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JOURNAL OF WOMEN’S HEALTH Volume 13, Number 5, 2004 © Mary Ann Liebert, Inc. Heart Disease Prevention for Alaska Native Women: A Review of Pilot Study Findings JULIE M. WITMER, M.S., 1 MICHELLE R. HENSEL, M.D., 1 PETER S. HOLCK, Ph.D., M.P.H., 1 ALICE S. AMMERMAN, Dr.P.H., R.D., 2 and JULIE C. WILL, Ph.D., M.P.H. 3 ABSTRACT Background : Although historically Alaska Native women have had a relatively low incidence of cardiovascular disease (CVD), this pattern has changed dramatically in recent years. Alaska Native leaders have identified decreasing cardiovascular risk as an intervention priority. Methods : From October 2000 to April 2001, Southcentral Foundation, an Alaska Native- owned and managed health corporation in Anchorage, conducted a pilot randomized con- trolled trial of a heart ...

NATIONAL SERVICE FRAMEWORK REVIEWS Coronary Heart Disease REVIEW OF PROGRESS IN IMPLEMENTING THE CORONARY HEART DISEASE NATIONAL SERVICE FRAMEWORK IN WEST SUFFOLK COMMUNITY RESPONSE TO RECOMMENDATIONS – APRIL 2004 This list of recommendations is provided as part of the feedback to organisations following the review on progress implementing the national service framework for coronary heart disease . The recommendations are taken from a detailed summary of evidence provided to reviewed organisations. Key recommendations are integrated in the public summary report. This report outlines the responses of the health community to the recommendations and gives details of a lead organisation or group and a timescale for action where it has been agreed. Page 2 RECOMMENDATION RESPONSE BY (LEAD) BY (MONTH /YEAR) ...

JOURNAL OF WOMEN’S HEALTH Volume 13, Number 5, 2004 © Mary Ann Liebert, Inc. Racial/Ethnic Disparities in Coronary Heart Disease Risk Factors among WISEWOMAN Enrollees ERIC A. FINKELSTEIN, Ph.D., M.H.A., 1 OLGA A. KHAVJOU, M.A., 1 LEE R. MOBLEY, Ph.D., 1 DAWN M. HANEY, B.S., 2,3 and JULIE C. WILL, Ph.D., M.P.H. 2 ABSTRACT Background : We used the baseline data collected for the Well-integrated Screening and Eval- uation for Women Across the Nation (WISEWOMAN) participants to provide a snapshot of cardiovascular disease (CVD) risk on enrollment and to address racial/ethnic disparities in the following CVD risk factors: body mass index (BMI), systolic and diastolic blood pressure, high-density lipoprotein (HDL) and total cholesterol, diabetes and smoking prevalence, 10- year coronary heart ...

HEART DISEASE What Is A Heart Attack? A heart attack occurs when blood flow to the heart becomes blocked. The blockage is typically caused by a clot that has formed. Over time, fatty deposits develop and narrow the arteries that feed the heart , resulting in clogged arteries. Blood that circulates through the narrow arteries can easily form a clot. What Are The Warning Signs Of A Heart Attack? The warning signs of a heart attack often begin with pain or discomfort that may come and go and be relatively mild. Many people suffering from a heart attack delay seeking treatment. The following are signs that may indicate a heart attack. Do not wait! Call 9-1-1 immediately! • Chest discomfort - most heart attacks involve pressure, squeezing, or pain in the center of the ...

What you should know about cholesterol High cholesterol is a major risk factor for coronary heart disease (CHD), and more American men and women die of CHD than any other condition, including cancer. Additionally, people with heart disease and high cholesterol are at increased risk of suffering a stroke — the third leading cause of death in the United States and the leading cause of long-term disability. The good news is research shows that lowering your cholesterol reduces the chance of having a heart attack, needing bypass surgery or angioplasty, and dying of CHD-related causes. You can survive high cholesterol by taking action now to lower it. Your weapons are diet, exercise, and if necessary, medication. What is cholesterol? Cholesterol is a white, waxy, fat-like substance that’s found in everyone’s body, to varying degrees. We need cholesterol to survive, but too much of ...

HEART DISEASE QUESTIONNAIRE Name of person completing questionnaire: Applicant’s Name: Date of Birth: Social Security Number: Height: Weight: Last Doctor’s visit: Any surgeries: Yes No Chiropractor: Yes No Have you ever been hospitalized? Yes No Date(s): Counseling: Yes No Any auto/work related injuries? Yes No Any other medical conditions or medications? Yes No • Current height and weight: • Have you been treated or hopsitalized for a heart disorder or disease ? Yes No If yes, please list dates, diagnosis and explain treatment received. • Have you ever had heart surgery? Yes No If yes, please list type of surgery and dates. • Have you ever had bypass surgery? Yes No If so, how many arteries was it performed on? Of remaining arteries, what is percentage of blockage? • Last three ...

10 The F EMALE PATIENT VOL. 28 OCTOBER 2003 E DITORIAL hen patients see their primary care doctor for their annual physical exam, anticipation builds as they await the results of their Pap smear, mammogram, or PSA level. The truth of the matter is that the inci- dence of cervical, breast, and prostate cancer is relatively rare in today’s society. According to statis- tics from the American Cancer Soci- ety, 250,000 new cases of breast cancer, 190,000 new cases of prostate cancer, and only 13,000 new cases of cervical cancer were diagnosed in 2002. Screening for these life-threat- ening diseases is certainly appropriate and expected by our patients. How- ever, we also should focus our atten- tion on identifying those individuals who have a very high likelihood of developing coronary artery disease ...

Summary of Recommendations The U.S. Preventive Services Task Force (USPSTF) recommends against routine screening with resting electrocardiography (ECG), exercise treadmill test (ETT), or electron-beam computerized tomography (EBCT) scanning for coronary calcium for either the presence of severe coronary artery stenosis (CAS) or the prediction of coronary heart disease (CHD) events in adults at low risk for CHD events. D recommendation . The USPSTF found at least fair evidence that ECG or ETT can detect some asymptomatic adults at increased risk for CHD events independent of conventional CHD risk factors ( see Clinical Considerations ), and that ETT can detect severe CAS in a small number of asymptomatic adults. Similar evidence for EBCT is limited. In the absence of evidence that such detection by ECG, ETT, or EBCT among adults at low risk for CHD events ...

Antioxidant supplements Antioxidant vitamin supplements should not be used to prevent CVD pending the results of ongoing trials. (Class III, Level A) GI=1 Aspirin—lower risk‡ Routine use of aspirin in lower-risk women is not recommended pending the results of ongoing trials. (Class III, Level B) GI=2 GI indicates generalizability index; LDL-C, low-density lipoprotein cholesterol; HDL-C, high- density lipoprotein cholesterol; ACE, angiotensin-converting enzyme; and ARB, angiotensin receptor blocker. * High risk is defi ned as CHD or risk equivalent, or 10-year absolute CHD risk >20%. † Intermediate risk is defi ned as 10-year absolute CHD risk 10% to 20%. ‡ Lower risk is defi ned as 10-year absolute CHD risk <10%. § Dietary supplement niacin must not be used as a substitute for prescription niacin, and over- the-counter niacin should only be used if approved and ...

Preventing Heart Disease Heart disease is the leading cause of death in Americans today. And it tends to run in families. But family history isn’t the only risk when it comes to heart disease . Being overweight, smoking and not exercising can all increase your chances of having heart disease . To decrease your risk, try to adopt the following lifestyle changes: • If you’re carrying around extra pounds, lose weight. • Reduce the amount of saturated fat and cholesterol in your diet. • Quit smoking. • Exercise regularly - at least three times a week for 30 minutes. • Get regular medical check-ups, and be aware of your blood pressure and cholesterol levels. 721- CARE (2273) MCGHealth.org What is Cholesterol? Cholesterol is natural substance found in all living tissue. When too much ...

Evidence Report/Technology Assessment Number 81 Diagnosis and Treatment of Coronary Heart Disease in Women: Systematic Reviews of Evidence on Selected Topics Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Huma n Services www.ahrq.gov Contract No. 290-97-0013 Prepared by : University of California, San Francisco-Stanford University Evidence-based Practice Center, Stanford, CA Principal Investigator Deborah Grady, MD, MPH EPC Coordinator Kathryn McDonald, MM EPC Staff Kara Bischoff Aurelie Cabou Christopher Gehrman Kate Hoerster Lily Chaput, MD, MPH Margaret Kristof, MS, RN Kathryn Melsop, MS Dan H. Moore, PhD AHRQ Publication No. 03-E037 May 2003 Topic Team Staff Noninvasive Diagnostic Tests Mary Beattie, MD ...

Evidence Report/Technology Assessment Number 81 Diagnosis and Treatment of Coronary Heart Disease in Women: Systematic Review of Evidence on Selected Topics Front Matter Table of Contents Summary .1 Evidence Report Chapter 1. Introduction..11 Chapter 2. Systematic Review of the Accuracy of Exercise Myocardial Perfusion Imaging and Echocardiography for Diagnosis of Coronary Heart Disease in Women. 17 Chapter 3. Systematic Review of Lipid Lowering Treatment to Reduce Risk of Coronary Heart Disease in Women . 35 Chapter 4. Systematic Review of Diabetes as a Risk Factor for Coronary Heart Disease in Women 51 Chapter 5. Systematic Review of Troponin as a Prognostic Factor for CHD in Women ..67 Evidence Tables.. 89 Bibliography.. 111 A ppendixes .125 Figure . .79 ...

The Cure for Heart Disease : Theory, History and Treatment By Owen R. Fonorow, Copyright 2004 OVERVIEW T he theory that Cardiovascular Disease (CVD) is related to a deficiency of ascorbic acid (vitamin C) was first proposed by the Canadian physician G. C. Willis in 1953. Willis found that atherosclerotic plaques form over vitamin-C-starved vascular tissues in both guinea pigs and human beings. In 1989, after the discoveries of the Lp(a) cholesterol molecule ( circa 1964) and its lysine binding sites ( circa 1987), Linus Pauling and his associate Matthias Rath formulated a unified theory of heart disease and invented the cure. Vitamin C and lysine (and proline) in large amounts become Lp(a) binding inhibitors that restore vascular health and destroy atherosclerotic plaques. THEORY "Vitamin C ...

Plans to build a wind farm on Pelican Island in Galveston have conservation groups concerned about the safety of mil- lions of birds that pass through the area during migration. The 150-megawatt wind farm would pri- marily serve the Port of Galveston, which is backing the plan as part of an effort offi- cials refer to as the "greening" of the port. Currently, plans are to construct five to seven 74-megawatt turbines on the island. Port officials hoped conservation groups would support the development of clean energy technologies. But when members of the Houston Audubon Society caught wind of the pro- ject, they began raising questions about avian mortality. The problem is receiving national attention as reports of bird deaths from collisions with turbines at other wind farms have environmental groups around the world torn between a desire for renew- able energy and ...

Women & Heart Disease Please check the box next to the most appropriate response/ responses. Demographic Information: Group Type Field Gender M F 1. Race: White African American Asian Hispanic Other (specify) 2. Age: under 25 25-34 35-44 45-64 over 65 3. Marital Status: Single Married Divorced Widowed 4. Employment Status: Full Time Part Time PRN Retired Unemployed 5. Hours of Work/Week: Less than 10 10-19 20-29 30-39 40 More than 40 6. Household Yearly Income: Under $10,000 $30,000-$39,999 $60,000-$69,999 $90,000-$99,999 $10,000-$19,999 $40,000-$49,999 $70,000-$79,999 $100,000-$129,999 $20,000-$29,999 $50,000-$59,999 $80,000-$89,999 $130,000 or more 7. Mode of Transportation: Private Automobile City Bus ...

S O U T H W E S T E R N M E D I C I N E 15 S o m e 1 4 y e a r s a g o , a 20-foot fall did permanent damage to Raul Cortez’s back, eventually requiring eight surgeries. But another, more deadly sort of damage to his body had begun years earlier. Once at the hospital for treatment of his back injury, tests revealed that he had non-insulin dependent diabetes mellitus, or type 2 diabetes. The disease is no stranger to millions of Americans – 16 million to be exact. Experts estimate that an additional 6 million Americans, like Mr. Cortez was, are undiagnosed. If uncontrolled, type 2 diabetes can cause a myriad of complications, including heart disease and stroke, retinopathy (eye disease ), kidney disease , and neuropathy (nerve damage). How does it occur? Diabetes is caused by insufficient activity of a hormone called insulin. Type 1 ...

continues Source: Copyright © 2001, Aspen Publishers, Inc. ** Cardiovascular Patient Education Resource Manual Coronary Heart Disease : What You Should Know Coronary heart disease (CHD) is the most common form of heart disease . It is the leading cause of death for men and women in the U.S. The good news is that you can reduce your risk of CHD, even after a heart attack. WHAT IS CORONARY HEART DISEASE ? CHD happens when arteries carrying blood to the heart become narrow or blocked. The heart needs a constant supply of oxygen and nutrients. These are carried to it by blood in the coronary arteries. When the heart does not get enough blood, it does not get enough oxygen and nutrients. Coronary heart disease can result. Page 2 continued continues Source: Copyright ...

The National Center for Chronic Disease Prevention and Health Promotion states that, "More than 61 million Americans have some form of cardiovascular disease , including high blood pressure, coronary heart disease , stroke, congestive heart failure and other conditions." Additionally, 2,600 Americans each day die from it. Cardiovascular disease refers to diseases affecting the heart and related blood vessels. There are many different types of cardiovascular disease , including: • Coronary artery disease is when the arteries that bring nutrients and oxygen to the heart are narrowed by fatty deposits. • Arrhythmia is when your heartbeat is irregular or abnormal. Heart valve disease or cardiomyopathy (see descriptions below) can cause arrhythmia. • Heart failure simply means that your heart does not pump as well as it should. • Heart valve disease is when ...

Page 2 The Changing Face of Heart Disease and Stroke in Canada 2000 Prepared in Collaboration with Laboratory Centre for Disease Control, Health Canada Statistics Canada Canadian Institute for Health Information Canadian Cardiovascular Society Canadian Stroke Society Heart and Stroke Foundation of Canada © HEART AND STROKE FOUNDATION OF CANADA October 1999 Page 3 Material appearing in this report may be reproduced or copied without permission. Use of the following acknowledgement to indicate the source would be appreciated, however: Heart and Stroke Foundation of Canada: The Changing Face of Heart Disease and Stroke in Canada Ottawa, Canada, 1999 ISBN 1-896242-28-6 (English) ISBN 1-896242-29-4 (Français) Page 4 Editorial ...

Page 1 – Low fat criterion for CHD claims RE-EVALUATION OF LOW FAT CRITERION FOR HEART DISEASE HEALTH CLAIMS I. BACKGROUND Coronary heart disease risk is the subject of five health claims authorized by FDA regulations. Four out of five require the foods eligible for the heart disease risk claims be “low fat” foods. FDA’s justification for imposing the “low fat” eligibility criterion at the time of authorizing these claims is explained below. Saturated Fat and Cholesterol/CHD Health Claim 21 CFR 101.75 The first coronary heart disease (CHD) risk health claim authorized by FDA is a claim that related diets low in saturated fat and cholesterol to reduced risk of CHD (101.75). In authorizing this health claim in 1993, FDA concluded that the scientific evidence linking diets low in saturated fat and cholesterol to reduced risk of CHD is strong. The eligibility criteria for a food ...

12 C o u n c i l o n Cardiovascular Surgery and Anesthesia C ardiovascular disease is the leading cause of death of women in the United States, taking almost half a million lives each year. It exceeds the next 7 causes of death combined. Yet until recently, most women and a surprising number of health care providers ranked cancer as a more serious concern in women, considering heart disease a problem of mainly men. Since 1984 however, more women than men have died each year of cardiovascular disease , and currently about 32 million women live with cardiovascular disease . Compared to men, women tend to develop cardiovascular disease , specifically coronary artery disease (CAD) later in life. Menopause heralds a rise in the manifestation of atherosclerosis in women. Women therefore lag behind men in presentation ...

ORIGINAL CONTRIBUTION Chelation Therapy for Ischemic Heart Disease A Randomized Controlled Trial Merril L. Knudtson, MD D. George Wyse, MD, PhD P. Diane Galbraith, BN Rollin Brant, PhD Kathy Hildebrand, BN Diana Paterson, BScN Deborah Richardson, RN Connie Burkart, BN Ellen Burgess, MD for the Program to Assess Alternative Treatment Strategies to Achieve Cardiac Health (PATCH) Investigators I SCHEMIC HEART DISEASE CONTINUES to be the leading cause of death and disability among North American adults. Testimonials of symptom- atic improvement frequently lead pa- tients with ischemic heart disease to seek alternative therapies that have not been scrutinized in clinical trials. One such therapy is the repeated intravenous ad- ministration of the chelating agent EDTA in combination with oral vitamins ...

West Kent Health Informatics Service Hosted by Maidstone & Tunbridge Wells NHS Trust Coronary Heart Disease Profile South West Kent PCT Coronary Heart Disease (CHD) Profile Coronary Heart Disease Acute Myocardial Infarction (AMI) Coronary Care Interventions Mortality Produced by the Public Health Information Team, part of the Health Informatics Service (HIS), May 2002 Page 2 Author Public Health Information Team (Health Informatics Service) Distribution South West Kent PCT, Public Health, Health Promotion, Communications dept. and NHS Libraries Availability On request Copies from Public Health Information Team West Kent HIS Preston Hall Aylesford Kent ME20 7NJ Telephone (01622) 713080 Date of Issue May 2002 Information ...

West Kent Health Informatics Service Hosted by Maidstone & Tunbridge Wells NHS Trust Coronary Heart Disease Profile Maidstone Weald PCT Coronary Heart Disease (CHD) Profile Coronary Heart Disease Acute Myocardial Infarction (AMI) Coronary Care Interventions Mortality Produced by the Public Health Information Team, part of the Health Informatics Service (HIS), May 2002 Page 2 Author Public Health Information Team (Health Informatics Service) Distribution Maidstone Weald PCT, Public Health, Health Promotion, Communications dept. and NHS Libraries Availability On request Copies from Public Health Information Team West Kent HIS Preston Hall Aylesford Kent ME20 7NJ Telephone (01622) 713080 Date of Issue May 2002 Information ...

West Kent Health Informatics Service Hosted by Maidstone & Tunbridge Wells NHS Trust Coronary Heart Disease Profile Dartford, Gravesham and Swanley PCT Coronary Heart Disease (CHD) Profile Coronary Heart Disease Acute Myocardial Infarction (AMI) Coronary Care Interventions Mortality Produced by the Public Health Information Team, part of the Health Informatics Service (HIS), May 2002 Page 2 Author Public Health Information Team (Health Informatics Service) Distribution Dartford, Gravesham and Swanley PCT, Public Health, Health Promotion, Communications dept. and NHS Libraries Availability On request Copies from Public Health Information Team West Kent HIS Preston Hall Aylesford Kent ME20 7NJ Telephone (01622) 713080 Date of Issue ...

THE LIFESCORE GUIDE TO WOMEN AND CARDIOVASCULAR DISEASE Heart disease is the #1 killer of women Only 8% of women realize heart disease is a bigger threat than cancer A woman has a 50% chance of dying from a first heart attack, compared with 30% of men Of those who survive, 38% of women will die within a year, compared with 25% of men 46% of women develop heart failure after a heart attack, compared with 22% of men The Nurses’ Health Study followed 84,129 women aged 34-59 for 14 yrs The Low Risk Group had less than 1/5 the incidence of heart disease Characteristics of the Low Risk Group- ß non-smokers ß Body mass index less than 25 ß Half a drink or more/day ß Half hour or more/day of moderate or vigorous physical activity ß Upper 40% for 6 dietary variables ...

H eart attack is commonly believed to be a “man’s problem.” And yet, the statistics tell another story. Heart disease among women takes a terrible toll throughout the country. • Coronary heart disease is the No. 1 single killer of females in the United States today. • Stroke is the third leading cause of death for females, behind heart disease and cancer. It’s also a leading cause of serious, long-term disability. • All cardiovascular diseases combined claim more than 505,000 female lives every year. That’s more than the next 7 causes of death combined. And it’s almost twice the number of deaths caused by all forms of cancer. In the Hispanic community, “ Diseases of the Heart ” and “Stroke” are the leading causes of death. These diseases account for about 33 percent of deaths among females. They account for over 27 ...

News in Science News in Science - Anger trigger to heart disease found? - 05/08/2003 [This is the print version of story http://www.abc.net.au/science/news/stories/s915243.htm ] Anger trigger to heart disease found? Peter Lavelle ABC Science Online Tuesday, 5 August 2003 Anger and hostility trigger the production of blood proteins involved in inflammation, researchers have found - for the first time making a physiological link between the emotional state and heart disease . Although associated with a higher risk of heart disease , how anger and hostility might do this has long been a mystery. But a paper appearing in the latest issue of the journal, Psychosomatic Medicine suggests that the emotion triggers the production of inflammatory proteins which may in turn be causing the hardening of the arteries known as atherosclerosis, ...

Heart and Stroke Foundation Fact Sheet Heart Disease The Growing Burden of Heart Disease and Stroke in Canada 2003 Mortality 1 • Over one third (36%) of all deaths in Canada (1999) were due to heart disease and stroke (cardiovascular disease or CVD) (78,942 deaths) • Between 1969 and 1999, death rates due to heart disease and stroke decreased by 56%. • Although death rates declined during the 1990s, the actual number of deaths among men and women has remained steady since the mid-1990s. Risk Factors 1 • 80.2% of Canadians (20-59 yrs) have at least one of the following risk factors for heart disease or stroke: daily smoking, physical inactivity, being overweight, self-reported ...