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2 NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE Ashton JANUARY 2004 VOL 1 NO 1 V I E W P O I N T www.nature.com/clinicalpractice Protecting women in the US from heart disease Rachel Ashton February saw the release of the American Heart Association’s first major guidelines on cardio- vascular disease (CVD) aimed specifically at women. 1 Heart disease is prevalent among both men and women, in many countries, but dis- tinct differences between the two sexes in the manifestations of disease and the impact of individual risk factors are now recognized. 2,3 Factors such as the menopause also set women apart as a particular subgroup. 2 Heart disease and stroke are, respectively, the first and third most prevalent killers of women in the USA. It is estimated that 32 million ...

Valvular Heart Disease : New Strategies Non-invasive Interventional & Surgical Approaches J U N E 1 0 - 1 2 , 2 0 0 4 Course Directors: Maurice E. Sarano, M.D. Thomas A. Orszulak, M.D. Hartzell V. Schaff, M.D. A. Jamil Tajik, M.D. Mayo Clinic Rochester, Minnesota USA RegisterNow! All New Program Page 2 General Information COURSE DESCRIPTION Valvular Heart Disease : New Strategies will provide a comprehensive, state of the art, panorama of the new pathophysiologic insights, diagnostic methods, surgical and medical therapeutic approaches for valvular heart diseases and project the new strategies available. Valvular heart disease is a major world-wide problem despite the decline of rheumatic heart disease ...

A collaborative effort published quarterly by the Women’s Health Program 300 North Ingalls, Campus Box 0475 Ann Arbor, MI 48109 Women's Health Registry 1 UNIVERSITY OF MICHIGAN HEALTH SYSTEM WOMEN'S HEALTH REGISTRY Volume 3, Issue 2 http://www.womenshealthregistry.org March 2004 Update Your Profile What has been going on at the Women's Health Registry? Big things Thank you to all of you who have completed your updates to you personal health profile. To date the Registry's health questionnaire that you completed upon enrolling in the Registry has been updated and improved. New questions have been added to the survey that should be completed by all Registry participants. The Registry's secure database is now password protected. We have issued each Registry participant a personal login name and password. It is now possible to log into your ...

Source: Centers for Disease Control and Prevention © March 2004 Association of State and Territorial Health Officials Heart Disease and Stroke: Fast Facts Every 34 seconds someone in the United States dies of heart disease or stroke. 1 in 4 Americans has heart disease or has experienced a stroke. 10 million Americans experience severe disability or activity limitations each year as a result of heart disease or stroke. Every day more than 16,000 people are hospitalized for heart disease or stroke. 90% of Americans will develop high blood pressure – a major risk factor for heart disease and stroke – but nearly 32% of these won’t know they have it. Heart Disease and Stroke Cost the United States $351 Billion in 2003 0% 10% 20% 30% 40% 18-44 45-64 65+ Males ...

National Service Framework Reviews Coronary Heart Disease Coronary heart disease in the East Kent area: progress in implementing the national service framework Page 2 Page 3 Foreword 4 This report 4 Coronary heart disease 4 Introduction 5 Local reviews 5 This report 6 Summary of progress 7 Patients and carers 8 Making sure that everyone receives the care they need 9 Reducing heart disease in the population 10 Preventing heart disease in high risk patients 11 Care of people who have a heart attack or other acute coronary syndromes 12 Diagnosis and care of people with stable angina 14 ...

When you hear the term “ heart disease ,” what’s your first reaction? Like many women, you may think, “That’s a man’s disease .” But here’s The Heart Truth : Heart disease is the #1 killer of Latinas in the United States. Together with stroke, heart disease accounts for a third of all deaths among Latinas—cancer, the second-leading cause of death, accounts for about a fifth. Latinas also have high rates of some factors that increase the risk of developing heart disease , such as diabetes, overweight and obesity, and physical inactivity. But there’s good news too: You can take action and lower your chance of developing heart disease and its risk factors. In fact, women can lower their heart disease risk by as much as 82 percent just by leading a healthy lifestyle. This fact sheet gives steps you can take to protect your heart health. ...

When you hear the term “ heart disease ,” what’s your first reaction? Like many women, you may think, “That’s a man’s disease .” But here’s The Heart Truth : Heart disease is the #1 killer of women in the United States. One in three women dies of heart disease . For African American women, the risk of heart disease is especially great. Heart disease is more prevalent among black women than white women— as are some of the factors that increase the risk of developing it, including high blood pressure, overweight and obesity, and diabetes. But there’s good news too: You can take action and lower your chance of developing heart disease and its risk factors. In fact, women can lower their heart disease risk by as much as 82 percent just by leading a healthy lifestyle. This fact sheet gives steps you can take to protect your heart health. ...

H E A R T D I S E A S E I S T H E # 1 K I L L E R O F W O M E N THE HEART TRUTH : WOMEN AND HEART DISEASE Heart Disease and Women’s Risk Coronary heart disease is the main form of heart disease . It develops over many years and affects the blood vessels of the heart . It can result in heart attack, disability, and death. A heart attack occurs when an artery becomes blocked, preventing oxygen and nutrients from getting to the heart . Often called “ heart disease ,” coronary heart disease is one of various cardiovascular diseases , which are diseases of the heart and blood vessel system. Other cardiovascular diseases include stroke, high blood pressure, and rheumatic heart disease . Many women fail to recognize the seriousness of heart disease . One reason may be the common misperception that heart ...

Heart Disease DATE : 8/4/02 PRESENTER : Kathy Pickup GUEST : Assoc. Professor John Mamo, Division of Health Services, Curtin University, Perth, W.A. THE FACTS Heart disease • Heart disease or Cardio Vascular Disease is a very serious problem. It kills more people worldwide than any other disease . • 70 Australians die every day from heart disease . • Research into heart disease has been carried out for the past 50 to 60 years. • Many risk factors have been identified. • These include: high blood pressure being overweight increasing age smoking high fat diet lack of exercise. It is the risk factor - fat in the diet - that has been investigated by researchers at Curtin University in Western Australia. LET’S FACE IT What causes heart disease ? ...

DH HD DENTAL HYGIENISTS HEART DISEASE AGAINST C. Austin Risbeck, RDH Dear Colleagues and Friends, Nearly three years ago I read Dr. David Satcher’s report titled, Oral Health in America. The report explains the prevalence of tooth decay and periodontal disease in America. Some of the major findings include, oral diseases and disorders in and of themselves affect health and well-being throughout life; lifestyle behaviors that affect general health such as tobacco use, excessive alcohol use, and poor dietary choices affect oral health as well; more information is needed to improve America’s oral health and eliminate disparities; the mouth reflects general health and well-being; and oral diseases and conditions are associated with other health problems. 490 Post Street, Suite 520 ...

heart heart disease Coronary Heart Disease And Heart Attack What is Coronary Heart Disease (CHD)? The heart is a muscular organ that works 24 hours a day. To perform well, it needs a constant supply of oxygen and nutrients, which is delivered by the blood through the coronary arteries. That blood flow can be reduced by a process called atherosclerosis, in which plaques or fatty substances build up inside the walls of blood vessels. In CHD, atherosclerosis affects the coronary arteries, progressively narrowing the arteries with less and less blood reaching the heart muscle. When too little blood reaches a part of the body, the condition is called ischemia. When this occurs with the heart , it?s called cardiac ischemia. If the blood supply ...

Silent Risk: Women and Heart Disease - Trustworthy, Physician-Reviewed Information from WebMD Page 1 of 4 http://content.health.msn.com/content/article/80/96445.htm?printing=true 2/11/2004 Silent Risk: Women and Heart Disease Heart disease kills half a million American women each year. So why are women more afraid of breast cancer? The numbers are staggering. Cardiovascular disease , which includes heart disease , hypertension and stroke, is the number one killer of women, according to the American Heart Association. It kills half a million American women each year. That figure exceeds the next seven causes of death combined . Moreover, women are 15% more likely than men to die of a heart attack. And they are twice as likely to have a second heart attack in the six years following the first. Yet in a 2000 national heart association survey, only 34% of women correctly identified ...

heart heart disease Heart Disease and HCL Christy Briner, Rocco Destefano, Karina Haye, Amy Regel, Jen Regester, Jentri Tidholm Overview A quiz on heart disease and high cholesterol Background Risk Factors Populations and settings at risk Introduction What month is National cholesterol education month? Can your cholesterol reading now predict your risk of a heart attack in the next 40 years? What organs need cholesterol to function properly? Answers September Yes Brain, kidneys, heart , and liver Statistics How many of you know someone who has had a heart attack? In 1998, the Department of Health and Human Services found that heart disease was the leading cause of death. 63 million Americans have this disease . Statistics ...

The Ashland City Times, Ashland City, Tenn., Feb. 4, 2004 - Page 7 Ben E. Shoemaker, M.D. 202 N. Main St. Suite #4 792-2280 Mon.-7am to 3pm Tues.-3pm to 9pm Wed.-7am to 3pm Thurs.-3pm to 9pm Fri.-OFF Sat.-By Appointment Our Patients Are Our Priority How many times have you walked into the doctor’s office thinking, “I’ll get right in, no problem,” only to have to sit and wait for two hours. Patient Care Should Be Prompt Our clinic specializes in family medicine and you’ll find a highly trained staff of dedicated professionals who care. We accept most insurance and provide both in-hospital and office coverage 24 hours a day - 7 days a week. Robert Rhea, M.D. & Paula Lee, RN FNP 202 N. Main St. Suite #9 792-8585 Mon.-9am to 3pm Tues.-9pm to 5pm Wed.-11am to 7pm Thurs.-8am ...

Current Abstracts on Heart Disease in Women Authors: Hong-Susan , Friedman-Jordana , Alt-Susan . University of Chicago, Pritzker School of Medicine, 5841 South Maryland Ave, MC 3051, Chicago IL 60637, USA. shong @medicine.bsd.uchicago.edu. Title Modifiable risk factors for the primary prevention of heart disease in women. Source Journal of the American Medical Women's Association {J-Am-Med-Womens- Assoc} 2003 Fall, VOL: 58 (4), P: 278-84, Refs: 88, ISSN: 0098-8421. Abstract Coronary heart disease is the leading cause of death in women older than 50. This article will discuss the role of modifiable risk factors for the primary prevention of heart disease in women, including hypertension, smoking, obesity, and exercise. We will also address what is known about the role of psychological factors in the development of heart disease ...

T H E ear T R U T H F O R W O M E N If you have heart disease , or think you do, it’s vital to take action to protect your heart health. Fortunately, there’s a lot you can do. This fact sheet gives you the key steps, including how to survive a heart attack and prevent serious damage to heart muscle. Caring for your heart is worth the effort. Use the infor- mation here to start today to take charge of your heart health. WHAT IS HEART DISEASE ? Coronary heart disease is the most common form of heart disease . Usually referred to as simply “ heart disease ,” it is a disorder of the blood vessels of the heart that can lead to a heart attack. A heart attack happens when an artery becomes blocked, preventing oxygen and nutrients from getting to the heart . ...

Women and Heart Disease : Know the Signs Heart disease and strokes claim the lives of more than half a million American women each year. That is nearly twice the number of women who die from all forms of cancer combined. While the numbers are frightening, most cases of heart disease can be prevented or treated. It’s not uncommon for women to ignore the warning signs of heart disease . The American Heart Association conducted a study in 1997 that found that only eight percent of American women consider heart disease as a major health threat. But the fact is that heart disease is the number one killer of American women over the age of twenty-five. “I really believe that women are under the myth that they can’t get coronary artery disease and that it’s a man’s disease ,” says Peggy Myers, RN, Penrose Heart Center. “They’re so busy. They are the caregivers ...

Symptoms of Heart Disease Public Information Pamphlets Page 2 SYMPTOMS OF HEART DISEASE Diseases of the Heart can be serious! It is the early recognition of the symptoms that enables you to seek timely medical help. This pamphlet aims at creating public awareness about the symptoms indicating heart disease . HEART ATTACK What is a Heart Attack? A Heart Attack means “damage to the muscle of the heart ” which can be of varying degrees ranging from minimal or partial to complete damage. At times the damage is totally recoverable and at other times it is not depending upon how severe the Heart Attack has been. What causes a Heart Attack? A Heart Attack results due to the sudden blockade of the blood vessels that carry nutrition and oxygen ...

Women & Heart Disease Statistics About Women and Heart Disease Every day in the United States 1,400 women die from Cardiovascular Disease (CVD). More troubling is that few women realize what a large health problem it is for them. No longer is heart disease just a man’s disease —it affects both women and men . One in 2.4 women’s deaths are from CVD. 63% of women die suddenly with no previous symptoms. 13% of women age 45 + have had a heart attack. Of the 435,000 American women to have heart attacks each year—9,000 are under the age of 45. Less Common Symptoms Women Experience Atypical chest, stomach or abdominal pain Nausea or dizziness Shortness of breath & breathing difficulties Unexplained anxiety, weakness or fatigue Palpitations, cold sweats or paleness What You Should ...

Intensive Care Nursery House Staff Manual 95 Copyright © 2004 The Regents of the University of California Congenital Heart Disease INTRODUCTION: Congenital heart disease (CHD) affects ~1% of newborn infants and accounts for ~10% of all congenital anomalies. Factors that ? risk for CHD include maternal diabetes mellitus, familial presence of genetic syndromes ( e.g. , Noonan syndrome), history of previous infant with CHD, and genetic factors that are just now starting to be identified. The most common types of CHD are ventricular septal defect, pulmonic stenosis, endocardial cushion defect, atrial septal defect and tetralogy of Fallot. Although some infants with CHD do not have signs or symptoms in the newborn period, others will need immediate intervention because of the severity of their disease . The following discussion of CHD is not exhaustive. It is intended as ...

Retinal Changes and Heart Disease in Women Optometrists have long known that they are often the first to see the problem in people with untreated hypertension. Retinal artery thinning is one of the earliest signs of hypertension and optometrists observing this when taking a retinal photo or otherwise examining the fundus will refer the patient to their GP for a medical review. Now there is new research published in the 6 March 2002 Journal of the American Medical Association showing that women with the narrowest arteries in the retina had almost double the risk of developing serious heart problems. The researchers studied the association between retinal arteriolar narrowing, a marker of microvascular damage from hypertension and inflammation, and incident CHD in healthy middle-aged women and men. In the study, initiated in 1987-1989, retinal photographs were taken in 9,648 women and men aged 51 ...

February is Heart Health Month! Heart disease is the number one killer of women in the United States, and in the Lower Naugatuck Valley it accounts for 33% of all deaths. Between 1995 and 1997, about 150 Valley women died each year from heart disease (this is a rate of 325 deaths per 100,000 women). During the same time period, about 19 women died each year from breast cancer (a rate of 40 deaths per 100,000). This means that in the Valley 8 times more women died of heart disease than breast cancer. These facts show that if you are a woman and you live in the Valley, statistically you have a one in three chance of dying from heart disease . In contrast, breast cancer accounts for only 4.25% of deaths. Heart disease differs between women and men. Women develop heart disease later in life than men. This is because estrogen in women’s bodies protects us from ...

The National Service Framework on coronary heart disease : is it suf®ciently evidence-based? Gordon A A Ferns From the Centre for Clinical Science and Measurement, School of Biomedical and Life Science, University of Surrey, Guildford GU2 7XH, and The Clinical Investigation Unit, The Royal Surrey County Hospital, Egerton Road, Guildford GU2 7XX, UK The National Service Framework (NSF) for coronary heart disease 1 is the Government's response to reducing the enormous burden of coronary morbidity and mortality. Its objective is to save 20 000 lives per annum. 2 The NSF document sets out 12 standards and explains how these standards can be delivered and monitored. Local delivery plans for implement- ing the framework will have had to be in place and agreed by October 2000. Among the recommendations made in the Executive Sum- mary of the ...

www.rocheuk.com Produced August 2003 by Corporate Affairs for Roche in the UK. welwyn.corporate_affairs@roche.com Roche Products Ltd., 40 Broadwater Road, Welwyn Garden City, Herts AL7 3AY Roche Diagnostics Ltd., Bell Lane, Lewes, East Sussex BN7 1LG Includes images from the Roche Health Kiosk P999735/0903 Roche is committed to making a difference to the lives of the growing number of people in the UK with heart disease and to helping healthcare professionals achieve their goals in caring for them. We play an important role in the cardiovascular arena with products and services that help to prevent, diagnose, treat and monitor different aspects of heart disease including heart failure and heart attacks. Prevention is always better than cure and our diagnostic tests help assess heart disease risk factors including high cholesterol ...

Doctors say Fen-Phen causes heart disease In this story: • Midwest women examined • Not the only side effect July 8, 1997 Web posted at: 5:15 p.m. EDT (2115 GMT) ROCHESTER, Minnesota (CNN) -- Fen-Phen, a powerful diet drug taken by 18 million Americans each year, can cause heart disease in otherwise healthy patients, Mayo Clinic researchers said Tuesday. "Our conclusion is simple," Dr. Heidi Connolly of the Mayo Clinic said at a news conference Tuesday. "We are concerned that the Fen-Phen combination may have important implications regarding heart valve disease ." The preliminary finding, which was unexpected, will be published in the August 28 edition of New England Journal of Medicine. In an unusual move, the editors of the journal decided to release the information early given the impact on public health. ...

Plan to tackle Coronary Heart Disease launched Two major initiatives to combat heart disease in Wales were announced today by Assembly Health Minister Jane Hutt. The Minister launched a major national plan to improve the quality of coronary heart disease services, and announced funding of up to £3 million from the new Health Inequalities Fund for projects that tackle heart disease . The national plan, Tackling Coronary Heart Disease in Wales: Implementing Through Evidence , is part of the Assembly’s series of National Services Frameworks which aim to drive up quality, tackle inequalities in health care and improve the experience of people who use the services. Jane Hutt said: "Coronary heart disease is a major cause of ill-health and death in Wales. There were more than 7,000 deaths in Wales from the disease during 1998. Reported rates for heart disease ...

What is Coronary Heart Disease ? Coronary heart disease results from a build up of fatty materials within the walls of the arteries. These form plaques on the artery walls, which narrow the arteries and reduce the space through which blood can flow, and at the same time the blood becomes more likely to clot. This process is called atherosclerosis. This also increases the risk of high blood pressure. There are 275,000 heart attacks in the UK each year, while around 1.2 million people experience angina (severe chest pain) which is a main symptom of coronary heart disease . Who is effected? Coronary heart disease can affect everyone, both men and woman. It is believed that the risk of developing coronary heart disease increases with age. What factors influence coronary heart disease ? Factors that influence coronary heart disease include high ...

High Cholesterol: A Leading Risk Factor for Coronary Heart Disease What is cholesterol? Cholesterol is a soft, fat-like substance found in the body’s cells and bloodstream. Because cholesterol can’t dissolve in the blood, it is carried through the body by special proteins called lipoproteins. More than 105 million Americans have total blood cholesterol at or above healthy levels. LDL (“bad”) cholesterol Low-density lipoprotein (LDL) is the major cholesterol carrier in the blood. LDL cholesterol is often called the “bad” cholesterol because it can build up in artery walls, causing them to harden and narrow. If the plaque ruptures, a clot can form, block blood flow to the heart and cause a heart attack. If a blood clot blocks flow to the brain, it can cause a stroke. HDL (“good”) cholesterol High-density lipoprotein (HDL) transports cholesterol to the liver, where it may be broken ...

WOMEN’S HEALTH CONCERN FACT SHEET 4 Women’s Health Concern A company Limited by Guarantee, P.O. Box 2126, Marlow, Bucks SL7 2RY, Telephone 01628 488065 Registered Charity No. 279651 Registered Office: Southampton House, 317 High Holborn, London WC1V 7NL Company Registered No. 1432023 (England) CORONARY HEART DISEASE Page 1 of 3 CHD is the leading single cause of death in both men and women in the UK, Northern Europe and North America. Women are six times more likely to die from heart disease than breast cancer. Risk factors Ageing is an important risk factor for CHD. Others are the genes you inherit, body disorders such as diabetes, and lifestyle habits. Cholesterol, a type of fat-protein combination used by the body to build cell walls and make certain hormones, is closely associated with heart disease . LDL-C (low density lipoprotein ...

Valvular Heart Disease Information for people who have a problem with one or more of their heart valves, and for their family and friends Page 2 This booklet is not a substitute for the advice your doctor or cardiologist may give you based on his or her knowledge of your condition. This booklet is for people who have a problem with one or more of their heart valves, and for their family and friends. It explains: • what valvular heart disease is • what types of treatment are available, and • what you can do to help yourself. If you need to have heart valve surgery, you can find more information on what will happen in hospital, both before and after your operation, in the British Heart Foundation booklet ‘Having Heart Surgery’. Acknowledgements The British Heart Foundation would like to thank all the GPs, ...