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American Heart Month OMC works to improve communtiy heart health Understanding CPR in high-stress situations High blood pressure: Knowing the numbers



Peninsula Daily News and Sequim Gazette

February 7, 2018

American Heart Month 2018

Transforming sadness for a healthier heart By Kristin Halberg, transformation guide and owner of The Dream Hatchery

heart, by the pulse wave flowing through the bloodstream and through electrical signals broadcast through the heart’s elecIt’s February, the month most often tromagnetic field. associated with your heart. Guess where your heart gets much of Although you might know that your this information? Emotions. heart is connected to your emotions symIn fact, any time you are experiencing bolically, did you know that it also is conany emotion that can be labeled “negative” nected to your emotions physiologically? — sadness, grief, anger, fear, anxiety, Several research studies indicate that depression — your heart rate variability certain psychosocial factors such as anger, (HRV, the variation in the time interval grief, sadness and depression contribute to between heartbeats) becomes erratic or heart attack and cardiac arrest, according incoherent. to a study from the University of RochesIt’s a little bit like driving a car with ter Medical Center. the brake pedal down and the gas pedal In fact, although it is commonly thought down at the same time. that our brain is “in charge” of our body, a When your heart receives these emorelatively new branch of science, neurocar- tional signals and begins beating erratidiology (the study of the conversation that cally, it sends cortisol (and 1,400 other biohappens between our brain and our heart) chemicals) to your brain, triggering the revealed that our heart sends more sigfight/flight or freeze mode, depleting your nals to our brain than our brain sends to energy, causing stress in your body and our heart. interfering with your ability to think According to Doc Childre and Deborah coherently, according to research conRozman in “Transforming Stress: The ducted by the HeartMath Institute. HeartMath Solution for Relieving Worry, The good news is that just as negative Fatigue and Tension,” this happens emotions affect our heart, so do positive through our nervous system, by hormones emotions. and neurochemicals produced in the Positive emotions such as excitement,

American Heart Month February 2018

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Peninsula Daily News 305 W. First St. Port Angeles, WA 98362 360-452-2345

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Terry R. Ward, regional publisher Steve Perry, general manager Brenda Hanrahan and Laura Lofgren, special sections editors

exhilaration, passion, joy, love, peace, gratitude, compassion, etc. create an HRV pattern that is more like smooth rolling hills. According to “Transforming Stress,” this pattern sends DHEA (known as the vitality hormone) to your brain, balancing your autonomic nervous system and opening up access to the rational thinking part of your brain and increasing levels of intuition.


Fortuitously, there are a series of tools that can help you transform sadness and other potentially detrimental emotions. •  Inner Sanctuary Tool: Drop your awareness from your brain down to your heart and breathe slightly more deeply than usual. Keep your awareness in your heart as you breathe, imagining your breath is flowing in and out of your heart area. Do this for 5 to 10 breaths. Notice what you’re experiencing. Most people find that they feel more relaxed. Practice this new tool 15 to 20 times a day for 10 to 30 seconds at a time for a month, especially when you realize you are feeling a negative emotion that you’d like to transform. •  Positive Emotion Practice: Now that you’ve experimented with the Inner Sanctuary Tool, it’s time to take it up a notch. Simply add a positive emotion to your experience. Choose a positive emotion that’s relatively easy for you, such as gratitude or love. Breathe this emotion into your heart with your breath for 30 seconds. The beauty of this tool is that you don’t have to actually feel this way inside; simply imagine that you do.

For best results, practice this tool three to five times a day for 30 seconds to 3 minutes at a time. Do this for 30 days to create a habit. •  Genuine Positive Emotion Practice: The two tools above are quite useful for building the muscle of coherence and transforming emotions. But for those of you who don’t want to feel like you’re faking it and who want to honor your sadness or grief or depression or even anger, choosing and practicing a genuine positive emotion might be easier for you. If you are experiencing grief for any reason, instead of reaching for gratitude, what if you choose to feel compassion for yourself? This is hard for some, so imagine how you would show up for a friend who was experiencing sadness. Imagine that you can do that for yourself. Feel into that compassion and breathe it into your heart. To learn more about mastering your emotions and take this practice even further, visit what-is-emotional-mastery.html or call to schedule a personal appointment or a presentation booking for your organization or a group of friends. Kristin Halberg is a transformation guide and owner of The Dream Hatchery in Port Angeles. She guides women back to wholeness and a life they love through the healing power of nature, science, spiritual awakening and the expressive arts. For more information, visit or DreamHatchery, or call 425-343-2374. Halberg also is offering a HeArt & Soul journaling workshop starting Wednesday, Feb. 7. Visit

American Heart Month 2018

Peninsula Daily News and Sequim Gazette

February 7, 2018




Peninsula Daily News and Sequim Gazette

February 7, 2018

American Heart Month 2018


Spotlight on chronic disease management, rehabilitation, wellness By Olympic Medical Center

Olympic Medical Center (OMC) has long been known as a provider of excellent medical care and treatment. Rightly so, hospitals and specialists are known for screening, diagnosing and treating ailments and illnesses; however, the best health care includes wellness and prevention. Thankfully, many evidence-based practices exist to improve the opportunity for wellness by preventing people from becoming ill or injured. Recently, Olympic Medical Center partnered with the Olympic Peninsula YMCA to bring wellness services to Sequim. Programs focus on a wide spectrum of services — supervised, community-based cardiac and pulmonary rehabilitation maintenance classes; post-physical therapy maintenance classes; chronic disease management; and a growing number of wellness programs. All programs and classes take place in OMC’s wellness services facility within the YMCA of Sequim, 610 N. Fifth Ave.


Many activities that are good for our body also are great for general heart and vascular health. Olympic Medical Center’s wellness services offer three programs to meet certain needs of our community. Tai Ji Quan: Moving for Better Balance Tai Ji Quan (tai chi) teaches participants techniques to help improve balance and prevent falls. Endorsed by the Centers for Disease Control and Prevention (CDC), the state Department of Health and the National Council on Aging, this research-supported program is adapted for all ages and abilities. Tai Ji Quan is fun and an effective way to improve balance; improve muscle strength, posture, flexibility and mobility to help with daily tasks; and reduce risk of falls and fall-related injuries. Taught by experienced physical therapists and physical therapy assistants, Tai

Running Assessment Many community members are active runners and joggers, and others are interested but are concerned about pain and discomfort. Olympic Medical Center offers a running assessment, which is a full biomechanical assessment from a licensed physical therapist who uses slow-motion video and other screening tools to evaluate an individual’s running movements and, of course, their shoes. Through the assessment, a plan can be developed to improve running mechanics;


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improve running efficiency; prevent injury; and reduce pain or discomfort. A single running assessment costs $75. A running assessment and two followup visits is $150. All ages and experience levels can obtain an assessment. For more information or to register, call 360-582-5050. Traditional Gym Program for Physical Therapy Patients This is a supervised, small-group exercise program for recently discharged physical therapy patients who are not ready to exercise on their own. Licensed staff members help participants meet their function and fitness goals. Call 360-582-5050 for more information.


Learn how these easy and simple self-care techniques can give you the results of manual therapy. Relieve aches and pain brought on by aging, stress and daily active living. Reduce inflammation, ease chronic neck and low back strain, improve alignment to keep your body functioning efficiently every day. Stay active, healthy and pain-free for life!

Strait Exercise & Wellness Center has on-going classes and workshops for many different conditions. Give us a call at 360-417-0703 or drop by for more information.

Ji Quan is $125 for a 12-week (twice a week) program. No prior experience is necessary. For more information or to register, call 360-582-5050.

American Heart Month 2018

Peninsula Daily News and Sequim Gazette

February 7, 2018

Foundation to host 11th annual heart luncheon


By Bruce Skinner, executive director of the Olympic Medical Center Foundation

“The purpose of our event is to inspire women to become more educated to improve their heart health,” Dr. Urnes The Olympic Medical Center Foundasaid. tion will host the 11th annual Red, Set, “Many women are surprised to learn Go! Heart Luncheon at 11:30 a.m. Friday, that heart disease is the number one Feb. 23, at Vern Burton Community Cenkiller of women.” ter, 308 E. Fourth St. in Port Angeles. In the first nine years, the event has This event is presented by the Jamesraised money to benefit patients through town S’Klallam tribe. Olympic Medical Center’s cardiac program Persons interested in sponsoring or and save lives, according to OMC officials. attending the event can contact the founProceeds from the events also have dation office at 360-417-7144. allowed the foundation to partner with Individual tickets are $60. local agencies to launch a community“We encourage you to attend this wonwide Automated External Defibrillator derful event,” said committee chair Karen (AED) program. Rogers. “To date, we have raised almost All proceeds raised at the educational $300,000 for the OMC Heart Center for luncheon will once again benefit local the event, and we hope to significantly patients with heart disease issues. add to that.” “We invite all the women (and men) in Ann Kennedy will be a special honoree our community to join us at our inspiring at the event. She will deliver her “surviluncheon,” Rogers said. vor” story. This year, funds from the luncheon will Also speaking on heart health education go toward the purchase of devices that Red, Set, Go! committee member Jen Gouge, left, and luncheon attendee Alexis Sorensen will be Dr. Kara Urnes from Olympic give immediate feedback on the quality of converse at Red, Set, Go! luncheon in 2017. Medical Heart Center and Dr. Debleena compression and ventilator support durDutt from Swedish Medical Center. three-year campaign to raise awareness foundation decided to host an annual event. ing a code blue situation. “Once again, we are raising money for about the critical issue of heart health for This educational lunch promotes that EDUCATION AWARENESS women on the Olympic Peninsula. the key to eradicating this disease is edu- something that will save lives,” Rogers added. In 2008, OMC Foundation launched a The campaign was so successful that the cation.

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February 7, 2018

Peninsula Daily News and Sequim Gazette

American Heart Month 2018

By Trish Tisdale, Clallam 2 Fire-Rescue

I remember the first time I took a CPR course. I was a freshman in high school, and we all sat in the bleachers of the gym and watched an outdated video, thankful that we didn’t have to change into gym clothes that day. I passed the written test, performed CPR on mannequins and received my card. Over the years, I had to maintain my certification for my job. While I could spout off the breath-tocompression ratio and continued to pass the test each year, did I really know CPR? Did I have confidence in my skills and knowledge to actually perform CPR if needed? Absolutely not. I never appreciated how vital CPR skills were until becoming an EMT. During my first few years as an EMT, my partner and I responded to a CPR call for a college student who had overdosed on drugs. When we asked the bystanders if anyone knew CPR, a couple people sheepishly say, “Well, I took the course,” implying that while they were technically trained in CPR, they either didn’t remember the skills or didn’t have confidence to perform CPR. News stories and articles constantly stress the importance of CPR. While people will agree that CPR is an important skill to know, how many of them actually understand why it is so important? During cardiac arrest, “CPR is the only thing you can do to help keep the person alive,” said Teresa DeRousie, an EMT with Clallam 2 Fire-Rescue in Port Angeles and an American Heart Association first aid/ CPR instructor. CPR alone isn’t enough, but better CPR will increase coronary perfusion, which will help the medical interventions performed by EMTs, paramedics and doctors be more effective. “Good CPR sets everything up,” DeRousie said. If you are uncomfortable giving rescue breaths, or afraid about doing the “wrong” compression-to-breath ratio, then simply do compressions. Compressions are the most important component in CPR. There is usually enough oxygen in the blood to supply the heart and the brain for several minutes following cardiac arrest; however, chest compressions are needed to circulate and distribute the oxygen.

You must perform 30 seconds of compressions to build up blood perfusion to the heart. Within three seconds of stopping CPR, you lose that coronary and brain perfusion. When you resume CPR, you have to perform another 30 compressions to rebuild that perfusion. “Compressions are the most important part of CPR,” DeRousie said. “You have to get that blood flowing.” What about possibly hurting someone by doing compressions when their heart is still beating? According to the University of Arizona’s Sarver Heart Center, the chances that a bystander could harm a person by doing compressions on a normal working heart are slim. It is better to perform a few unnecessary chest compressions rather than with-

hold compressions and circulation from someone in cardiac arrest. And what about reports of broken ribs? Broken bones can heal; death is permanent. Once I really understood CPR, I realized that I’m not actually that good at it. To get the correct compression depth at the correct rate uses all my strength. After two minutes of effective CPR, I’m exhausted. Good, effective CPR is tiring. That’s why it is important for so many people to know CPR — then you can switch out as needed. But even if you don’t think you are very proficient at CPR, you should still attempt it. If you’re the only person there and do nothing, the person will likely die; some CPR is better than nothing.

Since a CPR incident will be a highstress situation, DeRousie tries to make her practice scenarios reflect this. “The class is still fun, but I try to make it stressful because it will be a stressful in real life,” she said. “If you can handle CPR in my class, you are better prepared to perform CPR in life.” To say, “I have my CPR certification” only means that you passed a test. By understanding the importance of CPR in the chain of survival, you’ll improve your ability to perform it. And just remember, when in doubt, do compressions. Trish Tisdale is a volunteer EMT with Clallam 2 Fire-Rescue in Port Angeles. She has been an EMT since 2003 and also has served as a firefighter, rescue diver, fire investigator and wildland firefighter.

American Heart Month 2018

Peninsula Daily News and Sequim Gazette

February 7, 2018


CPR/AED training slated in PA By Trish Tisdale, Clallam 2 Fire-Rescue

Clallam 2 Fire-Rescue holds first aid and CPR/AED training each month on Saturdays. Trainings are held at the fire district’s administrative offices, 1212 E. First St. in Port Angeles. First aid classes are held from 8 a.m. to noon. CPR/AED classes are held afterward from 1 p.m. to 5 p.m. Participants can enroll in both the first aid/CPR classes, or sign up for them individually. Note: Classes might end earlier than 5 p.m., depending on how the class progresses through the material. All classes are certified under the American Heart Association. The cost for the combined first aid and CPR/AED classes is $40. The cost for a half-day class (first

aid only or CPR/AED only) is $30. Participants will receive a districtissued certification card upon successful completion of the course. (If an AHA-issued card is required, there is an additional $25 charge for the card.) Registration and payment must be received prior to class. Classes are limited to 10-12 students. Online training also is available. The course and test can be completed online, but the practical skills must be performed in person. The online option requires an additional fee, and the practical skills test must be scheduled in advance. For more information or to register, contact Heather Catuzo at admin@ or 360-457-2550, ext. 200. For further information about Clallam 2 Fire-Rescue, first aid

UPCOMING CLASSES •  February 17 •  March 17 •  April 14 •  May 12 •  June 9 •  July 7 •  August 18 •  September 22 •  October 20 •  November 17 •  December 8 classes, volunteering as a volunteer firefighter or EMT, district information, outdoor burning permit information and more visit www.clallam


The most common signs of a heart attack include: •  Chest pain — this can include uncomfortable pressure, squeezing, fullness or pain in the center of the chest that last more than a few minutes or that goes away and comes back •  Feeling pain or discomfort in the neck, arms, stomach, back, jaw or between the shoulder blades •  Shortness of breath (with or without chest discomfort) •  Light-headedness or sudden dizziness •  Sweating or clammy skin •  Vomiting and nausea •  Heart flutters or palpitations (especially in women) •  Heartburn (especially in women) Heart attack symptoms vary in type and severity. Symptoms can be mild and come on slowly over the course of several hours, or they might be more intense and sudden. While sudden chest pain may be the most common heart attack symptom, not all people experience chest pain during a heart attack. According to the National Institutes of Health, one-third of people with heart attacks had no chest pain.


no signs of a stroke, have the person chew and swallow one adult •  Make sure the person stays calm and rests. Call or have some- or two low-dose aspirins. •  If the person becomes unresponsive, be prepared to give CPR. one call 9-1-1. •  Ask someone to get the first aid kit and AED, if available. Information courtesy of the American Heart Association •  If the person has no allergy to aspirin, no serious bleeding and


American Heart Month 2018

Peninsula Daily News and Sequim Gazette

February 7, 2018

Olympic Medical Center takes health to heart OMC CARDIOLOGY PROVIDERS

By Olympic Medical Center

Olympic Medical Heart Center has a comprehensive team of specialists in Sequim and Port Angeles, from board certified clinical cardiologists, advanced practice clinicians and nurses, to skilled diagnostic imaging technologists, exercise physiologists and many other skilled professionals. The difference between being a patient at Olympic Medical Heart Center versus a large urban medical center or group is that the entire health care team is right here, focused on providing the highest level of integrated and personal care, and striving to make the patient experience a positive one. In addition to the services offered locally, an affiliation with Swedish Heart and Vascular Institute also gives patients direct access to a vast array of highly specialized procedures.

James Emery MD

Robert Gipe MD

cise regimen. Olympic Medical Center also partners with YMCA of Sequim to offer follow-up care are for patients who want to continue their rehabilitation journey but who might need assistance to bridge to a community gym environment. These specific programs include patients graduating from hospital-based cardiac and pulmonary rehabilitation programs. Call 360-582-5050 for more information.

Robert Henson MD

Alexander Pan MD

as your physician recommends. Also, be sure to get your recommended screening tests. Screening tests can find diseases early and when they are easier to treat. Talk to your physician about which tests apply to you and when and how often you should be tested.


During a heart check-up, your doctor takes a careful look at your “numbers,” including your WHEN THE HEART cholesterol and triglyceride levNEEDS SOME WORK els, your blood pressure and Olympic Medical Heart Center YOUR HEART HEALTH more. has a comprehensive cardiac Heart disease is one of the Knowing your numbers is an rehabilitation services in Sequim leading causes of death of men important part of keeping your and Port Angeles, and these pro- and women. heart healthy. grams include exercise, risk facProper heart health requires It can help you and your doctor tor education and lifestyle modi- that we evaluate risk factors that know your risks and mark the fications. might contribute to heart disease progress you’re making toward a Individual treatment plans are and participate in activities that healthier you. based on risk stratification, medi- lead to a healthier lifestyle, •  Obesity: Have your body cal history and goals. including proper exercise and mass index (BMI) calculated to Participants come to cardiac nutrition, smoking cessation and screen for obesity. rehabilitation under the supervi- techniques to lower stress. •  Lipid profile (LDL, HDLsion of hospital staff and work The most important thing you cholesterol): Have your cholesapproximately three times a can do for your heart is to main- terol checked regularly starting week for up to 12 weeks to learn tain a healthful lifestyle; live at age 35. how to take care of their heart — tobacco-free, be physically active, If you are younger than 35, and themselves — in the process. eat a healthy diet, maintain a talk to your doctor about checkParticipants receive coaching healthy weight and, when appro- ing your cholesterol if you smoke, to guide them to a lifetime exerpriate, take preventive medicines have diabetes, have high blood

Kara Kurtz Urnes MD, FACC

pressure or if you have heart disease in your family. •  Blood pressure: Have your blood pressure checked at least every year. The 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, are overweight, suffer or have suffered from gestational diabetes or if you have diabetes in your family. To get an overview of numbers you need to know and the goals you need to reach, visit www.


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 cardiac and pulmonary rehabilitation programs are designed to provide you with oneon-one guidance. We closely monitor your heart and lungs and work with your

Call 360-565-0500 for more information. 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, ask to be referred to a local specialist.

Stay heart healthy for your loved ones.


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From their board-certified cardiologists to their cardiac and pulmonary rehabilitation programs, Olympic Medical Heart Center offers comprehensive care for one’s heart, including the following local services: •  Heart monitors/Zio Patch •  Myocardial Perfusion Stress Testing (exercise and pharmacological) • EKGs •  Resting echocardiogram •  Trans-esophageal echocardiogram •  Simple treadmill test •  Treadmill with echocardiogram •  Pacemaker insertions •  Cardiac and pulmonary rehabilitation •  Pacemaker checks •  ICD checks •  Implanted loop recorder checks

American Heart Month 2018

Peninsula Daily News and Sequim Gazette

February 7, 2018

Fruits and veggies might lower risk of PAD By Metrocreative

Pain in the lower extremities might be indicative of a condition called peripheral artery disease, or PAD. The National Heart, Lung and Blood Institute says PAD occurs when plaque builds up in the arteries that carry blood to the limbs, head and organs, contributing to atherosclerosis, or a hardening of the arteries. Blocked blood flow and eventual limited oxygen supply to these areas can cause pain and numbness. When severe enough, PAD might lead to tissue death. Discomfort due to PAD usually occurs when a person is walking or exercising, because the muscles are not getting enough blood during these activities to meet their needs, according to the American Heart Association. Those with diabetes might confuse pain with neuropathy, and the elderly might think pain from PAD is a normal sign of aging and stiffness. When undiagnosed, PAD can lead to further complications, including increased risk for heart attack, stroke and coronary artery disease. Even amputation of a limb

may be necessary. However, PAD is preventable when taking a few steps to improve diet. According to new research published by the American Heart Association, eating more fruits and vegetables might reduce the risk of developing PAD, which affects

Working Together to Serve Our Community With Care

7 Heart Healthy Tips for Seniors

an estimated 8.5 million people in the United States alone. Researchers examined dietary data from roughly 3.7 million men and women, with an average age of 65. Approximately 6.3 percent of the subjects had PAD, and 29.2 percent indicated


they ate three or more servings of fruits and vegetables each day. The discovery was those who reported eating three or more daily servings of fruits and vegetables had an 18 percent lower risk of PAD than those who reported eating less of these foods. The association between fruit and vegetable consumption and lower PAD risk remained even after accounting for age, gender, race, smoking status and various cardiovascular risk factors. Saturated fats, trans-fats and sodium can contribute to the formation of plaques that lead to PAD. Replacing these foods with more vegetables and fruits that are naturally lower in saturated fats can help, as can increasing dietary fiber consumption. One way to incorporate these types of foods is to adhere to a Mediterranean diet, which offers high proportions of legumes, fruits and vegetables; moderate amounts of fish and dairy; and limited meat and meat products. Peripheral artery disease can be a warning sign of cardiovascular trouble. Altering one’s diet may help naturally prevent or treat this condition.

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Guiding you back to wholeness and a life you love. Sometimes something happens in life, and there’s no way to be the person you were before. Most of the time you feel like you’ve moved on and put the whole thing behind you. But sometimes, maybe late at night when your defenses are down, you acknowledge that there is a part of you that still feels wounded, or even broken. And you don’t even know if it’s possible to feel whole again.


Best QUIT SMOKING If you do smoke, it’s time to quit. Rehabilitation Facility EAT A HEART-HEALTHY DIET Load up on fresh fruits and vegetables. Clallam Co WATCH YOUR NUMBERS Get regular check-ups. REDUCE YOUR ALCOHOL INTAKE Excess alcohol consumption can worsen health conditions. MINIMIZE STRESS IN YOUR LIFE Stress can compound many heart disease risks. WATCH YOUR WEIGHT Too many pounds can add up to increased heart disease risk. GET ENOUGH EXERCISE At least 30 minutes of exercise almost every day.

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Be sure to check with your doctor before beginning a new exercise regimen. If you should happen to injure yourself, Sequim Health & Rehab is ready to help you get back on your feet with our seven-day-a-week therapy department and outpatient therapy services.



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American Heart Month 2018

Peninsula Daily News and Sequim Gazette

February 7, 2018

HIGH BLOOD PRESSURE: KNOW THE NUMBERS By Amy Yaley, director of marketing and communications of Jefferson Healthcare

High blood pressure — also known as hypertension — affects millions of Americans and is the most common health issue facing seniors today. Blood pressure can fluctuate, and that’s normal. High blood pressure that persists for weeks, months or years is not. In seniors, blood vessels become stiffer with age,

and high blood pressure adds more stress by damaging blood vessels in the heart. Left untreated and undetected, high blood pressure is the most common risk factor for heart attack and stroke. It also can lead to kidney failure, damaged blood vessels in the eyes and vascular dementia (the second leading cause of memory loss and thinking problems). The good news is if high blood pressure is detected early, it can be managed

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Blood pressure is the force exerted on the arteries by a wave of blood propelled from the heart. It is given as two numbers, each measurement recorded in millimeters of mercury (mm Hg), such as 122/78. Systolic pressure (the top number of a blood pressure reading) gauges the pressure in the arteries at systole, the instant when the heart contracts and pushes a wave of blood along the arterial tree. Diastolic pressure (the bottom number of a blood pressure reading) is the pressure during diastole, the brief period of relaxation between beats. The American College of Cardiology and the American Heart Association recently released new blood pressure guidelines for the detection, prevention, management and treatment of high blood pressure. The new guideline are as follows: •  Normal: Less than 120/80 mm Hg; •  Elevated: Systolic between 120-129 and diastolic less than 80 •  Stage 1: Systolic between 130-139 or diastolic between 80-89 •  Stage 2: Systolic at

least 140 or diastolic at least 90 mm Hg •  Hypertensive crisis: Systolic over 180 and/or diastolic over 120, with patients needing prompt changes in medication if there are no other indications of problems, or immediate hospitalization if there are signs of organ damage. These numbers are important to know and to keep under control. The new guidelines also encourage using the proper technique to measure blood pressure and recommend the use of proper home monitoring. Most importantly, these new guidelines allow for early intervention of high blood pressure. Early intervention can mean that lifestyle change is your best advantage for improved outcomes. Causes of high blood pressure: •  Kidneys are the main

Primary care physicians can work with patients to define an effective plan to reduce and eliminate high blood pressure when detected early. Lowering your salt intake and limiting caffeine and alcohol can help. Exercise will help with stress and weight management. If you smoke, 2018 is the year to quit. If you take medication, be sure to check in with organ involved in the regu- your provider to be sure lation of blood pressure your dosage is correct. therefore kidney disease High blood pressure is can be a cause of high known a silent killer, but it blood pressure. doesn’t have to be. •  Hormones produced With early detection, through the adrenal glands prevention and monitoring regulate blood pressure, and proper treatment it adrenal gland disease can can be managed effectively affect proper regulation. without medication or hos•  Stress can be a signifi- pitalization. cant contributor to elevated Schedule an annual physblood pressure. ical today with your pri•  Increased salt and mary care provider, learn to low water intake can cause properly measure your rise in blood pressure. blood pressure and practice •  Diseases of the thyroid a heart healthy lifestyle. and parathyroid glands affect heart function. Amy M. Yaley is the •  Untreated heart disdirector of marketing and ease, atherosclerosis and communications of Jeffernarrowing of the main son Healthcare. She is a artery affect blood pressure. graduate of the University •  Diabetes, excessive of California San Diego. alcohol and certain mediYaley has spent 25 years cines can all contribute to working in sales and marhigh blood pressure. keting, with the last 10 Most of these conditions years working with busiare easily treatable through ness owners to maximize simple lifestyle changes, their marketing efforts and such as diet and exercise. generating sales leads.





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American Heart Month 2018

Peninsula Daily News and Sequim Gazette

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334 Benson Rd. Port Angeles 360-417-3564

John A. Raske Insurance Agency


The oldest family owned farm in Washington State. Great mountain & water views. Breakfast is served family style.

322 Clark Road, Sequim, WA 98382

Gift Shop Observation Tower & Picnic Area Driving Tours Available 363 Days a Year Petting Farm in Summer



308 E. 8th St., Port Angeles


OLYMPIC GAME FARM Open Daily 9:00 am • 1423 Ward Road • Sequim

800-778-4295 360-683-4295 w w w.olyga mefar


Since 1972




610 N. 5TH AVENUE IN SEQUIM • (360) 582-5050 Olympic Medical Center and the YMCA are working together to improve the health of our community. Programs focusing on rehabilitation, chronic disease management and wellness are available from Olympic Medical’s certified professionals at OMC’s Wellness Services facility at the YMCA of Sequim. FOLLOW-UP CARE FOR PATIENTS Phase III Cardiac and Pulmonary Rehabilitation – The Phase III exercise program helps cardiac and pulmonary rehabilitation patients continue their progress from Phase II, serving as a bridge to a community gym environment where they can transition to an independent exercise maintenance program under staff supervision. Phase IV Health Maintenance Program – This independent exercise class is intended for Phase II and/or Phase III graduates who would like continued staff guidance in a community gym setting. Participants and staff will create an exercise plan to facilitate transition to independent community-based exercise. Transitional Gym Program – This supervised, small-group exercise program is for recently-discharged physical therapy patients who are not ready to exercise on their own. Licensed staff members help participants meet their function and fitness goals. WELLNESS PROGRAMS OPEN TO ALL Running Assessment – Using video motion analysis, our licensed physical therapists will help you improve your running dynamics and address concerns regarding performance, mechanics and injury risk reduction. Tai Ji Quan: Moving for Better Balance – Participants will learn techniques to help improve balance and prevent falls. The program is endorsed by the Centers for Disease Control and Prevention (CDC), the Washington State Department of Health and the National Council on Aging.


Diabetes Prevention Program – Join our trained lifestyle coach and a group of likeminded peers for a 16-week, CDC-recognized lifestyle change program to lose weight, eat healthy and be more active. Participants receive a discount on YMCA membership.

Special Sections - Heart Month 2018  
Special Sections - Heart Month 2018