“The collective term for various forms of diseases of the heart and blood vessels.” Examples? Heart attack, coronary artery disease (CAD), hypertension, stroke, peripheral vascular disease, congestive heart failure, angina
About 2,200 Americans die every day from CVD. Remains the #1 killer although death rates have declined 30% since CVD discriminates Men more likely to have CVD; women more likely to die Lower incomes, lower educational levels and specific ethnicities are more likely to develop CVD.
Oregon.gov, 2010
Heart – consists of four chambers Two atria – upper chambers Two ventricles – lower chambers
RM=IDFRIR&qpvt=heart+anatomy RM=IDFRIR&qpvt=heart+anatomy
The heart contracts and then relaxes in order to pump the blood. Contraction = systole Relaxation = diastole Blood pressure is read systolic/diastolic Normal blood pressure: 120/80
Veins and arteries Veins carry blood to the heart Arteries carry blood away from the heart
Atrial fibrillation Irregular atrial rhythm Usually treated with medications Arrhythmia Irregular heartbeat Usually treated with medications Valve problems: Stenosis Incomplete closure Prolapse Heart failure Myocardial infarction
Chest discomfort Discomfort in arms, neck, jaw, stomach Short of breath Cold sweat Nausea, vomiting Lightheadedness, dizziness Differences between men and women?
Modifiable What is the #1 modifiable risk factor? #2? Non-modifiable Age Gender Heredity Where do income level and education fit in??
Cigarettes, cigars, chew Nicotine is main, active ingredient Thought to be the most physically addictive drug. Amount of nicotine in products has increased 10% between 1998 & 2004.
Acts as a stimulant Increases heart rate, blood pressure, alertness, concentration, memory. May act as mild sedative Decreases anxiety, irritability, mild depression 3 out of 4 smokers want to quit 75% will quit but start again within one year
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Leading preventable cause of death in U.S. Causes more deaths every year than HIV, illegal drug use, alcohol use, motor vehicle accidents, suicides and murders combined! Smokers die an average of 14 years earlier than non- smokers.
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Regulations Restricting the Sale and Distribution of Cigarettes and Smokeless Tobacco to Protect Children and Adolescents Restricts sale, distribution, and promotion of tobacco products to make them less accessible to youth. Law went into effect June 22, 2010 (FDA, 2010) etteProductWarningLabels/ucm htm etteProductWarningLabels/ucm htm
(Fda.gov, 2011)
(FDA.gov, 2011)
Thoughts? Warnings were to appear Sept but…. (FDA.gov, 2011)
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% CDC, 2011
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% CDC, 2011
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% CDC, 2011
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20% CDC, 2011
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20% CDC, 2011
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25% CDC, 2011
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% CDC,2011
Portion Sizes Physical Inactivity
(Brownell, 2006)
Hyperlipidemia Elevated lipids in the blood Hypercholesterolemia High cholesterol (LDLs usually) Not always due to dietary intake
Blood supply is somehow cut off to the brain causing brain cells to die. “Approx. 2 million brain cells die per minute during a stroke aging the brain about 3.5 years each hour.” (Insel & Roth, 2009) Important to receive prompt treatment upon onset of symptoms.
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Ischemic: blockage in the blood vessel 80% of strokes are ischemic Two types of ischemic strokes. Thrombotic – blood clot forms in the brain Embolic – wandering clot travels to the brain Hemorrhagic – rupture of vessel
~700,000 Americans suffer a stroke every year. 1/3 will die. Strokes may cause permanent damage Paralysis, speech impairment, memory loss, behavior changes.
Oregon,gov, 2010
Sudden numbness/weakness of face, arm, leg – especially on one side. Sudden confusion, trouble speaking or understanding. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance/coordination Sudden severe headache with no known cause.
“Give me a smile.” “Hold out your arms” “Say this for me.” Get help immediately
TIA – “ministroke” Temporary stroke like symptoms Brief, usually only last a few minutes No permanent damage occurs Can be a precursor to a stroke.
Hypertension: arteries are narrowed, causes heart to pump harder which creates more force against the artery walls.
“Silent” – usually no symptoms but damage is still occurring. Can cause damage to almost every organ in the body. Damage is irreversible. High blood pressure: 140/90 Can have “prehypertension”
Primary (essential): 90% of all cases Cause is unknown – probably genetics and environment. Secondary 10% of cases Cause is due to medications or other diseases. Approx. 1/3 of Americans have hypertension. Risk increases with age.
If left untreated, carries high mortality risk. Risk factors: Family history, race, stress, obesity, tobacco use, aging, high sodium intake Complications: Stroke, heart attack, heart failure, hypertensive retinopathy, renal failure
What does sodium do for you? Helps maintain fluid balance Helps transmit nerve impulses Influences contraction and relaxation of muscles
Too much sodium Causes high blood pressure May lead to fluid retention
The human body requires about 500 mg of sodium per day, while the average American usually ingests between 2,300-6,900 mg each day. It is recommended to stay in a range of 1,500 to 2,400 mg / day.
On food labels: Monosodium glutamate (MSG) Baking soda Baking powder Disodium phosphate Sodium alginate Sodium nitrate or nitrite