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1. CLASS #1Heart Health Essentials
2. Minimize distractionsTurn off the TV, radio, cell phone ringer Privacy & securityAsking questionsChat boxZoom tips Turn off your webcamMute your microphoneGroup introductionsONLINE CLASS ETIQUETTE
3.
4. What is cardiovascular disease?Know your targets forblood pressure & cholesterolWays to reduce your riskWarning signs and symptomsWhat’s next?Outline
5. People who are at a healthybody weight don't have to worry about high cholesterol.FALSE
6. https://www.youtube.com/watch?v=CWFyxn0qDEUHow the Heart Works
7. Understanding Blood PressureAmount of pressure in the arteries during contraction of heart muscleAmount of pressure when heart muscle is between beats
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9. Blood pressureLow Risk: 120 / 80Medium Risk: 121-139 / 80-89High Risk: 140+ / 90+
10. You can feel “fine” even if your cholesterol and/or blood pressure are high.true
11. Waxy, fat-like substanceFound in every cell of the bodyLDL (“lousy” or bad cholesterol)Builds up plaque on the inside of blood vesselsHDL (“healthy” or good cholesterol)Cleans up and removes plaque from vesselsTriglycerides (another type of fat in the blood)Affects blood clottingBlood Cholesterol
12. CLOGGED ARTERIES (ATHEROSCLEROSIS)
13. Target Cholesterol LevelsTotal cholesterol: 5.2 or lowerHDL cholesterol:Men: 1.0 or higherWomen: 1.3 or higherLDL cholesterol:No statin / Low risk: 3.5 or lowerIf diabetes, previous heart disease, kidney disease,or if taking a statin: 2.0 or lower (or 50% reduction)Triglycerides: 1.7 or lower
14. I should have my cholesterol checked every year after age 40.MAYBE
15. HEART DISEASE
16. CHEST PAIN (Angina Pectoris)
17. Heart Attack (Myocardial infarction)Blood clot(Thrombosis)
18. Cardiac Arrest (HEART STOPS)Call 911Call 911
19. Heart Failure
20. STROKEMini stroke = Transient Ischemic Attack (TIA)
21. Heart disease runs in my family, so there’s nothing I can doto prevent it. FALSE
22. Risk factors
23. ModifiableDietAlcohol intakePhysical activityStressSmoking/SubstancesMedicationsNon-ModifiableAgeSexEthnicityFamily historySleep apneaRisk Factors
24. Healthy Eating
25. Men: 2-3 drinks per day (total 15 per week)Women: 1-2 drinks per day (total 10 per week)When moderation may be too muchAvoid alcohol most of the time if you havefatty liver or high triglyceridesALCOHOL – MAXIMUM RECOMMENDED
26. Smoking and vaping↓ HDL (good cholesterol)↓ Blood vessel size↑ Blood pressure↑ Blood clotting↑ Risk of heart attack & coronary artery diseaseVaping + cigarettes =MORE harmfulLong term effects??CigarettesVaping
27. Cannabis / MARIJUANA THC (psychoactive ingredient)stimulates the heart ↑ Heart rate and irregular heartbeat Makes the heart pump harder ↑ Risk of heart attack, stroke, and irregular heartbeat for several hours after consumption
28. Substance use (prescription or other)can cause irregular heart rate, stroke,or heart attack:Opiates (e.g. fentanyl, codeine)Sleep aids (e.g. zopiclone, benzodiazepines)Recreational drugssubstance Use
29. Physical activity
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31. Living with health problems can be stressfulPhysical and emotional stress increases health risks:↑ Blood pressure↑ Blood clots↑ Blood sugarMore difficult to make good lifestyle choicesManage Stress↓ Immune function↓ Mental health
32. manage stressYou arein control!Take 10 minutes to make one small change
33. Take medications as prescribedReduces your risk of new health problemsHelps stop existing problems from getting worseHave a conversation about risks, side effects, and options with your doctor or pharmacistKeep a current list of your medicationsTaking Medication
34. Medications may be prescribed for a variety of reasons:Make it easier for your heart to pump bloodOpen (dilate) blood vesselsSlow down a heart that beats too fastRemove excess fluid from the blood (also reduce shortness of breath and swelling in legs & feet)Slow down plaque formation in blood vesselsPrevent blood clots by making blood less "sticky"Taking medication
35. Fish oil supplements can cure cardiovascular disease. FALSE
36. Can interfere with your heart medications or cause other health problemsGarlic pills, Fish oils, Grapefruit Always check with your pharmacist or doctor before taking any non-prescription medications or alternative therapiesNATURAL DOES NOT ALWAYS MEAN SAFE!Natural Health Products
37. Monitor at home only if your doctor asks you to:Blood PressureRest for 5 minutes before testingNo talkingDon’t cross your legsSupport your arm ona chair or tableManaging heart disease
38. Monitor at home only if your doctor asks you to:Daily Weight (if you have Heart Failure)Weighing yourself daily tells you if your body is retaining fluidExtra fluid → Makes your heart work harderGaining or losing 4-5 pounds is a big weight changeCall your doctor if this happensAsk your doctor about Heart Failure ZonesManaging heart disease
39. Chest pain/acheLightheadedness or faintingChest squeezing, pressure, or fullnessAnxietyShortness of breath / Difficulty breathingSweatingHeartburn that doesn’t get betterwith antacidsCold, clammy skinUpper body pain, sore back,sore shoulders/armsPalenessAbdominal painGeneral weaknessSore jawUnexplained fatigue (can last for days)Nausea, with or without vomitingNOT JUST CHEST PAIN!WARNING SIGNS & SYMPTOMSOF A HEART ATTACK
40. ConfusionDouble visionTrouble speaking / Slurring wordsBlurry or blackened visionTrouble understanding what othersare sayingHeadache (especially sudden or severe)Numbness, weakness or paralysis of the face, arm or leg (especially 1 side)VomitingMouth droopingDizzinessLoss of balance or trouble walkingWARNING SIGNS & SYMPTOMSOF A STROKEFAST = Face, Arms, Speech, Time
41. Call 911 immediately (or have someone call for you)Do not drive yourself to the hospitalKeep a list of emergency contacts and your medicationsWHAT TO DO
42. GOAL SETTINGheartandstroke.ca/articles/the-first-step-to-healthy-change
43. Heart & Stroke Foundation www.heartandstroke.caLipid Clinic at St. Boniface Hospital www.cardiacsciencesmb.caOther health education classes, includingPhysical Activity Essentials & Preparing for Success www.wrha.mb.ca/groupsFOR MORE INFORMATION
44. Commit To Quit group www.wrha.mb.ca/groupsSmoker’s Helpline: 1-877-513-5333Peer support www.facebook.com/groups/ManitobaQuits/Manitoba Lung Association www.mb.lung.caTalk to your doctor and health care teamMore information about quitting / reducing Smoking
45. Any questions?Use the chat function orun-mute your microphoneThank you
46. Development team:Laurie Andrews, RD CDE; Janet Cranston, Reh-Fit Centre;Shauna Doerksen, RD CDE; Melissa Fuerst, MSc RD;Jennifer Gibson, BSP ACPR EPPh; Dawne Lachapelle, RD CDE;Alyssa Lewis, RD CDE; Joyce Loftson, RD;Kathleen McClinton, MSc RD CDE; Lorna Shaw-Hoeppner, MPH RD;Rhea Vaags-Olafson, BA CSEP-CEP EIMC-Level 2; Elyse Wood BScN RNWorking group:Aimee Bowcott, MPH RD CDE CRE; Shauna Doerksen, RD CDE;Jenna Hart, RD CDE; Rosanne Lesage, RD CDE;Jodis McCaine, RD; Sheila Pelagio, BHEcol BN RN CTE;Colin Reeve, BSP CDE CRE CTE; Cindy Sanchez, RN BN CDE;Cheryl Shaver, BScPharm CTEACKNOWLEDGMENTS