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Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem The Heart Truth and Red Dress are trademarks of DHHS.

Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

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Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem. The Heart Truth and Red Dress are trademarks of DHHS. A National Campaign. To help women understand their risk of heart disease and take action Especially women ages 40 to 60 Partnership of many groups - PowerPoint PPT Presentation

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Page 1: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

WelcomeLisa Marzoli, BS, MBA

Wellness Coordinator, Anthem

The Heart Truth and Red Dress are trademarks of DHHS.

Page 2: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

A National Campaign

To help women understand their risk of heart disease and take action

Especially women ages 40 to 60 Partnership of many groups Red Dress—the national symbol for women

and heart disease awareness

Page 3: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem
Page 4: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Today’s Session Will Cover

Why women need to know about heart disease

What heart disease is Risk factors Talking to your doctor Taking action Surviving a heart attack Resources Getting on the road to heart health

Page 5: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

The Heart Truth Heart disease is the #1 killer of American

women—no matter what their race or ethnicity

Heart disease kills 1 of every 4 American women

Heart disease can permanently damage your heart—and your life

Every 39 seconds an adult dies of heart attack, stroke, or other cardiovascular disease in the U.S. (CDC Vital Signs, February 2011)(http://www.cdc.gov/vitalsigns)

Page 6: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Prevalance

Worldwide 8.6 million women die from heart disease each year, accounting for a third of all deaths in women.

8 million women in the US are currently living with heart disease; 35,000 are under the age of 65

435,000 American women have heart attacks annually; 83,000 are under the age of 65 with the average age of 70.4 years

Page 7: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Prevalance continued42% of women who have heart attacks die

within one year, compared to 24% of menUnder age 50, women’s heart attacks are

twice as likely as men’s to be fatal267,000 women die each year from heart

attacks, which kill six times as many women as breast cancer. Another 31,887 women die each year of congestive heart failure, representing 62.6% of all heart failure deaths

Resource: www.womensheart.org Women’s Heart Foundation

Page 8: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Compared to Men…. 46% of women and 22% of men heart

attack survivors will be disabled with heart failure within 6 years

Women are 2-3 times as likely to die following heart bypass surgery. Younger aged women between the ages of 40-59 years are up to 4 times more likely to die from heart bypass surgery than men the same age

Page 9: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Compared to men…

Women are twice as likely as men to die within the first few weeks after suffering a heart attack; 38% of women and 25% of men will die within one year of a first recognized heart attack

Since 1984, more women than men have died each year from heart disease, and the gap between men and women’s survival continues to widen

Page 10: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

The Heart Truth

Heart disease is a “now” problem “Later” may be too late

Page 11: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

What Is Heart Disease?

Heart doesn’t get enough nutrient-rich blood Chronic—develops over years Atherosclerosis—arteries harden as

cholesterol, fat, and other substances build up in artery walls

Blockage can result in heart attack

Page 12: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

The cardiovascular system comprises the heart, with its four chambers; arteries, in which blood moves away from the heart; veins, in which blood returns to the heart; and a system of capillaries, which transport blood between small arteries and small veins. In this diagram, the heart has been split into two halves to illustrate better the functions of the right and left sides. Source: Chung, M.K., and Rich, M.W. Introduction to the cardiovascular system. Alcohol Health and Research World

14(4):269–276, 1990.

Page 13: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Coronary Circulation: It's All in the Heart

While the circulatory system is busy providing oxygen and nourishment to every cell of the body, let's not forget that the heart, which works hardest of all, needs nourishment, too. Coronary circulation refers to the movement of blood through the tissues of the heart. The circulation of blood through the heart is just one part of the overall circulatory system.

http://www.fi.edu/learn/heart/systems/coronary.html

Page 14: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

The illustration shows a normal artery with normal blood flow (figure A) and an artery containing plaque buildup (figure B).

Source=http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html

Page 15: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

No Quick Fix

Not “fixed” by surgery or procedures, such as bypass and angioplasty

Worsens if not treated—leads to disability or death

Page 16: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Good News

Heart disease can be prevented or controlled

Treatment includes lifestyle changes and, if needed, medication

Page 17: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Why Me? Why Now? Risk rises ages 40–60

Estrogen level drops during menopause Risk factors

Smoking High blood pressure High blood cholesterol Overweight/obesity Physical inactivity Diabetes Family history of early heart disease Age (55 and older for women)

Page 18: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Heart Disease Risk Factors Multiply their effects Women who smoke risk having a heart attack 19 years

earlier than non-smoking women Women with hypertension experience a risk of developing

CAD 3.5 times that of females with normal blood pressure; high blood pressure is more common in women taking oral contraceptives, especially in obese women

Women with diabetes have more than double the risk of heart attack than non-diabetic women. Diabetes doubles the risk of a second heart attack in women but not in men.

Same lifestyle steps prevent/control many of the risk factors

Page 19: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Have a Heart-to-Heart

Ask your doctor about your risk of heart disease

Draw up a list of questions before your visit (do the research ahead of time)

Write down or tape record what the doctor says (or bring a family member or friend)

Tell your doctor your lifestyle behaviors, such as smoking or being physically inactive

Page 20: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Key Tests for Heart Disease Risk Blood pressure

Less than 120/80 mm Hg Blood cholesterol

Total: Less than 200 mg/dLHDL: Women 50 mg/dL or higher

Men 40 mg/dL or higherLDL: varies according to heart risk

for low risk less than 160 mg/dLTriglycerides: Less than 150 mg/dL

Page 21: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Key Tests for Heart Disease Risk Fasting plasma glucose (diabetes or blood

sugar test)Less than 100 mg/dL

Body mass index (BMI) and waist circumferenceBMI: Less than 25 kg/m2Waist: 35 inches or less for women

40 inches or less for men

Page 22: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Key Tests for Heart Disease Risk Electrocardiogram

EKG or ECG is a record of heart’s electrical activity as it contracts and relaxesCan detect various problems such as abnormal heartbeats, muscle damage, and poor blood flow

Stress testRecords heart’s electrical activity while exercising

Page 23: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Why Women Don’t Take Action Against Heart Disease

They don’t put their health as a top priority They think they’re not old enough to be at

risk They feel too busy to make changes in their

lives They’re already feeling stressed They’re tired

Page 24: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

How To Lower Heart Disease Risk Begin today it’s never too late to make changes Stop smoking Follow a healthy eating plan

Low in saturated fat, trans fat, and cholesterol and moderate in total fat

Check out Dietary Guidelines for Americans, 2010(http://www.cnpp.usda.gov/dietaryguidelines.htm)

Limit salt and sodium If you drink alcoholic beverages, have no more than one

a day

Page 25: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

How To Lower Heart Disease Risk

Be physically active—30 minutes of moderate-intensity activity on most days of the week

Maintain a healthy weight Balance calories taken in with those used up in

physical activity

Manage diabetes Take medication, if prescribed STRESS CHECK!!

Page 26: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Heart Attack Warning Signs Chest discomfort

Usually in the center of the chest Lasts for more than a few minutes, or goes away

and comes back Can feel like uncomfortable pressure, squeezing,

fullness, or pain

Discomfort in other areas of the upper body, including pain or discomfort in one or both arms, the back, neck, jaw, or stomach

Page 27: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Heart Attack Warning Signs

Shortness of breath, with or without chest discomfort

Other symptoms, such as breaking out in a cold sweat, nausea, or light-headedness

Page 28: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

To Survive a Heart Attack

Call 9-1-1 within minutes—5 minutes at most Emergency medical personnel will begin

treatment at once Don’t drive yourself to the hospital Uncertainty is normal—don’t be embarrassed

by a false alarm Plan ahead Learn the warning signs

Page 29: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

Resources for a Healthy Heart

National Heart, Lung, and Blood Institutewww.hearttruth.gov

American Heart AssociationGo Red for Womenwww.americanheart.org

Office on Women’s Health, DHHSNational Women’s Health Information Centerwww.womenshealth.gov

WomenHeart: the National Coalition for Women with Heart Diseasewww.womenheart.org

Page 30: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

It All Begins With You

Take one step at a time Replace unhealthy habits with healthier ones Eat for heart health Remember that calories count Start walking—try 10 minutes and add time

gradually to get 30 minutes a day

Page 31: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

How To Keep Going View changes as new lifestyle, not quick

fixes Set realistic goals Buddy up Don’t worry about a slip Reward your success Be your own advocate—ask questions and

seek information

Page 32: Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

The Heart Truth

It’s up to you to protect your heart health—start today!