1. Better understanding the brain, the heart, the problems and the solutions Steven Harrington, MDWilma Agnello-Dimitrijevic, MD Cardiothoracic SurgeonNeurologist Heart & Vascular InstituteStroke Center Heart Wise & Stroke Savvy

2. Why women should care about heart disease and stroke Heart disease is women’s #1 killer Stroke is women’s #3 killer Of the women who die each year, one in three die from cardiovascular disease. CVD kills more women than the next 5 causes of death combined

3. What most women don’t know  Coronary heart disease rates in women rise 2-3 times after menopause  African Americans are at higher risk than Caucasians  42% of women die within 1 year of heart attack—almost double the statistic for men  64 percent of women who died suddenly of heart disease had no previous symptoms  Each year, about 55,000 more women than men have a stroke

4. Your heart: Arteries and veins are the plumbing http://www.henryford.com/myhealth/adam/BGuide/frameParent.html

5. Cardiovascular diseases  Coronary artery disease, including angina and heart attack  Heart failure  High blood pressure and high cholesterol  Irregular heart rhythms (arrhythmias)  Heart valve problems  Peripheral artery disease (PAD)  Stroke

6. What happens during a heart attack?  Coronary artery becomes blocked, blood cannot get through the area and to the heart  Within about 20 minutes, the heart begins to die. When heart tissue dies, it can no longer function as it did before.

7. Heart Attack: Know the signs  Unusual fatigue or exhaustion  Chest discomfort: pressure, squeezing, fullness or pain that is sudden or severe, constant or passing  Other upper-body pain: arm, neck, jaw or stomach discomfort  Shortness of breath: unable to catch your breath for several minutes  Cold sweat, nausea or light-headedness (combined with chest pain)

8. Are women’s symptoms different than men’s? In both women and men, most common heart attack symptom is chest discomfort However, women are more likely than men to experience: Shortness of breath Nausea/vomiting Back or jaw pain

9. Treating heart disease: Beyond lifestyle changes and medication

10. Minimally invasive cardiac surgery http://www.heartlungrobotics.com/dvs-system/procedure-multimedia Open Surgical IncisiondaVinci Cardiac Bypass Incision

11. Understanding Stroke

12. . TIA versus stroke  A Transient Ischemic Attack (TIA), is a "warning stroke" or "mini-stroke"  Produces stroke-like symptoms but no lasting damage  Recognizing and treating TIAs can reduce the risk of a major stroke  About 10 - 15% of patients who have a TIA have a stroke within 3 months, with half of these strokes occurring within 48 hours after the TIA.

13. Most common stroke type can be stopped, if you act FAST!  Hemorrhagic stroke occurs with sudden bleeding into or around the brain. While less common than ischemic strokes, they tend to be more deadly.  Ischemic stroke occurs when a blood clot forms within the cerebral arteries, or when a blood clot circulates from another part of the body and lodges in the brain  Compared with the rate of neuron loss in normal brain aging, the ischemic brain ages the equivalent of 3.6 years for every hour without treatment  Only 3-5% reach the ER in time to receive the needed brain-saving and life-saving care.

14. Stroke types

16. Stroke treatment  Clot-busting drugs available for appropriate ischemic stroke patients, but must be administered within the first few hours after of the onset of symptoms  Other treatments available, including MERCI clot retriever

17. Know the stroke warning signs  Sudden numbness or weakness of the face, arm or leg  Sudden confusion, trouble speaking or understanding  Sudden trouble seeing in one or both eyes  Sudden trouble walking, dizziness, loss of balance or coordination  Sudden, severe headache with no known cause  Signs that may be unique to women : –Sudden face and limb pain, nausea, chest pain, shortness of breath or palpitations

18. Henry Ford Macomb Hospitals  Heart & Vascular Institute recognized with Top 100 Cardiovascular Hospital awards in 2007, 2008 and 2009  Among nation’s leaders in heart attack treatment (door-to-angioplasty average treatment time of 52 minutes)  Stroke centers at both Clinton Township and Warren hospitals, with Clinton Township designated as a Primary Stroke Center (Warren in process of attaining accreditation)  Clinton Township’s stroke program recognized with just one other hospital in state as Gold Plus Award honoree by American Heart & Stroke Association

19. Faces of women and stroke

20.  Women are speaking up about the No. 1 and No. 3 killers of women. The good news is that by taking action, we can beat those statistics.  Taking care of you is the first priority.