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

Reducing your Risk of Heart Disease Webinar Series Controlling Risk Factors for Women 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 is the largest peer-to-peer support Mended network in the world. Hearts • 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.”

Controlling Factors for the Prevention of Cardiovascular Disease in Women Caroline deRichemond, CRNP American Society for Preventative Cardiology

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 ▪ or 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

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 . THE HEART FACTS FOR Heart disease is the leading cause of death for African American and white women in the United States. WOMEN 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 Inactivity. A lack of physical Mental stress and depression . Smoking . In women, smoking is Menopause. Low levels of Diabetes . Women with diabetes activity is a major risk factor for Women's hearts are affected by a greater risk factor for heart estrogen after menopause pose a are at greater risk of heart disease heart disease, and some research stress and depression more than disease in women than it is in significant risk factor for than are men with diabetes. has found women to be more men's. men. developing cardiovascular disease inactive than men. Broken heart syndrome . This Certain chemotherapy drugs condition — often brought on by and radiation therapy for Pregnancy complications . Women with inflammatory stressful situations that can cause cancer . Some chemotherapy High blood pressure or diabetes diseases , such as rheumatoid severe, but usually temporary, drugs and radiation therapies, during pregnancy can increase arthritis or lupus, may also have a heart muscle failure — occurs such as those used to treat breast women's long-term risk. higher risk of heart disease. more commonly in women after cancer. menopause.

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. Women are more likely than men to have a different symptom of heart attack than  chest pain or discomfort. These symptoms include: Pain in the back, neck, jaw, or throat  Indigestion  Heartburn  Nausea (feeling sick to the stomach)  Vomiting  Extreme fatigue (tiredness)  Problems breathing (shortness of breath)  Women are more likely than men to have heart attacks that do not show obvious  symptoms. These are called silent heart attacks SYMPTOMS ARE DIFFERENT FOR WOMEN: THAT LEADS TO MISSING SYMPTOMS Centers of Disease Control and Prevention

WHAT YOU CAN DO TO REDUCE YOUR RISK QUIT SMOKING EXERCISE EAT A HEART MAINTAIN A TAKE CARE OF REGULARLY HEALTHY DIET HEALTHY WEIGHT 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 www.aspconline.org 1-888-HEART-99