs to work
Smokers have 2-6 times greater risk of a heart attack than non-smokers
Second hand smoke can cause up to a 30% risk of death from heart disease
Smokeless tobacco products also places you at increased risk for heart disease

16. Hyperlipidemia
Fats insulate the body from cold, aid in digestion, protect the body from injury, and aid in nerve and hormone function – we need fat but usually not as much as we have
Cholesterol comes from 2 sources – foods we eat (20%) and liver production (80%)
Where does cholesterol come from in our diet?
When we eat more cholesterol than our body needs it can be deposited in our blood vessels

17. Lipid Values Total cholesterol - <200 mg/dl; CAD patients <180
Borderline mg/dl
High - >240 mg/dl
HDL – good cholesterol - goal is >40 mg/dl for men and 50 mg/dl for women
LDL – bad cholesterol - goal is as low as possible if have CAD or DM
Triglycerides – fat from diet mainly goal is less than <150 mg/dl
Lipids that are too high help narrow your blood vessels, makes your heart work harder and adds to the risk of heart attack or stroke.

18. Hypertension

19. Recommendations to improve hypertension:
No cigarette smoking
Lose or maintain weight, planning a diet to keep your weight down.
Use less or very little salt in your diet. (I.e. don’t add salt at the table)
Take prescribed medications, get your prescriptions filled on time, even if you feel good
Work at making living habits less stressful.
Regular exercise – sensibly keep active.
Have blood pressure checked; know your blood pressure.
Limit alcohol usage
For every 2.2 lbs. you lose in weight, you lower your BP by a point.

20. Obesity More than ½ of all American adults are overweight or obese
Obesity accounts for 300,000 preventable deaths each year
Extra weight puts extra strain on the heart. Extra weight increases the work of your heart by making it pump harder to push blood to all the extra fat of your body. If you have high blood pressure also, the heart has to work even harder.
Middle-aged men (and women are catching up) who are 20% above normal weight have 2-3 times the risk of fatal heart attack than those who control their weight.
Losing as little as 10% (even 10 pounds) of body weight can make significant improvements in health and well being such as sleeping, knee pain and energy level. Losing excess weight may also lower blood pressure and lessen the chance of getting diabetes.

21. Sedentary Lifestyle
Some studies show that people who lead inactive lives may run higher risk of heart attack than those who get regular exercise.
Regular exercise helps improve circulation, tones the muscles and bones and helps aid in losing weight. Proper exercise may help keep high blood pressure and diabetes under control, slow aging and help your heart reduce the risk of a heart attack.
Link between obesity and sedentary lifestyle

23. Stress
Stress is a natural part of our lives and is not something to be completely avoided. However, too much stress is harmful and should be controlled.
Stress raises blood pressure and heart rate and makes your heart work harder. Long periods of stress seem to increase the risk of heart problems.
Stress Reduction techniques include altering stress, avoiding stress or adapting to stress

24. Diabetes
Diabetes is a medical problem where there is a insufficient insulin activity which leads to sugar build-up in the blood. This causes an increase in cholesterol and other fats in the blood and can lead to an increased risk of CAD by as much as 3.6 times
Type II Diabetes appears often in middle aged men and women and especially in those who are overweight.
Most importantly, through regular medical check ups, diabetes can be detected early and brought under control so that most diabetic patients can lead normal active lives

25. Metabolic Syndrome
Pre- Diabetes or Metabolic syndrome is known as being insulin resistant and consists of having 3 of 5 risk factors which leads to an increased risk of CAD and DM:
Abdominal Obesity with women having a waist size of of 35 inches or greater or men with a waist size of 40 inches or greater
Triglycerides of 150 or greater
HDL cholesterol - women under 50 mg/dl or men under 40 mg/dl
Fasting blood sugar greater than 110 mg/dl
Blood pressure of greater than 130/85 mm Hg

26. Uncontrollable Risk Factors:
Family History
Age/Gender

28. “We cannot become what we need to be by remaining what we are
“We cannot become what we need to be by remaining what we are.” - Max DePree
“No prescription is more valuable than knowledge.” – C. Everett Koop M. D. , former Surgeon General
“We must go beyond simply treating the symptoms of heart disease, because even the best and costly high tech treatment approaches have no effect on the incidence rates of this Western Killer. We must attack the causes.” – Caldwell Esselstyn, M. D.

29. UNION COUNTY 2018 WELLNESS PROGRAM
WELLNESS ANNOUNCEMENTS
UNION COUNTY 2018 WELLNESS PROGRAM
1 October 2017 – 1 October 2018
Earn 50 points for attending today’s Heart Healthy Lunch and Learn!
Want to learn more about the information presented today? Mark your calendar for Wednesday, February 28 at noon for a February Heart Health Talk
Location: City of Marysville (Council Chambers)
Presented by Dr. Michael Donnally and Dr. Vincent Brinkman, Memorial Hospital
Schedule your onsite Health Evaluation now! Call or go online:
Health Evaluations are worth 300 points and can also be done at any LabCorp or through your physician.
Have your screening results sent to your Physician and earn 50 points!
Earn up to 100 points for Preventive Care!
Questions?
Call Interactive Health at
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