Controlling Risk Factors for Women Created with an educational - - PowerPoint PPT Presentation

Controlling Risk Factors for Women

Reducing your Risk of Heart Disease Webinar Series

Created with an educational grant from:

Part 5 June 6, 2019

Presenters

• Andrea Baer, MS, BCPA – Director of Patient Advocacy and

Program Management, Mended Hearts and Mended Little Hearts. Andrea is also mom to a 10-year-old son with Congenital Heart Disease.

• Caroline deRichemond, CRNP is a member of the American

Society for Preventive Cardiology. Caroline is a Cardiology Nurse Practitioner in the Geisinger Health System in Northeastern Pennsylvania with a special interest in preventative cardiology

• Donnette Smith—President of Mended Hearts. Donnette was

born with a congenital heart defect and has been actively involved in Mended Hearts in a variety of roles for over 20 years. Donnette is a passionate advocate for women’s heart health and access to care for everyone.

About Mended Hearts

• Mended Hearts is the largest peer-to-peer support

network in the world.

• Mended Hearts mission is:

“To inspire hope and improve the quality of life of heart patients and their families through on-going peer-to-peer support, education, and advocacy.”

• Mended Hearts has 285 chapters across the country

serving over 460 hospitals.

About the ASPC

The American Society for Preventive Cardiology’s mission statement is: “To promote the prevention of cardiovascular disease, advocate for the preservation of cardiovascular health, and disseminate high-quality, evidence-based information through the education of healthcare clinicians and their patients.”

Caroline deRichemond, CRNP American Society for Preventative Cardiology

Controlling Factors for the Prevention

• f Cardiovascular Disease in Women

Hearts to Husbands 1964

Classifications- What is your risk for heart disease?

Classifications- High Risk (1 or more)

▪ Existing Coronary Heart Disease (heart attack, bypass surgery, heart stents) ▪ Stroke or Carotid Artery Disease (narrowed or blocked arteries that take blood to your brain) ▪ Peripheral Artery Disease (blocked arteries in the legs) ▪ Abdominal Aortic Aneurysm (weakness in the artery in the abdomen) ▪ Chronic Kidney Disease ▪ Diabetes ▪ Framingham risk tool: Your personal risk factors predict a high risk of heart and vascular disease in the next 10 years (based on age, gender, presence of diabetes, total cholesterol, HDL cholesterol, smoking and systolic blood pressure

Classifications- At Risk (1 or more)

▪ Cigarette smoking ▪ Poor diet ▪ Lack of regular physical activity or who cannot complete a treadmill exercise test ▪ Overweight Body Mass Index 25-29.9 or obesity >30 ▪ Family history of heart or vascular disease ▪ Lupus or Rheumatoid Arthritis ▪ Pregnancy complications; the development of high blood pressure

• r diabetes during pregnancy, delivering a pre-term infant

▪ Metabolic Syndrome- 3 or more Waist greater than 35 in, triglycerides > 150 mg/dL, HDL (high healthy) less than 50 mg/dL, Blood pressure higher than 130/85, fasting blood sugar > 100 mg/dL

Classifications- Ideal Cardiovascular Health (healthy lifestyle with all)

▪ BP<120/80 mmHg (no meds) ▪ Total cholesterol <200 mg/dl (no meds) ▪ Fasting blood glucose <100 (no meds) ▪ Body Mass Index <25 kg/m² ▪ Never a smoker or quit one year prior ▪ Physical activity:≥150 min/wk Mod or ≥75/wk Vigorous or Combination ▪ Healthy diet of fruits and vegetables, whole grains, and high fiber foods. Fish especially fish oil twice a week or more. Pregnant women should avoid fish with high mercury levels. Limit saturated fat, avoid trans-fatty acids, cholesterol, alcohol, sodium, and sugar

Lifestyle Interventions- Eat Heart Healthy

▪ Diet rich in fruits and vegetables, including whole grains, and high fiber foods. ▪ Fish twice a week or more, preferably oily fish. ▪ Limit sodium to 1500 mg per day ▪ Limit saturated fat, avoid trans-fatty acids, cholesterol, alcohol, sodium, and sugar ▪ Avoid trans-fatty acids. No trans-fats is the goal. ▪ Very little saturated fat (such as fat from meat, cheese, and butter): less than 7% of your total calories per day. ▪ Eat less than 150 mg of cholesterol per day ▪ Drink no more than one alcoholic drink per day. No alcohol is best!

Lifestyle Interventions- Smoking

▪ You should not smoke or VAPE or chew tobacco, cigars worse than cigarettes ▪ Avoid environments where people smoke ▪ Get a family member or friend to quit with you! ▪ Counseling ▪ Nicotine replacement ▪ Drug therapy if needed ▪ Formal smoking cessation program

Lifestyle Interventions- Exercise and Weight Loss

▪ Get 150 minutes of moderate exercise per week, such as brisk walking ▪ There is increased cardiovascular benefit from 5 hours of moderate intensity, with 2.5 hours per week vigorous intensity and /or muscle strengthening ≥2 d/wk ▪ If you are trying to lose weight or sustain, 80-90 minutes a day moderate intensity

Lifestyle Interventions- Women with recent Heart Problems

Join a cardiac rehabilitation program or provider-guided exercise program following heart attack stroke or other cardiac conditions.

Numbers all Women Need to know- Discuss with your provider

A PATIENT PERSPECTIVE IN WOMEN’S HEART HEALTH

DONNETTE SMITH PRESIDENT, MENDED HEARTS

MY STORY: WHY WOMEN’S HEART HEALTH IS SO IMPORTANT

THE HEART FACTS FOR WOMEN

Heart disease is the leading cause of death for women in the United States, killing 289,758 women in 2013—that’s about 1 in every 4 female deaths. Despite increases in awareness over the past decade, only 54% of women recognize that heart disease is their number 1 killer. Heart disease is the leading cause of death for African American and white women in the United States. About 5.8% of all white women, 7.6% of black women, and 5.6% of Mexican American women have coronary heart disease. Almost two-thirds (64%) of women who die suddenly of coronary heart disease have no previous symptoms.

Centers of Disease Control and Prevention

RISK FACTORS FOR WOMEN

• Diabetes. Women with diabetes

are at greater risk of heart disease than are men with diabetes. Mental stress and depression. Women's hearts are affected by stress and depression more than men's.

• Smoking. In women, smoking is

a greater risk factor for heart disease in women than it is in men.

• Inactivity. A lack of physical

activity is a major risk factor for heart disease, and some research has found women to be more inactive than men.

• Menopause. Low levels of

estrogen after menopause pose a significant risk factor for developing cardiovascular disease Broken heart syndrome. This condition — often brought on by stressful situations that can cause severe, but usually temporary, heart muscle failure — occurs more commonly in women after menopause. Certain chemotherapy drugs and radiation therapy for

• cancer. Some chemotherapy

drugs and radiation therapies, such as those used to treat breast cancer. Pregnancy complications. High blood pressure or diabetes during pregnancy can increase women's long-term risk. Women with inflammatory diseases, such as rheumatoid arthritis or lupus, may also have a higher risk of heart disease.

SYMPTOMS ARE DIFFERENT FOR WOMEN: THAT LEADS TO MISSING SYMPTOMS

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A real heart attack may look and feel very different for women. Women are more likely to have nontraditional symptoms of heart attack than men. And women are also more likely to have silent heart attacks.

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Women are more likely than men to have a different symptom of heart attack than chest pain or discomfort. These symptoms include:

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Pain in the back, neck, jaw, or throat

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Indigestion

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Heartburn

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Nausea (feeling sick to the stomach)

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Vomiting

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Extreme fatigue (tiredness)

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Problems breathing (shortness of breath)

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Women are more likely than men to have heart attacks that do not show obvious

• symptoms. These are called silent heart attacks

Centers of Disease Control and Prevention

WHAT YOU CAN DO TO REDUCE YOUR RISK

QUIT SMOKING EXERCISE REGULARLY EAT A HEART HEALTHY DIET MAINTAIN A HEALTHY WEIGHT TAKE CARE OF YOUR MENTAL HEALTH

Next Webinar in the Series:

June 20, 2019 12:00 PM ET Controlling Risk Factors for Diverse Populations

Thank you to our Sponsor:

www.mendedhearts.org 1-888-HEART-99 www.aspconline.org