Love Your Heart 2018

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2 Love Your Heart

Thursday, February 1, 2018 Messenger-Inquirer

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American Heart Month statistics at a glance • 220.8 per 100,000: The overall rate of death attributable to cardiovascular disease, based on 2014 data.

• On average, someone died of cardiovascular disease every 40 seconds.

That is about 2,200 deaths of CVD each day.

• On average, someone in the US has a stroke every 40 seconds. This is about 795,000 new or recurrent stroke each year. On average, someone died of a stroke every four minutes • Stroke accounted for one of every 20 deaths in the United States.

• More than 65% of U.S. adults have 2, 3, or 4 criteria at ideal cardiovascular health, with ≈20% adults within each of these categories. At any age, females tend to have more metrics at ideal levels than do males.

Blacks and Hispanics tend to have fewer metrics at ideal levels than whites or other races.

• 85.7 million, or 34.0 percent of U.S. adults are estimated to have hypertension.

• 23.4 million, or 9.1 percent of U.S.

adults are estimated to have diagnosed diabetes, based on 2011-2014 data.

• 1 in 6 males and 1 in 7 females in the United States are current smokers, based on 2015 data.

• On average, 1 in 3 adults, do not engage in leisure time physical activity. Hispanic and Non-Hispanic black adults were more likely to be inactive.

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3 simple ways to a healthier heart

H

eart disease is a formidable foe. According to the American Hear t Association, hear t disease is the leading cause of death in the United States, accounting for approximately 800,000 deaths every year.

While heart disease exacts a devastating toll on the United States, its reach extends far beyond North America, as the American College of Cardiology notes that cardiovascular disease accounts for 31 percent of all deaths across the globe.

In spite of the prevalence of heart disease, men and women are not helpless against it. In fact, there are many ways for men and women to reduce their risk for heart disease.

MAINTAIN A HEALTHY WEIGHT

The American Hear t Association repor ts that between 60 and 70 percent of Americans are over weight or obese. Car r ying around extra weight takes a toll on the body, increasing a person’s risk for hear t disease and stroke. Over weight or obese men and women can work with their physicians to develop a plan for ef fective, long-term weight loss, a plan that will likely include a combination of diet and routine exercise.

UNDERSTAND AND MANAGE BLOOD PRESSURE

The AHA notes that high blood pressure, a common condition af fecting roughly one in three Americans, is often referred to as “the silent killer” because it does not necessarily produce symptoms. Blood pressure measures the force pushing outward on the walls of blood vessels as they carr y blood oxygen to the body’s

organs, and the force created as the hear t rests between beats. Over time, the ar terial walls of people with high blood pressure may become stressed and develop weak spots or scarring that makes them vulnerable to the buildup of plaque. Plaque buildup can increase the risk of blood clots and stroke. Blood pressure can rise as a person ages, so managing blood pressure involves routinely checking it and making certain changes, such as eating healthier foods and exercising more often, if it is high.

CONTROL CHOLESTEROL LEVELS

High levels of low-density lipoprotein, often refer red to as “bad” cholesterol, can increase a person’s risk for heart disease. The AHA notes that excessive amounts of cholesterol can be deposited into the ar teries as plaque.

When that happens, it leads to a condition known as atherosclerosis, or a narrowing of the inside of the ar ter y walls. That narrowing leads to an increased risk for heart attack and stroke. Men and women should get their cholesterol levels checked at least once ever y four to six years beginning at age 20. Men and women who have been diagnosed with high cholesterol should recognize that cholesterol is only found in animal products, so a diet that is rich in fr uits, vegetables and whole grains and low in animal products can provide a simple way for men and women to lower their cholesterol. A more thorough and detailed plan to lower cholesterol levels should be discussed with a physician.

More information about heart disease and how to combat it can be found at www. heart.org.

Messenger-Inquirer Thursday, February 1, 2018

Love Your Heart

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4 Love Your Heart

Thursday, February 1, 2018 Messenger-Inquirer

5 ways to jump-start your heart health

BY BPT

I

f you’re looking to improve your heart health, each day is all about making a choice that moves you in the right direction. You’d rather stay in with a big bowl of ice cream. But maybe today, you could click off the TV set and take a walk with a friend.

It’s easy to see why heart health is a pressing concern. One in three adults live with one or more types of cardiovascular disease, according a review published in the journal Circulation.

Over time, changes in the hear t and blood vessels can lead to a host of devastating problems, including heart attack, heart failure and stroke. On top of that, lifestyle factors, such as poor diet and a lack of physical activity, lead to one in five deaths in the U.S., according to a study published in 2011 in the Journal of Public Health.

The good news is as the weeks and months pass, these healthy choices do pay off and make meaningful shifts in your health profile.

Turning these choices into habits is well worth the time and effort. Choice by choice, you could see big improvements.

REACH FOR WHOLE FOODS

Diets abound, but the classic Mediterranean-based diet always comes up as a winner for heart health. It’s simple to follow because it’s made up of whole, healthy foods, like fruits, vegetables, beans, nuts, olive oil and fish. In 2013, a study in the New England Journal of Medicine said switching to a Mediterranean diet can prevent 30 percent of heart attacks, strokes and heart disease deaths in high-risk people.

GET UP AND MOVE MORE OFTEN

The Surgeon General says 2.5 hours of moderate intensity exercise each week promotes good heart health. To get started, visit your doctor to find out what is safe for you. Then work activities you enjoy into your routine, whether it’s a walk in the woods, a leisurely bike ride or swimming laps at the community pool.

SEEK THE COMPANY OF OTHERS

This may not come up at the doctor’s office, but the time we spend with friends and family does reward us with better heart health. Isolation is linked

to depression and that’s linked to higher rates of heart disease. Pick up the phone and call someone. Schedule lunch with an old friend, plan a special day with younger relatives or sign up for an activity.

DE-STRESS AND DECOMPRESS

If you constantly feel the ef fects of stress in your body, it may be time to take steps to reverse that. Scientists haven’t found definitive proof, but they believe stress could trigger inflammation, a precursor to hear t disease. So go ahead, and seek some joy: Laughter releases “good” HDL cholesterol. Exercise is also a proven stress buster, and studies show a mindfulness mediation practice reduces blood pressure.

KNOW YOUR RISKS

Hopefully, you’re already making those annual doctor visits because your blood sugar, blood pressure, weight and cholesterol can all tell us something about our hear t health.

But what you really want to know is whether there is fatty buildup in your arteries, because toocan lead to stroke, peripheral vascular disease and carotid ar ter y stenosis. Doctor of fice tests of fer indicators and warning signs, but they don’t tell you how much you’re blocked.

Luckily, there’s a safe and af fordable test that gives you the hard data on what is happening inside your body: vascular screening. If you think learning the truth will discourage you, one study indicates the opposite may be true.

The repor t published in the Journal of Community Medicine and Health Education says people who had vascular screening repor ted more positive changes to their health several months after their vascular screening than the control subjects who weren’t screened. For example, 61 percent of screened respondents said they ate healthier foods since the screening, versus the 46 percent who were not screened.

Tr uth is empowering and it can give people a power ful incentive to change, even if the news isn’t what you’re hoping to hear. To get your own vascular test, find out when Life Line Screening is coming to your community. You’ll get a results pack you can take to your doctor, so you can work on a plan together to improve your health.

Get heart healthy during American Heart Month at the YMCA

Visit www owensboroymca.orgg or come into our registration office for details!

270.926.9622 FOR YOUTH DEVELOPMENT | FOR HEALTHY LIVING | FOR SOCIAL RESPONSIBILITY

Messenger-Inquirer Thursday, February 1, 2018

Love Your Heart

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6 Love Your Heart

Thursday, February 1, 2018 Messenger-Inquirer

Physical, emotional ways love affects the body

L

ove is at the forefront of couples’ minds during the month of February, thanks in large part Valentine’s Day. For centuries, poets have espoused the virtues of love while songwriters often look to love and hear tache as their subject matter. It’s easy to overlook that the heart and the brain are par ts of the body when considering the effects of being in love. While a large part of the reactions that occur are emotional in nature, being in love also has a profound physical ef fect on the body. Scientists have studied chemicals that flood the brain when love is in the air. noting that some can affect personal attachment, pleasure and well-being. So there are reasons why pulses race and palms sweat when people are in love. Here are some chemical players in the love equation.

DOPAMINE

The medical resource Health says dopamine is the brain’s pleasure chemical and it is released during pleasurable activities. When one falls in love, he or she feels elated and energetic because of the release of dopamine. Biological anthropologists say that the release of dopamine can lead to intense focus on the object of one’s desire and influence goaloriented behavior.

ADRENALINE AND NOREPINEPHRINE

These chemical messengers cause anxiety to rise and the fight or flight response to kick in. These substances also contribute to a racing heart and sweaty hands. Butterflies in the stomach and nervousness are subtle clues that there is genuine attraction for a person.

OXYTOCIN

Oxytocin is known as the “love hormone,� according to University of Birmingham researchers. Oxytocin, researchers found, produces some of the same symptoms of indulging in alcohol. These include feeling less inhibited, an increased willingness to take risks and calmness. Oxytocin also helps cou ples bond by promoting intimacy, according to research associates at Rutgers University.

TESTOSTERONE

romantic attraction, pheromones do gar ner significant attention.

Some theorize that these chemical messengers can change body chemistr y so that those in love can actually “smell� their romantic par tners. It may help explain why women may wear their par tner’s shir t to bed or a man may hold on to a scar f or a pillow his lover has used.

Love can have a dramatic impact on the human body, and chemicals PHEROMONES Although they are only believed, play a larger role than many may and not proven, to play a par t in know.

Testosterone is largely considered a male hormone, but it is present in females as well. Testosterone rises during romantic love, and it can increase sexual desire in a partner. Health also states that testosterone may be present in male saliva and transferred to a partner through kissing, fur ther revving up intimate feelings.

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Signs of atrial fibrillation — and how to treat it P

alpitations of the hear t or uncomfor table sensations in the chest can be distressing. Thoughts of hear t attack may come to mind, and that anxiety can only exacerbate the situation.

While hear t attack might be the first thing people think of when experiencing chest discomfor t, atrial fibrillation may be to blame for such feelings.

Atrial fibrillation, also called AFib, is a quivering or ir regular hear tbeat that may lead to hear trelated complications. The American Hear t Association says that at least 2.7 million Americans are living with AFib. Although treatable, without proper diagnosis, AFib may lead to blood clots, stroke and even hear t failure.

Many people with AFib experience no symptoms at all and are unaware they have it until it is discovered during a physical examination. For those who experience symptoms, The Mayo Clinic lists these as some of the more common: • Palpitations, which can be sensations of a flip-flopping in the chest or even a racing feeling.

• Fatigue • Reduced ability to exercise • Lightheadedness • Chest pain or shor tness of breath • Dizziness and weakness

When the hear t is working normally, it contracts and relaxes in a beat. When a person has AFib, the upper chambers of the hear t, called the atria, beat ir regularly. They quiver and do not move the blood into the ventricles in an ef fective manner. This irregularity can cause pooling or clotting of blood. Should a clot break of f and enter the bloodstream, par ticularly in an ar ter y leading to the brain, stroke may occur.

A proper diagnosis from a physician is needed before treatment can begin. An examination may include an EKG or ECG, which will show the heart’s electrical activity as line tracings on paper. The spikes and dips in the tracings are called waves. An EKG will determine if the hear t is pumping correctly.

AFib is more common among people with clogged arteries or diabetes and may develop following valve surger y. AFib also is more common in people with coronar y heart disease.

As a person ages, his or her risk for AFib increases. Stress also can be a major factor in triggering AFib, according to StopAfib.org.

Once AFib is diagnosed, managing risk factors and restoring a heart to normal rhythm becomes the priority. Doctors use a variety of medications to control heart rate, which may include beta blockers and calcium channel blockers. Medications

to prevent stroke also may be preAtrial fibrillation is a serious conscribed. Surgical inter vention may dition that requires treatment. Epibe necessar y if medications aren’t sodes can be managed and treated to working. help people live healthier lives.

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8 Love Your Heart

Thursday, February 1, 2018 Messenger-Inquirer

Fascinating facts about the human cardiovascular system T

he human heart and the miles of blood vessels that snake through the body are a wonder to behold.

Made up of three independent components, the cardiovascular system functions best when these three components, which include the heart, lungs and portal vessels, work cohesively.

Each day 2,000 gallons of blood travel through the blood vessels to provide oxygenated blood to the body and remove waste materials, including carbon dioxide. That’s a lot of traveling. In fact, according to LiveScience, if you were to lay out all of the arteries, capillaries and veins in one adult from end-to-end, they would stretch roughly 60,000 miles, which means that our blood vessels could wrap around the Earth 2.5 times.

For more information on hear t health and conditions contact Owensboro Health Cardiology at 270-4177500. Owensboro Health treats heart conditions such as angina (chest pain), arrhythmia, heart infections, heart failure, high blood pressure and much more.

FUN FACTS:

The human cardiovascular system is nothing short of fascinating, and the following are some even more remarkable facts about this wonder of nature, courtesy of Mercola, PBS, CPR Certified medical training group, and LiveScience.

• The heart beats around 2.5 billion times in the average person’s lifetime.

• Red blood cells have to move in a single-file line to fit through the miniscule capillaries in the body.

• When the body is at rest, it takes about six seconds for the blood to go from the heart to the lungs and back.

• A woman’s heart typically beats faster than a man’s heart, at a rate of 78 times per minute (mens’ hearts beat 70 times per minute).

• The corneas in a person’s eyes are the only bodily cells that do not receive a blood supply.

• The thumping sound of the heart is made by the four valves of the heart

closing.

• If a heart has an adequate supply of oxygen, it can beat even when separated from the body, thanks to its own electrical impulse.

• Unlike other cells, red blood cells do not contain nuclei so they have room to carr y oxygen. However, this absence is why they cannot divide or

synthesize new cell components.

• Healthy bone marrow will constantly manufacture new red blood cells.

• Within a tiny droplet of blood, there are about 5 million red blood cells.

• The right ventricle is responsible for moving blood to the lungs, where

it will receive fresh oxygen and nutrients. The left atrium and left ventricle receive this oxygenated blood back from the lungs.

• The hear t begins beating four weeks after conception.

The cardiovascular system is an amazing component of the human body.

Messenger-Inquirer Thursday, February 1, 2018

Love Your Heart

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The best (and worst) foods for heart health N

o one wants to hear from their doctors that they have joined the millions of people across the globe to be diagnosed with heart disease. The Heart Foundation reports that heart disease, which includes diseases of the heart and cardiovascular system and stroke, is the No. 1 cause of death in the United States, affecting both men and women and most racial/ethnic groups.

Heart disease also is one of the leading causes of death in Canada, claiming more than 33,000 lives per year.

Many factors contribute to the development of hear t disease, including smoking, lack of exercise and stress.

Diet and whether a person is overweight or obese also can have a direct link to heart health. Diet, particularly for those with diabetes and poorly controlled blood sugar levels, is a major concern.

A variety of foods are considered helpful for maintaining a strong and healthy heart and cardiovascular system, while others can contribute to conditions that may eventually lead to cardiovascular disease or cardiac arrest. Moderation enables a person to sample a little of everything, but not to make any one food a habit. The following are some foods to promote heart health and some foods you might want to avoid.

GOOD TREE NUTS

Tree nuts contain unsaturated fats that can help lower LDL cholesterol (the bad stuff) and improve HDL (the good stuf f). Nuts also are a filling source of protein and other healthy nutrients.

WHOLE GRAINS

Whole grains contain complex carbohydrates for energy, as well as protein and fiber. Fiber can help scrub cholesterol from the blood, lowering bad cholesterol levels.

FATTY FISH

Many cold-water, fatty fish, such as halibut, herring and salmon, contain omega-3 fatty acids, which are hearthealthy. Omega-3s also can be found in walnuts, flaxseed and some soy products.

To Eat or Not to Eat GOOD

Tree nuts Whole grains Fatty fish Beans Yogurt Raisins

BEANS

Beans and other legumes are an excellent source of protein and can be a stand-in for meats that are high in saturated fat. Beans also contain cholesterol-lowering soluble fiber and folate, which can reduce blood homocystein levels. The Bean Institute reports that consuming beans may reduce cholesterol levels by roughly six to 10 percent.

YOGURT

Researchers in Japan found yogurt may protect against gum disease. Left untreated, gum disease may elevate a person’s risk for heart disease. Yogurt contains good bacteria that can counteract bad bacteria and boost immunity.

RAISINS

Raisins contain antioxidants that may help reduce inflammation. Inflammation is often linked to heart disease and other debilitating conditions. Fresh produce also is a good source of antioxidants.

POOR FRIED FOODS

Many fried foods have little nutritional value, as they tend to be high in saturated and trans fats. French fries are particularly bad because they are carbohydrates fried and then doused in salt.

SAUSAGE

Processed meats have frequently earned a bad reputation among cardiologists, but sausage can be a big offender, due in large part to its high saturated fat content.

RED MEATS

Enjoying a steak is probably not as bad as eating a deep-fried brownie, but it’s best to limit red meat consumption to about 10 percent or less of your diet. Red meats can have a considerable amount of cholester ol, saturated fat and calories.

POOR

Fried foods Sausage Red meats Added sugars Salty foods Dairy

ADDED SUGARS

Sugar can increase blood pressure and triglyceride levels. Sugar often hides out in foods that you would not associate with the sweetener. Plus, many people unwittingly consume too much sugar simply through sugarsweetened beverages and ready-to-eat cereals.

SALTY FOODS

Leave the salt shaker in the spice cabinet and opt for herbs for flavoring, advises the American Hear t Association. High-sodium diets often are to blame for hypertension, a major risk factor for hear t disease.

DAIRY

Ar ter y-clogging saturated fat also can be found in dairy products, particularly the full-fat versions. Butter, sour cream and milk can be problematic when people overindulge. Opt for lowfat dairy when possible.

10 Love Your Heart

Thursday, February 1, 2018 Messenger-Inquirer

Fun ways your family can get fit together

BY STATEPOINT

I

s your fitness routine stuck in a rut?

Searching for ways to spend more time with your family?

Why not combine these goals?

There are a variety of ways to lead an active lifestyle that are suitable for the whole family and can include children of all ages.

Let these four creative ideas help you turn each day into an oppor tunity to get fit and have fun as a family, without stepping foot into the gym.

As with any workout, it’s impor tant to have the proper gear, and that star ts with footwear. So, each exercise below has a suggestion of what to look for when it comes to choosing the right shoe.

PARTICIPATE IN A CHARITY RUN/WALK

Whether you’re a seasoned runner or have just signed up to run your first 5K, many fundraising races accommodate the entire family. For younger children, look for events that allow jogging strollers or that host a Fun Run. Events that show the importance of communities working together for a larger cause can provide a bonus to the fun.

Shoe to try: Nike, Adidas and Converse all have a variety of “updated classic” styles available in men, women and children’s sizing, so that ever y family member can find a pair that reflects their personalities, while also providing necessary support for race day.

OUTDOOR ACTIVITIES

Heading outdoors to go camping or hiking burns calories, while providing incredible views and memories.

Shoe to try: Built to go off-roading, ASICS hiking shoes features reversed lugs on the outsole to ensure a dependable grip both uphill and downhill.

HIIT

High-Intensity inter val training is being incorporated into a lot of workouts these days. HIIT workouts alternate a quick, intense period of exercise, such as running or cycling, followed by a short, active recovery.

Shoe to tr y: A lightweight cross training shoes with a stable base -- such as a Nike Flex Trainer -- are a good selection when it comes to HIIT workouts.

BODYWEIGHT TRAINING

The benefits of bodyweight training are seemingly endless. From pushups to squats, these exercises require no additional equipment and can be done anywhere and performed with many modifications. Get creative with your family by doing a circuit of your favor-

ite bodyweight exercises in the park.

Shoe to try: A shoe with a mesh and synthetic upper material is designed to keep feet cool. Find this feature in a style, such as the New Balance, which also have special midsoles to ensure comfort from start to finish.

New footwear is a great way for

each family member to show his or her style, while getting motivated to meet fitness goals. Once you’ve got the plan in place, get into a fitness routine that works for your family and stick with it.

To help ensure that everyone meets their fitness goals, consider combining fun family quality time with your workouts.

Messenger-Inquirer Thursday, February 1, 2018

Love Your Heart

11

Are you one of the 4 million people at risk for leaky heart valves?

BY BPT

D

id you know nearly one in 10 people aged 75 or older suffers from a leaky mitral valve, or mitral regurgitation? And most don’t know it, attributing symptoms of fatigue or shortness of breath to just old age.

In 2009, Kato Pomer was an active 92-year-old woman, still practicing child psychiatry, painting, gardening, and playing with her grandchildren. In August of that year, with little warning, she was rushed to the hospital after experiencing shortness of breath and labored breathing. Kato’s doctors diagnosed her with severe leaky mitral valve, and she needed immediate treatment to live.

Mitral regurgitation is a debilitating, progressive and life-threatening condition impacting 4 million people, like Kato, in the U.S. alone. When mitral regurgitation occurs, the mitral valve (one of the four valves of the heart) does not close completely, causing blood to leak backward into the heart. Due to this backward flow, the heart is not able to efficiently circulate blood through the body, which can cause fatigue, shortness of breath and difficulty performing daily activities.

The consequences of leaving a leaky heart valve untreated can be substantial - people often develop other conditions such as irregular heartbeats, stroke, heart failure and even death.

Open-heart surgery has been the standard treatment to repair a leaky mitral valve, and first emerged as a treatment option in the early 1960s. Yet only about 20 percent of patients are candidates for open-heart surgery because of a high risk for potential complications due to other illnesses or advanced age. Medications only help to manage the symptoms without treating the underlying problem.

Kato sought opinions from several doctors, but she was not a candidate for open-heart surgery to correct the problem, and she and her family were told to consider hospice care.

Not willing to give up, Kato enrolled in a clinical trial at Cedars-Sinai Heart Institute for Abbott’s MitraClip® device. Ten weeks after being rushed to the hospital, Kato underwent the MitraClip procedure.

Now a clinically proven, minimally invasive option, MitraClip has treated over 50,000 patients worldwide, and allows doctors to make a small incision in the leg to travel through the body’s network of blood vessels to reach and repair a leaky mitral valve. The goal of treatment is to improve heart function while minimizing symptoms and avoiding future complications.

“Kato’s heart was working much harder to pump blood through her body,” said Saibal Kar, MD, director of Cardiovascular Intervention Center Research at Cedars-Sinai Heart Institute. “MitraClip has added years to Kato’s life and offers hope for patients with

leaky valves around the world.”

Now, eight years later, Kato is 100 years young and lives with her daughter in the Los Angeles area, where she loves to spend time with her children and grandchildren, and enjoys her garden and going out for sushi.

Approved by the U.S. FDA in 2013, the device had its own milestone this year when the 50,000th patient was treated for mitral regurgitation.

Patients who have undergone a MitraClip procedure report feeling better almost immediately, have a newfound energy and can often return to activities they

enjoy within a few days.

“I was rapidly fading before getting my MitraClip and we thought the end was near. Now, I’m still living a full life at one hundred years old,” said Pomer.

Once implanted in the heart, MitraClip mimics the stitches that a surgeon would make to the flaps of the valve during open-heart surgery. The result is the heart’s ability to pump blood more efficiently, thereby relieving symptoms, improving the patient’s quality of life and allowing them to get back to doing the activities they love - faster.

12 Love Your Heart

Thursday, February 1, 2018 Messenger-Inquirer

The region’s heartbeat is growing stronger.

These outstanding physicians have joined Owensboro Health’s heart team.

Sameh Lamiy, MD

Leslie Oberst, MD

Al Salah, MD

Getu Assefa, MD

Brian Price, MD

Cardiology

Cardiology

Cardiology, Medical Director

Cardiology

Cardiology

Owensboro Health’s heart team has a strong reputation for clinical excellence, advanced technology and care that always puts the patient first.

Now, with the addition of five outstanding cardiologists, our heart program has grown even stronger. We offer the latest minimally-invasive techniques, and with locations in Owensboro and Greenville, advanced care is available close to home. It’s part of our mission to improve heart health throughout Western Kentucky and Southern Indiana.

To schedule your appointment today, call 270-417-7500.

Robert Adams, MD

Ken Ung, MD

Johnny Makhoul, MD

R. Nagarakanti, MD

G. Scott Reader, MD

Cardiothoracic Surgery

Cardiothoracic Surgery

Cardiology

Cardiology

Cardiology (MUHLENBERG)