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February is American Heart Month
Our Mission in Michigan
Cardiovascular diseases (including stroke) are the #1 cause
of death in Michigan. Statewide, 34,730 deaths (39.7% of all
deaths) were caused by heart disease or stroke in 2002 (most
recent available information). Heart attacks and strokes can
devastate victims, families, relationships and health while bringing
possible emotional upheaval and financial distress.
Coronary artery disease (CAD) is America’s No. 1 KILLER
of American males and females. Stroke is No. 3 and is a leading
cause of serious disability. CAD caused one of every five (5)
deaths in the United States in 2003. Approximately every 26 seconds
an American will suffer a coronary event. About every minute,
someone will die from one. Nearly 40% of the people who experience
a heart attack in a given year will die from it. That’s
why you need to place high priority in reducing your risk factors.
You need to know the warning signs. You need to know how to respond
quickly and properly if you experience the warning signs of a
heart attack or are having a heart attack.
Coronary Heart Disease Prevalence
(NHIS [2003], CDC/NCHS, Vital and Health Statistics, Series
10, No. 225, July 2005)
The following prevalence estimates are for people age 18 and
older:
- Among whites only: 11.4 % have heart disease, 5.9 % have
cardiovascular diseases (CHD), 20.5 % have hypertension (HTN)
and 2.3 % have had a stroke
- Among blacks or African Americans only: 9.9% have heart disease.
5.3% have CHD, 31.6% have hypertension and 3.5% have had a
stroke
- Among Hispanics or Latinos: 7.7% have heart disease, 4.5
% have CHD, 19.0 % have hypertension and 2.2% have had a stroke.
- Among Asians: 5.6 % have heart disease, 3.8% have CHD, 16.1%
have hypertension and 2.2% have had a stroke.
- Among native Hawaiians or other Pacific Islanders: 16.6%
have heart disease, 4.9% have CHD and 18.2% have hypertension.
- Among American Indians or Alaska Natives: 13.8% have heart
disease, 8.2% have CHD, 23.9% have hypertension and 3.1% have
had a stroke.
Who’s At Risk?
What Makes Coronary Artery Disease More Likely?
According to the National Heart, Lung and Blood Institute about
13 million people in the U.S. have Coronary Artery Disease (CAD).
It is the number one killer of both men and women. Each year,
more than half a million Americans die from CAD. There are factors
that make it more likely that you will develop CAD. These are
called risk factors.
Risk factors are behaviors or conditions that increase the chance
of a disease. Some risk factors are not within your control.
Still, other risk factors are ones you can modify or eliminate
to assist in lowering your risk for CAD. Your risk factors multiply
each other’s effects. The more risk factors you have, the
greater your chance for developing CAD. Therefore, preventing
or controlling risk factors that can be modified is extremely
important.
Risk factors that you cannot do anything about are:
AGE
- As you get older, your risk for CAD increases
- In men, risk increases after age 45
- In women, risk increases after age 55.
Family history of early heart disease
- Heart disease diagnosed before age 55 in father or brother
- Heart disease diagnosed before age 65 in mother or sister.
Risk factors that you can do something about include:
- High blood cholesterol (see chart)
- High blood pressure
- Tobacco use such as cigarette smoking
- Secondhand smoke
- Diabetes
- Being overweight or obese
- Inactivity
| Factor |
Goal |
| Total Cholesterol |
Less than 200 mg/dL |
LDL (“Bad”) Cholesterol |
LDL cholesterol goals vary.
- People who are at low risk for heart disease: <160mg/dL
- People at intermediate risk for heart disease: <130
mg/dL
- People at high risk for heart disease including
those who have heart disease or diabetes: <100
mg/dL
|
| HDL (“Good”) Cholesterol |
50 mg/dL or higher |
| Triglycerides |
<150 mg/dL |
| Blood Pressure |
<120/80 mmHg |
| Fasting Glucose |
<100 mg/dL |
| Body Mass Index (BMI) |
<25 Kg/m² |
| Waist Circumference |
<35 inches |
| Exercise |
Minimum of 30 minutes most days, if not all days of
the week |
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“Act in Time”
“Act in Time” is the new joint campaign of the American
Heart Association and the National Heart, Lung and Blood Institute. “Act
in Time” is bringing an increased awareness of heart attacks
and strokes to people and the importance of calling 911 immediately
at the onset of heart attack symptoms or stroke symptoms. A heart
attack or a stroke is a life-and-death emergency—every
second counts. Today, new medications and treatments are available
that can benefit heart attack and stroke victims. But to be effective,
the drugs must be given relatively quickly after a heart attack
or stroke symptoms are first experienced. Don’t delay—get
assistance at once!
Some heart attacks are sudden and intense — the "movie
heart attack," where no one doubts what's happening. But
most heart attacks start slowly, with mild pain or discomfort.
Often people affected aren't sure what's wrong and wait too long
before getting help. Call 911 for help or have someone drive
you to the closest emergency room. Do not drive yourself to the
emergency room.
Cardiac Arrest
Cardiac arrest strikes immediately and without warning. Cardiac
arrest is a medical emergency. Begin CPR if trained. Call 911
immediately!
Someone is in cardiac arrest when one or all of the following
conditions are present.
- Sudden loss of responsiveness. No response to gentle shaking.
- No normal breathing. The victim does not take a normal breath
when you check for several seconds.
- No signs of circulation. No movement or coughing.
Heart Attack Warning Signs
According to the American Heart Association, these are the warning
signs of a heart attack or indication that a heart attack is
happening.
- Chest discomfort
Most heart attacks involve discomfort in the center of the chest that lasts
more than a few minutes, or that goes away and comes back. It can feel
like uncomfortable pressure, squeezing, fullness or pain.
- Discomfort in other areas of the upper body
Symptoms can include pain or discomfort in one or both arms, the back,
neck, jaw or stomach.
- Shortness of breath
May occur with or without chest discomfort.
- Other signs
These may include breaking out in a cold sweat, nausea or lightheadedness.
May seem like indigestion.
As with men, women's most common heart attack symptom is chest
pain or discomfort. But women are somewhat more likely than men
to experience some of the other common symptoms such as shortness
of breath, nausea/vomiting, and back or jaw pain.
Most importantly: Take Care of Your Heart and It will Take Care
of You!
Source: National Institute of Neurological Disorders (NINDS)
of National Institute of Health (NIH)
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