Chest pain

Shortness of breath

Tachycardia / bradycardia

Cardiac palpitations

Atrial fibrillation› Irregular atrial

rhythm

Arrhythmia› Irregular heart beat

http://www.bing.com/videos/search?q=doctors+dance+to+arrhythmias&FORM=HDRSC3#view=detail&mid=00FC8DBEA584D34792DB00FC8DBEA584D34792DB

Valve problems› Stenosis› Incomplete closure› Prolapse

› Congestive heart failure (CHF)

› Accounts for more than one-third of all U.S. deaths.

› More than 1 of 3 U.S. adults currently lives with one or more types of CVD.

(CDC, 2011)

Oregon.gov, 2010

The Weight of the Nation, Consequences

Modifiable› High blood

pressure› Smoking› Cholesterol› Diabetes› Sedentary

lifestyle

Non-modifiable› Age› Sex › Family history

http://www.mayoclinic.com/images/image_popup/ww5r236.jpg

Hypertension: arteries are narrowed, causes heart to pump harder which creates more force against the artery walls.

“Silent” disease› May cause damage to every organ› Damage is irreversible

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.

AKA: Heart attack

Occurs when heart does not get enough oxygen

Treatment

Chest discomfort Discomfort in arms, neck, jaw,

stomach Short of breath Cold sweat Nausea, vomiting Lightheadedness, dizziness

Differences between men and women http://www.ted.com/talks/noel_bairey_merz_the_single_biggest_health_threat_women_face

Source: http://www.strokesurvivors.ca/new/images/stroke_diagram.gif

~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.

3 statement test› “Give me a smile”, “Hold out your arms”,

“Say this for me”

TIA – “ministroke” › Temporary stroke like symptoms› Brief, usually only last a few minutes› No permanent damage occurs› Can be a precursor to a stroke.

Lifestyle modifications….