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American Heart Month An advertising supplement produced by Peninsula Daily News and Sequim Gazette

in partnership with

Assessing your heart health


Raising heart health awareness in Jefferson County


Cardiac care at Olympic Medical Center



February 2015

Peninsula Daily News and Sequim Gazette

American Heart Month

Becoming heart aware Heart disease isn’t just a man’s disease. Heart disease in women, though, often occurs later in life than it does in men and may have different symptoms, but it is just as deadly. Although men and women have heart attacks, more women who experience these attacks will die from them. Knowing your risk factors, modifying your lifestyle and having regular screenings can significantly reduce your chances of developing heart disease.

Smoking is a major cause of heart disease among women, “...modifying your especially if combined with taking birth control pills. lifestyle and having If you’re having trouble regular screenings quitting, a program or support group can help you succeed. can significantly Remember, exposure to reduce your chances secondhand smoke can be harmful, too. of developing heart Know your blood pressure. disease.” Years of high blood pressure can increase your risk of developing heart disease. What’s your risk? High blood pressure often has no symptoms, so it’s Heredity, race, increasing age, high blood pressure, important to undergo regular screenings. high cholesterol, smoking and obesity are all factors Elevated blood pressure causes your heart and that put you at a greater risk for heart disease. arteries to work much harder, which ultimately may Does heart disease run in your family? If so, you are leave them not working as well as they should and puts more likely to develop the condition. you more at risk for heart disease, heart attack and stroke. Reduce your risk Get active. While some factors can’t be controlled, you can help Various studies have linked physical inactivity to lower or eliminate other risk factors with lifestyle heart disease. modifications, such as: Make healthy food choices and start exercising regularly. Be smoke-free.

Cope with stress. Reduce your stress levels by confiding in your friends or a counselor, exercising, meditating or doing yoga and other mind-body activities. Visit www.olympicmedical.org for more information. — Content submitted by Olympic Medical Center

HeartAware Risk Test Olympic Medical Center offers a free and confidential risk assessment tool online to help you assess your current cardiovascular health and identify lifestyle or medical conditions that may lead to the development of heart disease. The assessment takes about 7 minutes to complete. At the end of the test, you will receive a comprehensive personal health report. HeartAware will also help you take action to reduce your level of risk from heart disease as well as inform you of the cardiac services available through the Olympic Medical Center. For more information or to take the free risk assessment, visit olympicmedical.org and look for HealthAware under the Health Resources tab.

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American Heart Month

February 2015

Peninsula Daily News and Sequim Gazette

Assessing your heart health by Bobby Beeman, communications manager at Olympic Medical Center

Heart disease is the number one killer of men and women. Proper heart health requires we evaluate risk factors that may contribute to heart disease and participate in activities that lead to a healthier lifestyle, including proper exercise and nutrition, smoking cessation and techniques to lower stress. The most important thing you can do for your heart is to maintain a healthy lifestyle. Live tobacco-free, be physically active, eat a healthy diet, maintain a healthy weight and, when appropriate, take preventive medicines as your physician recommends. Also, be sure to get your recommended screening tests. Screening tests can find diseases early, when they keeping your heart-healthy. It can help you and your are easier to treat. doctor know your risks and mark the progress you’re Talk to your physician about which tests apply to making toward a healthier you. you and when and how often you should be tested. To get a quick overview of numbers you need to Know your numbers know and the goals you need to reach, please go to the During a heart check up, your doctor takes a careful American Heart Association website at www.heart.org. look at your “numbers,” including your cholesterol and Obesity: Have your body mass index (BMI) triglyceride levels, your blood pressure and more. calculated to screen for obesity. Knowing your numbers is an important part of Lipid profile, i.e., LDL, HDL-cholesterol: Have your

RED, Set, Go! The fundraising goal of the event this year is to raise money for new exercise equipment for the Olympic Medical Heart Center and increase. Last year the foundation raised enough funds to purchased two treadmills worth $52,000 for the Heart Center stress testing program. Attendees are encouraged to wear red to the event. Ticket information Tickets for the event cost $50; a table costs $400. Ticket and event information for all events is available through the Olympic Medical Center Foundation Office at 1015 Georgiana St. in Port Angeles, or call 360-417-7144. For additional information, check the OMC Foundation’s website at www.omhf.org.

cholesterol checked regularly starting at age 35. If you are younger than 35, talk to your doctor about checking your cholesterol if you smoke, have diabetes, high blood pressure or have heart disease in your family. High blood pressure: Have your blood pressure checked at least every year. Goal for blood pressure should be 130/90 or less. Blood glucose: Have your blood glucose tested for diabetes or pre-diabetes, particularly if you have high blood pressure, high cholesterol, you are overweight, you suffered from gestational diabetes or if you have diabetes in your family.

Back on the road to a healthy heart

Talk to your physician about your level of risk. If you have, or are at risk for, heart disease or diabetes, Olympic Medical Heart Center will help you on your path to wellness. Olympic Medical Heart Center’s cardio and pulmonary rehabilitation programs are designed to provide you with one-on-one guidance. We closely monitor your heart and lungs and work with your physician to create reachable goals to improve your health. As a team, we counsel patients in developing a healthy fitness level and appropriate eating habits, as well as maintaining a healthy weight. If your physician determines a visit to a specialist such as a cardiologist or pulmonologist is in order, please ask to be referred to one of our local specialists.


A GOOD RECIPE FOR A HAPPY, HEALTHY HEART At The Lodge, we provide healthy food and planned exercise, all in the company of friends.


The Olympic Medical Center Foundation’s Red, Set, Go! luncheon is scheduled for February 27, 2015, at 11:30 a.m. at the Vern Burton Community Center at 308 E. Fourth St. in Port Angeles For the eighth consecutive year, the luncheon will be presented by the Jamestown S’Klallam tribe. This year the theme is “Take Exercise to Heart: Be Your Own Super Hero.” Close to 300 people are expected to gather to learn how to prevent heart disease. The luncheon started as part of a three-year campaign at OMC to raise awareness of women’s heart health. The campaign was so successful that the foundation has committed to staging it as an annual event.


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February 2015



Raising heart health awareness in Jefferson County by Kate Burke, marketing manager/foundation director, Jefferson Healthcare

February is American Heart Month, and beginning Feb. 6, Jefferson Healthcare is launching WellHearts, an educational series focusing on improving heart health. Women make up more than half of Jefferson County’s population, but did you know that one in three women die of heart disease and stroke each year? While heart disease risk begins to rise in middle age, heart disease develops over time and can start at a young age, even in the teen years. It’s never too early, or too late, to take action to prevent and control the risk factors for heart disease. Although significant progress has been made in increasing awareness among women that heart disease is their No.1 killer, most women fail to make the connection between heart disease risk factors and their personal risk of developing the disease. Studies show that only one in five women believes heart disease is her greatest health threat. This disease is largely preventable but kills more women than all forms of cancer combined. These are the facts that can be changed through effective prevention programs and education on healthy eating, exercise and other lifestyle changes.




Port Angeles Senior Center

Current evidence supports a range of Jefferson Healthcare strategies to improve Cardiology Services cardiovascular health • EKG including healthcare • ECHO systems approaches, which • Ambulatory encourage, facilitate and monitor reward efforts by providers • Stress ECG with to improve health behaviors treadmill belt and health factors. • Cardiac “In addition to expanding rehabilitation cardiology services, we feel • Anticoagulation it is important for Jefferson services Healthcare to offer health education programs that can give our community the knowledge and tools to improve their heart health,” said Mike Glenn, CEO of Jefferson Healthcare. Jefferson Healthcare’s launch of American Heart Month events and activities will be at Port Ludlow Beach Club Bayview Room from noon to 1:30 p.m. on Feb. 6 from noon to 1:30 p.m. It will be the first of many free, educational programs. Cardiologist David Tinker give the talk, “Taking

Keeping Your Heart Healthy! • Pickleball • Cardio • Strength • Dance • and more!!

JEFFERSON HEALTHCARE’S HEART HEALTH EDUCATION SERIES FREE PROGRAMS: Taking Care of Your Heart. Feb. 6, noon, Port Ludlow Beach Club Bayview Room The Silent Killer: Elevated Blood Pressure & the Risk on Your Heart. Feb. 10, noon, Port Ludlow Bay Club (Blood pressure readings will be taken by a registered nurse). Taking Care of Your Heart. Feb. 11, noon, Jefferson Healthcare, Dirksen Auditorium Blood Cholesterol Management. Feb. 16, noon, Jefferson Healthcare, Dirksen Auditorium Understanding my New Heart Diagnosis. Feb. 17, noon, Port Ludlow Bay Club The Silent Killer: Blood Pressure & the Risk on Your Heart. Feb. 23, 5:30 p.m., Jefferson Healthcare, Dirksen Auditorium (Blood pressures readings will be taken by a registered nurse). Skipped Heartbeats: When to Worry. Feb. 27, 11:30 a.m., Port Ludlow Beach Club Bayview Room

Know your numbers

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Care of Your Heart” on Feb. 6. Activities and exhibits will include free blood pressure checks and heart healthy snacks created by Jefferson Healthcare’s executive chef Arran Stark along with heart healthy recipes. Every woman who wears red will be entered into a drawing. The WellHearts education David Tinker, M.D. series informs women and men about their heart health numbers, which are vital to understanding why making lifestyle changes will reduce their risks of heart disease.

American Heart Month

February 2015

Peninsula Daily News and Sequim Gazette

A guide to heart disease calcium deposits and restriction of blood flow. Avoiding fatty, high cholesterol foods, exercising regularly and getting routine checkups at the doctor are all ways to head off atherosclerosis at the pass. Heart attack: Also known as cardiac arrest, this is the culmination of many heart conditions, such as angina, arteriosclerosis and atherosclerosis. A heart attack occurs when blood and oxygen are not able to reach the heart. High cholesterol: High cholesterol can be a factor in a number of heart conditions. Therefore it is desirable to keep cholesterol levels low. Cholesterol is measured as total cholesterol, HDL (the good cholesterol) and LDL (the bad cholesterol). Total cholesterol under 200 mg/DL is optimal. Less than 100 mg/DL of LDL and HDL levels of 60 mg/DL or more are desirable. Hypertension: This is a term used to describe high blood pressure. Blood pressure is measured in two readings, the systolic pressure, or the pressure created when the heart beats, and the diastolic pressure, or the pressure in the heart when it is at rest. Blood pressure higher than 120 over 80 is considered high and should be monitored. How much water and salt you have in your body; the condition of your kidneys, nervous system, or blood vessels; and the levels of different body hormones can all cause hypertension. A change in diet or medication may be needed to control blood pressure. Peripheral arterial disease: PAD is when insufficient blood flow reaches the arteries that supply the limbs. Pain or immobility may occur due to lack of blood to meet demand. Generally, PAD is a sign that atherosclerosis is taking place and medical intervention should be taken. Stroke: This is an interruption of blood supply to any part of the brain. It can come on suddenly or display symptoms over time. Changes in alertness, sleepiness, trouble speaking, loss of coordination, trouble moving limbs and many other symptoms can be indicative of stroke. A stroke may be mild and cause temporary conditions. A massive stroke may lead to paralysis, brain damage or even coma.

Signs of cardiac arrest According to the American Heart Association, the following are some of the symptons may indicate a heart attack:

A stroke is a medical emergency. It is important to get the person to the emergency room immediately to determine if the stroke is due to bleeding or a blood clot so appropriate treatment can be started within 3 hours of when the stroke began. Clot busters may be given if it is a clotting condition. — Content and photo from Metro Creative Connection

1. Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness, or pain.   2. Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach. 3. Shortness of breath with or without chest discomfort.   4. Other signs include breaking out in a cold sweat, nausea or lightheadedness.  

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“Heart disease” is a broad term used to describe a number of ailments affecting the heart. When most people think of heart disease, they typically call to mind heart attacks. However, there are a number of conditions that can affect the heart. Understanding them is key to preventing further complications down the line. Here is a listing of common heart conditions, symptoms and treatment: Angina: Chest pain or discomfort that occurs in and around the heart when the muscle doesn’t get enough oxygen-rich blood. It can be brought on by stress, exertion, emotion, extreme cold or be a symptom of a deeper problem such as clogged arteries. There are three types of angina: stable, unstable and variant. Stable angina follows a pattern and is generally the most common. Unstable angina doesn’t follow a pattern. Variant angina occurs while you’re at rest and is rare. Angina may be treated with rest and medicine. All heart pain should be checked by a doctor to see if it’s a sign of something deeper. Aneurysm: An aneurysm is an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel. Depending on where the aneurysm occurs (brain, aorta or abdomen, for example) there may be no pain or bulging. Aneurysms are serious and, if not caught early and treated, can lead to death. Arteriosclerosis: This is any hardening or loss of elasticity of medium and large arteries, generally as a result of hypertension. The most common sites for arteriosclerosis are arteries in the brain, kidneys, heart, abdominal aorta or legs. Symptoms of arteriosclerosis vary according to which arteries are affected. Risk factors for arteriosclerosis include smoking, obesity, high blood pressure and/or cholesterol, stress and diabetes. Atherosclerosis: This is a condition when fatty material collects in the arterial walls. It can harden over time, causing



February 2015

Peninsula Daily News and Sequim Gazette

American Heart Month

Cardiac care at Olympic Medical Center

Your home for all things heart

Olympic Medical Heart Center offers important non-invasive cardiology services for the residents of Clallam County including: • Consults • Echocardiography • Stress testing • Heart disease management • Rehabilitation • Advanced heart rhythm testing using the Zio Patch • Rhythm Management • Pacemaker insertion and monitoring • Nuclear medicine • Education

Hitching our wagon to Swedish stars

As a community hospital in a rural setting, Olympic Medical Center doesn’t offer the most complex surgical heart procedures such as bypasses and stents. That’s where Olympic Medical Center’s affiliation with Swedish Medical Center comes in. Heart specialists at Swedish use the latest technologies to perform highly advanced procedures, such as transcatheter aortic valve replacement, coronary bypass and surgical heart failure treatment. “Our connection to Swedish Medical Center’s team of nationally renowned cardiologists and cardiac surgeons allows us to fill in the gaps in invasive cardiology services,” said Scott Kennedy, chief medical officer at Olympic Medical Center. “Our patients benefit from having direct access to the vast array of highly specialized procedures that only a place like Swedish can offer.” In fact, in 2014 Consumer Reports magazine ranked Swedish Heart and Vascular Institute among the top 15 hospitals in the nation for outcomes in coronary bypass and aortic valve replacement. To learn more about Olympic Medical Heart Center, visit www.OlympicMedical.org or call 360565-0500. — Content and photos submitted by Olympic Medical Center

Photos courtesy of Olympic Medical Center

Olympic Medical Center cardiology team sees patients in Port Angeles and Sequim. Above left: Cardiologist James Emery and certified medical assistant Gina Gaul. Above (left to right): Dawn Pendergrast, medical office nurse coordinator; Penny Ganz, certified medical assistant; Alexander Pan, cardiologist; Tracy Zaher-Lee, advanced registered nurse practioner; Dr. Kara Urnes, cardiologist; Jeannie Collins, certified medical office assistant; and Tatiana Slatin, certified medical office assistant.

When your heart needs a tune up Your pulse is racing, you’re dizzy, your heart is fluttering or it’s difficult to breathe. If you aren’t lovestruck, your heart might be trying to tell you something.

Worn out electrical generator

You may be having an arrhythmia — a rapid, sluggish or erratic heartbeat caused by faults in the electrical system that regulates the heart’s pumping. Risk factors for irregular heart rhythm include heart attack, congenital heart defects, infections that harm the heart and certain chronic conditions, such as heart failure, high blood pressure and diabetes. Arrhythmias are most common among seniors. “Most of the arrhythmias I treat are age related,” says Robert Gipe, MD, internal medicine physician and heart rhythm management specialist at Olympic Medical Heart Center. “They are the result of the heart’s electrical generator, the nerves that conduct signals throughout the muscle, becoming worn out over time

or manifesting signs of damage due to past illnesses.”

Listen to your LUB-DUB

When the rhythm runs amok, it can feel like the heart is working overtime or taking every other beat off. Other symptoms may include lightheadedness, exhaustion, fainting and shortness of breath. A high-speed, inconsistent heart beat could be a sign of atrial fibrillation, the most common type of arrhythmia. Don’t put arrhythmia symptoms on your to-do list to investigate when you get around to it. Irregular rhythms can lead to more serious cardiovascular problems if left untreated. Medication, a procedure to eliminate the source of the arrhythmia or a rhythm-regulating device may bring your beat and quality of life back into balance. If you experience symptoms of arrhythmia, speak with your primary care physician about a referral to a heart rhythm specialist for diagnostic testing. — Content submitted by Olympic Medical Center

American Heart Month

Peninsula Daily News and Sequim Gazette

February 2015


Matters of the heart

Cardiac arrest vs. Cardiac healthcare providers that heart attack

meet the needs of our community

Many people assume cardiac arrest and heart attack are the same thing. However, sudden cardiac arrest is not a heart attack. In fact, there are distinguishable differences between the two that are best explained by detailing what is actually happening when someone is suffering from either one.

What happens during a heart attack?

James Emery, M.D.

Robert Gipe, M.D.

Alexander Pan, M.D.

Trust doesn’t always come easy. This is why Olympic Medical Center joined with Swedish Medical Center. Like most matters of the heart, sometimes it’s about finding someone who’s the right fit and feels like family. In the case of Olympic Medical Heart Center, a partnership with Swedish Heart and Vascular Institute led to an additional partner in heart care: cardiologist Alexander Pan. Pan, a member of Swedish Heart and Vascular Institute, joined Olympic Medical Heart Center in September 2014, primarily seeing patients out of the Sequim location on the second floor of the Medical Services Building at 840 N. 5th Ave. He works closely with Olympic Medical Physicians clinical cardiologists Kara Kurtz Urnes and James Emery, who are both fellows of the American College of Cardiology, as well as his colleagues at Swedish Heart

Kara Kurtz Urnes, M.D.

and Vascular Institute. Advanced register nurse practioner Tracy ZaherLee and heart rhythm management specialist Robert Gipe also work alongside him at the Heart Center. Pan received his medical degree from the University of São Paulo, Brazil, and completed his cardiology fellowship training at the University of Hawaii in 2014. “Swedish understood our need to find a highcaliber cardiology candidate who also wanted to work in a small, rural community such as ours, and we appreciate their efforts to help meet the needs of our heart patients,” said Eric Lewis, chief executive officer of OMC. “It took a ton of hard work by Swedish and OMC to make this dream of having a third cardiologist on the North Olympic Peninsula a reality.” — Content and photos submitted by Olympic Medical Center

Cardio rehabilitative services Olympic Medical Heart Center has comprehensive cardiac and pulmonary rehabilitation programs that include exercise, risk factor education and lifestyle modification. Individual treatment plans are based on risk stratification, medical history and goals. Cardiac rehabilitation is available in Sequim and Port Angeles. Patients participate three times per week for 8 to 36 weeks, depending on progress toward

Tracy Zaher-Lee, ARNP

goals and cardiac risk reduction. Pulmonary rehabilitation is available in Sequim and Port Angeles, and patients participate twice a week for 12 weeks. For more information, call 360-565-0500. See related story on Page 11. — Content submitted by Olympic Medical Center Ray Braun, 77, works out three times a week at the Heart Center gym.

Photo by Sara Farinelli

During a heart attack, blockage occurs in one or more of the heart’s arteries. That blockage subsequently prevents the heart from receiving enough oxygen-rich blood. Research indicates that many people with symptoms of a heart attack actually delay seeking treatment for more than two hours. In a 2010 study published in the Archives of Internal Medicine, researchers found the average delay in arriving at the hospital after the start of a heart attack was roughly two and a half hours. Eleven percent of the more than 100,000 cases examined in the study waited more than 12 hours from the start of symptoms before seeking treatment. Those symptoms can include chest discomfort, shortness of breath and discomfort in other areas of the body that do no improve after five minutes.

What happens during cardiac arrest?

When a person is experiencing cardiac arrest, their heart’s electrical system is malfunctioning and suddenly becomes irregular. The heart begins to beat very fast while the ventricles may flutter or quiver. Blood is not being delivered to the body during cardiac arrest, and a genuine fear is that blood flow to the brain will be reduced so drastically that a person may lose consciousness. Unlike a heart attack, cardiac arrest requires immediate treatment. It’s best to seek treatment promptly for both a heart attack and cardiac arrest, but those experiencing cardiac arrest are at much greater risk of death if treatment is not sought immediately. Men and women, young and old, should also keep in mind that heart attack can sometimes lead into cardiac arrest, highlighting the importance of seeking treatment as soon as any symptoms of heart attack begin to appear. For more information about heart attack and cardiac arrest, visit the American Heart Association website at www.heart.org. — Content from Metro Creative Connections


February 2015

Peninsula Daily News and Sequim Gazette

American Heart Month

Jefferson Healthcare facilities and services by Kate Burke, marketing manager/foundation director, Jefferson Healthcare

Cardiac care at Jefferson Healthcare includes EKG, echocardiography, ambulatory monitoring and stress testing. Programs associated with cardiac services include cardiac rehab and anti-coagulation services.


Jefferson Healthcare has the latest in echocardiography technology. An echocardiogram often referred to as a “cardiac echo” or simply an “echo” is a sonogram or an ultrasound of the heart. It assists healthcare providers in determining health of the heart muscle and its size and strength. The procedure is a painless way to have a look at the structure and function of your heart and get an accurate assessment of the blood flowing through the heart.  The hospital has fully qualified, experienced echocardiology technologists who perform these exams using the latest equipment available, the Philips iE33 xMatrix echocardiography system.  The addition of this new equipment, acquired through a generous donation from one of our community members, has given our healthcare providers 24-hour access to this needed technology.

Why get an echo?

Doctors can use echos to: • Diagnose heart problem • Guide or determine next steps for treatment • Monitor changes and improvements • Determine the need for more tests

Photos courtesy of Jefferson Healthcare

Above: Randy Holeman, CNMT diagnostic imaging director, volunteers to have his heart tested by Cody Kuhnline, RDCS, Echo Coordinator, while Judy Tordini, cardiology RN, observes. Right: Holeman has his blood pressure checked by Tordini while on the treadmill.

The biggest advantage to echocardiography is that it is non-invasive and painless.

Cardiac rehab

Cardiac rehab services are designed to help heart patients with diagnoses such as heart attack, stents, bypass surgery, heart failure or angina to recover and return to full and productive lives and reduce the risk of reoccurrence. The program includes monitored exercise, personalized education and assessments on progress.

What those letters stand for

CNMT is certified nuclear medicine technologist. EKG or ECG, is an electrocardiogram, a chart of the electrical activity of the heart. RDCS is registered diagnostic cardiac sonographer. Jefferson Healthcare Cardiac Services 834 Sheridan St., Port Townsend



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Community organizations across the country are joining The Heart Truth, a campaign sponsored by the National Heart, Lung, and Blood Institute in partnership with national and community organizations, to raise awareness about heart disease in women. The NHBLI introduced the Red Dress as the national symbol for women and heart disease awareness in 2002 to deliver an urgent wake-up call to American women. Jefferson Healthcare encourages community members to commemorate February as American Heart Month and promote the national movement to end heart disease and stroke in men and women. The Red Dress reminds women of the need to

protect their heart health and inspires them to take action. On National Wear Red Day, February 6, 2015, wear a red dress, red shirt or red tie to show your support for women and heart disease awareness. Jefferson Healthcare is encouraging all community members to wear red to raise awareness about heart disease and its risk factors among women. By wearing red, we are speaking out against this silent killer and raising awareness for prevention and treatment. Send photos and selfies of you, your friends and your business colleagues dressed in red to KBurke@JeffersonHealthcare. We will post your photos on our website and Facebook page. — Content submitted by Jefferson Healthcare

American Heart Month

February 2015

Peninsula Daily News and Sequim Gazette


Be prepared to save a life According to the American Red Cross, an ambulance can take eight to 12 minutes to arrive after a 9-1-1 call. Learning first aid and preparing for emergencies when every second counts can be a lifesaver. Basic life saving

If you experience any combination of these symptoms, get medical attention immediately. Women: Men: Chest pressure Chest pressure, tightness or pain Pressure or pain in the upper Pain radiating down one or both abdomen arms Jaw pain or upper back pressure Pain extending to the back, jaw or neck Shortness of breath, extreme fatigue Shortness of breath Anxiety Anxiety

The Red Cross offers classes in assessing and responding to both pediatric and adult emergencies, with or without the use of an automated external defibrillator. A first-aid class with cardiopulmonary resuscitation instruction can teach you: • How to treat burns and cuts, or stabilize someone with head or neck injuries until emergency responders arrive • How to revive someone who is having problems breathing or is experiencing a heart attack • How to revive a child or infant who is choking but hasn’t lost consciousness To schedule a first-aid class, call the American Red Cross at 800-733-2767 or visit www.redcross.org.

If you have two or more of these signs, call 9-1-1.

Hands-only CPR

Heart attacks: Women vs. men Most people think of chest discomfort as the leading sign of heart attack, but symptoms may be more subtle than that, especially for women.

— Content submitted by Olympic Medical Center

Healthy eating and physical activity are keys to preventing disease. However, you should be doing specific things to care for your heart based on your age.


Get ahead of the curve with regular wellness exams. Find and maintain a relationship with a primary care physician. If you smoke, quit.


Learn your family medical history. Manage stress with exercise or some other enjoyable activity.

40s: Adjust your eating and exercise habits for

your slowing metabolism. Check your blood sugar level for Type 2 diabetes risk.

50s: Become familiar with the warning signs

of a stroke and heart attack. Yearly physicals and recommended screenings are a must.

Extensive training is not necessary to provide basic, lifesaving CPR during



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— Content submitted by Olympic Medical Center

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a medical emergency. Hands-only CPR can deliver necessary assistance until emergency responders arrive. The simple technique does not involve mouth-to-mouth breathing and is performed in two steps: 1. Call 9-1-1. 2. Push hard and fast in the center of the chest. Visit www.handsonlycpr.org to learn how you can save a life.

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February 2015



Manage your Type 2 diabetes and help your heart Approximately 65 percent of people with diabetes ultimately lose their lives to stroke or heart disease. An undeniable link exists between diabetes and heart health. Understanding this relationship shines a light on the importance of managing diabetes well by staying active, making smart food choices and maintaining steady blood sugar levels. “Uncontrolled high blood sugar levels can cause inflammation that damages blood vessels. That inflammation is a contributing factor to heart disease,” said Vicki Everrett, a certified diabetes educator with Olympic Medical Center. “Often, heart disease and Type 2 diabetes share several common risk factors, such as high blood pressure, abnormal cholesterol levels, obesity, poor

At least 10 percent of people who experience heart attacks may also have undiagnosed diabetes, according to the American Heart Association.

dietary choices and low levels of physical activity, so the overlap is understandable.”

Hitting home

In Clallam County, one in 10 adults has been told he or she has Type 2 diabetes, according to Olympic Medical Center’s 2013 Community Health Needs Assessment. In Washington, 7.4 percent of adults have been diagnosed with Type 2 diabetes, and 963,000 others have a form of earlystage insulin resistance known as prediabetes. Talk to your primary care physician about a diabetes screening, especially if you have risk factors or experience symptoms such as frequent urination, blurred vision or feeling unusually hungry or thirsty. Your heart health may hang in the balance.

Having an annual preventive care exam increases the likelihood of identifying diabetes or prediabetes early. If you don’t yet have a primary care provider and you are experiencing these symptoms, you may visit the Olympic Medical Physicians Walk-in Clinic at 840 N. 5th Ave. in Sequim. It is open seven days a week. — Content submitted by Olympic Medical Center

Move over, Holter monitor To diagnose intermittent arrhythmias, physicians need to catch the heart redhanded by continuously monitoring heartbeats. A patient’s only option used to be wearing a Holter monitor, a portable electrocardiography device, connected to the chest via wires and electrodes. Problems and limitations abounded. The wires could detach or interfere with the device’s signal. The machine was conspicuous. And, the timeframe for capturing an abnormal rhythm was only 24 to 48 hours. Enter the Zio Patch, a smaller device that sticks to the chest, maintains a low profile and can be worn for up to two Cardia echosonographer Amy Ahlin weeks. holds a Zio Patch cardiac monitor. “We used to tell patients wearing the Holter monitor not to do certain things because it would fall off, but they can go about their everyday lives with the Zio Patch,” said Robert Gipe, internal medicine physician and heart rhythm management specialist at Olympic Medical Heart Center. “I like this little device because it gives me pages and pages of data that help me make wise medical decisions, and it’s convenient for patients.”



808 N. 5th Avenue, Sequim • Olympic Medical Center Campus Phone: 360-683-5900 • Hours: 8-5 Mon. - Fri Sat 10-3


Join us in raising Heart Disease Awareness

— Content and photo submitted by Olympic Medical Center


February 2015



Kickstarting an exercise regimen by Sara Farinelli, Peninsula Daily News

Ray Braun, 78, a retired musician with Music Live for Lunch, was on his way to a performance when he felt a stab of pain in his side. It didn’t seem like much, but he decided he should check it out before the performance. His physician ordered an angiogram that detected blockages in three of the four arteries to his heart. Within days he was scheduled for triple bypass surgery at Harrison Medical Center in Bremerton. “I told the doctor my wife would drive me down there,” Braun recalled. “He said, ‘No, you’re going by ambulance.’” That was in July. These days Braun is a regular at the Olympic Medical Heart Center rehabilitation gym.

Rehabilitation exercise programs

The Olympic Medical Heart Center runs cardiac and pulmonary rehabilitation programs at both its Port Angeles and Sequim locations. Participants come to exercise under the supervision of hospital staff. “Generally, patients come three times a week for up to 12 weeks,” said Sarah Chester, clinical exercise specialist at the Heart Center. “Some may only require 24 visits over eight weeks.” Generally fit and with good nutrition habits, Myla Reid, 75, is a candidate for the shorter session, according to Chester.

A bout of indigestion

Reid was at work when she experienced a bout of indigestion, which she normally relieved with a little pickle juice. The juice didn’t work and was followed by cold sweats and vomiting. Her coworkers insisted she see a doctor. Her physician drew blood to check her triponon levels, proteins released when the heart is damaged. She found herself at Harrison Medical Center for a stent. With no family history of heart disease and nothing to indicate there was a problem, Reid was caught off guard. “It was a wake-up call. And, it was a good one,” she said. “I enjoy coming here and getting back into a regular exercise program.”

Community demand

Camp Cardio

To facilitate this transition, the Heart Center is developing a pilot program, dubbed Camp Cardio, in partnership with the Clallam County YMCA in Port Angeles and the Sequim Aquatic Recreaton Center in Sequim. Spearheaded by Anderson together with YMCA chief executive officer Kyle Cronk and SARC

CAMP CARDIO The Camp Cardio tentative start date is Monday, Feb. 16, 2015. The cost will be $170 for three months. Past graduates of the Heart Center’s cardiopulmonary rehab programs are encouraged to sign up. For more information, contact the Olympic Medical Heart Center Chronic Disease Programs at 360-565-0500 .

Exercise specialist Sarah Chester checks cardio rehab participant Myla Reid’s progress on the treadmill.

executive director Scott Deschenes, the camp will be a three-month transitional program to help cardiac and pulmonary rehab graduates get started on an independent exercise program. The program will have a combination of cardiovascular exercise, strength training and flexibility training with continued oversight at the medical center. The hoped-for outcome is that participants will become comfortable with the facility, staff and availability and that after six months of monitored care will continue to exercise independently.

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Cardiovascular Impact

• According to a medical study conducted by the Mayo Clinic, the cardiovascular stress of a 15-minute soak at 104 degrees is mild — much less than the stress of light exercise most people with heart disease are advised to do.

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With the addition of a new cardiologist at OMC, Alexander Pan, the OMC partnership with Swedish Medical Center and more referrals from Harrison HealthPartners, the small program has been expanding. Since July 2014, when Leonard Anderson was appointed the Heart Center’s chronic disease program coordinator, the active number of cardiac rehabilitation participants has risen from eight to 20 and will increase to 24 in February. Currently the wait for cardiac rehab is 3 months.

Until recently, some pulmonary patients waited up to three months to enter the program. The wait time is now down to a few weeks. Although participants receive coaching to guide them to a lifetime exercise regimen, when the Heart Center program ends, this does not Anderson always happen. “The reality is, it’s hard to keep it up,” Anderson said. “A problem common to all rehabilitation programs is finding a way to transition to a regular exercise program away from the hospital setting.”


February 2015



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For a free online test to determine your risk of heart disease, visit OlympicMedical.org/HeartAware. 521211661

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Special Sections - American Heart Month  


Special Sections - American Heart Month