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Heart Health
- 5. Leading Causes of Death United States, 2004 2,397,615 Total 1 33,373 Septicemia 10 2 42,480 Kidney Disease 9 2 59,664 Influenza & Pneumonia 8 3 65,965 Alzheimer's Disease 7 3 73,138 Diabetes Mellitus 6 5 112,012 Unintentional Injury 5 5 121,987 Chronic Lung Diseases 4 6 150,074 Stroke 3 23 553,888 Cancer 2 27 652,486 Heart Disease 1 % Number Cause of Death Rank
- 7. You are only as old as your coronary arteries.
- 16. Coronary Angioplasty and Stent Placement
- 19. Heart Attack (Myocardial Infarction )
- 23. Denial Not just a river in Egypt
- 26. Heart Disease Prevention What you can do to take care of your heart?
- 31. Hypertension
- 36. Deaths from Behavioral Causes United States, 2000 JAMA 2000; 291: 1238
- 37. Smoking: The Real Reason Dinosaurs Became Extinct
- 42. Body Mass Index (BMI) Weight in Pounds (Ht -inches) (Ht- inches) X 703 Example: 220# and 6ft 3 inches = 220/75x75 x 703 = 27.5
- 43. Classification of Weight by Body Mass Index (BMI) > 30 Obese 25-29.9 Overweight 18.5-24.9 Normal <18.5 kg/m2 Underweight
- 47. Exercise
- 49. Physical Activity and Mortality Risk “Survival of the Fittest” Circulation 2000; 102: 1358
- 50. Exercise
- 52. Cholesterol Subtypes LDL (Bad) HDL (Good)
- 53. CHD Mortality Increases with Increasing LDL Cholesterol LDL Cholesterol Death / 1000 Patient years Age-adjusted CHD death per 1000 person years with CHD
- 57. Mediterranean Diet N Engl J Med 2003; 346: 26
- 58. Mediterranean Diet Heart Study Lancet 2002; 360: 1455
- 61. Initiating plaque rupture and initiation of platelet rich thrombus Heart Attack Prevention
- 62. Non-contrast EBCT scans Left Main LAD LCX Ao LA PA No calcification Severe calcification
- 66. Risk of Coronary Heart Disease Death % N Engl J Med 1998; 339: 229
- 73. Heart Disease Risk Reduction 50-70% Mediterranean Diet 35-55% Ideal Body Weight >45% Regular Exercise 2-3%/mmHg BP drop Treat Hypertension 20-40% less MI Treat Cholesterol 50-70% in 5 yrs Smoking Cessation Reduction Behavior
- 75. For copies of this presentation, please contact: [email_address]
Hinweis der Redaktion
- Prevalence data is based on NHANES 3 data. Reference: Greenlund KJ et al. Prevalence of Heart Disease and Stroke Risk Factors in Persons with Prehypertension in the United States, Archives of Internal Medicine 2004;164:2113-2118
- This is data from Steve Haffner’s landmark study in the NEJM looking at the risk of coronary events in patients with Diabetes. This study helped modify the NCEP guidelines and changed diabetes from being considered a risk factor to being considered the equivalent of coronary artery disease. First we look at people who have had coronary disease or MI. Obviously having the disease is the greatest risk of all… In patients with no prior CV disease, and NO diabetes, the risk over 7 years of a cardiovascular event is 3.5%... Close to 97% will not have an event in the next 7 years. If you have had a heart attack, the risk of a second event is almost 5 times higher 18.8%. Now look at the right – diabetes. Having diabetes gives you more risk of having a CV event than having the disease itself. And if you have diabetes and have had a heart attack you have a 50/50 chance of having another event in the next 7 years. This is why if you have diabetes, you should receive the same aggressive treatment, as if you have already had a heart attack.
- As important as living longer is living better: Less comorbidities, restrictions, pills…Living well is the best revenge!