Kimberly A. Rogers, BSN, RNAugust 2013 HEART DISEASE Risk Factors & Prevention Heart Disease Risk...
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Transcript of Kimberly A. Rogers, BSN, RNAugust 2013 HEART DISEASE Risk Factors & Prevention Heart Disease Risk...
Kimberly A. Rogers, BSN, RN August 2013
HEART DISEASERisk Factors & Prevention
Heart DiseaseRisk Factors & Prevention
Section I: U.S. Disease Statistics
Heart DiseaseRisk Factors & Prevention
U.S. Disease Statistics
• 25% of all deaths in the U.S. for all ethnic groups are caused by heart disease
• 600,000 people in the U.S. die each year of heart disease
• Over ½ of all heart disease deaths in the U.S. annually (385,000) are caused by coronary heart disease
• There are 935,000 heart attacks each year in the U.S. (Hillsborough County Population is 1.2 million)
• Coronary heart disease costs the U.S. economy $1.89 billion each year
(Centers for Disease Control, 2013)
Heart DiseaseRisk Factors & Prevention
1. Epidemiological &Statistical Data
2. Health Status
Section II: Hillsborough County Statistics
Heart DiseaseRisk Factors & Prevention
Epidemiological & Statistical Data: Hillsborough County vs. State of Florida Coronary Disease Death Rates
(Florida Charts.com, 2013)
Heart DiseaseRisk Factors & Prevention
1990 1995 2000 2005 2010 20150
50
100
150
200
250
300
350
Hillsborough Males Hillsborough FemalesFlorda Males Florida Females
Death
s p
er
100,0
00
Pop
ula
tion
Epidemiological & Statistical Data Summary• Hospitalizations and deaths from Coronary Heart Disease
have dropped in Hillsborough County and statewide since the early 1990’s
• The rate of deaths from Coronary Heart Disease is still higher in Hillsborough County than the state for males
• The rate of deaths from Coronary Heart Disease is higher for men than women, in Hillsborough County and statewide
Heart DiseaseRisk Factors & Prevention
Health Status: Percentage of People with Cardiovascular Disease
(Florida Department of Health, 2013)
Heart DiseaseRisk Factors & Prevention
Florida Hillsborough5.0%6.0%7.0%8.0%9.0%
10.0%11.0%12.0%13.0%14.0%15.0%
10.2% 10.5%
Health Status: Percentage of Adults Who Smoke, Hillsborough County vs. Florida Statewide
(Floridacharts.com, 2013)
2002 201010.0%12.0%14.0%16.0%18.0%20.0%22.0%24.0% 22.8%
19.7%
22.2%
17.1%
Hillsborough County Florida
Heart DiseaseRisk Factors & Prevention
Health Status: Percentage of Adults Who Are Overweight or Obese in Hillsborough County vs. Florida Statewide
(Floridacharts.com, 2013)
2007 201040.0%
60.0%
80.0%
64.2% 64.6%62.1%65.0%
Hillsborough County Florida
Heart DiseaseRisk Factors & Prevention
Health Status: Percentage of Adults with High Cholesterol in Hillsborough County vs. Florida Statewide
(Floridacharts.com, 2013)
2007 201030.0%
35.0%
40.0%
45.0%
50.0%
35.8%38.9%
37.1%38.6%
Hillsborough County Florida
Heart DiseaseRisk Factors & Prevention
Health Status: Percentage of Adults with Hypertension in Hillsborough County vs. Florida Statewide
(Floridacharts.com, 2013)
2007 201020.0%
25.0%
30.0%
35.0%
40.0%
28.3%30.6%
28.2%
34.3%
Hillsborough County Florida
Heart DiseaseRisk Factors & Prevention
Health Status Summary• The health status data discussed in these
slides all represent known risk factors for coronary artery disease (American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Heart DiseaseRisk Factors & Prevention
Section III: Heart Disease Risk Factors
Non-Modifiable Heart Disease Risk Factors
• Age (Increased Risk Above 65 Years of Age)• Gender (Increased Risk for Males)• Heredity (Increased Risk for African Americans, Mexican
Americans, Native Americans, Native Hawaiians, and Some Asian Americans)
Heart DiseaseRisk Factors & Prevention
(American Heart Association, 2013)
Modifiable Heart Disease Risk Factors
• Tobacco Smoke (Increases 2X – 4X above non-smokers)• Second-hand Smoke Also Increases Risk• High Blood Cholesterol
• Total Cholesterol Should be <200 mg/dL• LDL Should be 100 mg/dL – 160 mg/dL depending on other
risk factors
• High Blood Pressure
Heart DiseaseRisk Factors & Prevention
(American Heart Association, 2013)
Modifiable Heart Disease Risk Factors (cont’)
• Physical Inactivity• Overweight & Obesity• Diabetes• Stress• Alcohol Consumption• Diet/Nutrition
Heart DiseaseRisk Factors & Prevention
(American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Section IV: Heart Disease Characteristics & Symptoms
Coronary Artery Disease & Anatomy
(Drchandler.com, 2005)
Heart DiseaseRisk Factors & Prevention
Coronary Artery Disease Progression
(Bean et al, 2006)
Heart DiseaseRisk Factors & Prevention
Signs & Symptoms of Coronary Heart Disease• Chest Pain (squeezing, pressure, or heaviness)
• Pain in Shoulders, Arms, Neck, Jaw, or Back
• Persistent Indigestion or Nausea
• Fatigue and Weakness
• Shortness of Breath
• Sweating
• Lightheadedness
(American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Signs & Symptoms of CoronaryHeart Disease in Diabetics
• Diabetic Nerve Damage Can Interfere with Pain Signals in the Body
• Diabetics Can Have Some or All of the Typical Symptoms
• Some Diabetics May Have a Heart Attack without Symptoms
• When in Doubt, Always Call 9-1-1
(National Institutes of Health, 2011)
Heart DiseaseRisk Factors & Prevention
Differences in Signs & Symptoms of CoronaryHeart Disease in Women
• Women May Not Have Typical Symptoms
• Signs Can Be Subtle
• May Perceive as Flu-like Symptoms
• May Have Shortness of Breath without Chest Pain
• May Have Back Pain or Pressure
• May Have Dizziness, Light-headedness, or Fainting
(American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Heart DiseaseRisk Factors & Prevention
Section V: Heart Disease Prevention
Prevention: Controlling Modifiable Risk Factors• Hypertension
• Comply with medications
• Reduce salt intake
• Maintain a healthy weight
• Limit alcohol
• Manage stress
(American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Prevention: Controlling Modifiable Risk Factors• Elevated Cholesterol & Triglycerides
• Adopt a heart healthy diet
• Increase physical activity
• Take any cholesterol medications as directed by your doctor
• Obesity & Sedentary Lifestyle• Exercise at least 30 minutes a day – can be broken into three
10-minute sessions
• Adopt a heart healthy diet (American Heart & Dash Diet)
(American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Prevention: Controlling Modifiable Risk Factors• Poorly Controlled Blood Sugar
• Perform blood sugar checks as recommended by doctor
• A1C Checks
• Medications: insulin or oral medications taken as directed
• Diet & Exercise
• Smoking• There are many options & resources available for smoking
cessation
(American Heart Association, 2013)
Heart DiseaseRisk Factors & Prevention
Heart DiseaseRisk Factors & Prevention
Section VI: Heart Disease Diagnosis & Treatment
Diagnosis of Coronary Artery Disease• History & Physical Exam
• Lab Work
• EKG
• Stress Test
• Echocardiogram
• Cardiac Cath
Heart DiseaseRisk Factors & Prevention
Treatment of Coronary Artery Disease• Medication
• Risk Factor Modification
• Cardiac Stent
• Coronary Artery Bypass Graft Surgery (CABG)
Heart DiseaseRisk Factors & Prevention
Heart Attack• Persistent Symptoms = Acute Event
• This is a Cardiac Emergency• Early Activation of EMS is Important
• Call 9-1-1
• Rapid Intervention is Associated with Better Outcomes (Less than 120 Minutes from Onset of Symptoms)
• Treatment• Cardiac Stent
• Coronary Artery Bypass Graft Surgery
Heart DiseaseRisk Factors & Prevention
Heart DiseaseRisk Factors & Prevention
Section VII: Florida Hospital Zephyrhills Heart Institute
Florida Hospital Zephyrhills Heart Institute• Established in 2006
• Award-winning Program
• Accredited Chest Pain Center
• Offers Comprehensive Cardiac Care
• Has Performed Thousands of Procedures
• Highly Skilled Staff – Board Certified Cardiologists, Cardiac Surgeons, and Specialized Cardiac Care Nurses & Technical Support Staff
Heart DiseaseRisk Factors & Prevention
Florida Hospital Zephyrhills Heart InstituteServices Offered
• Open-heart Surgery• Coronary Bypass Grafting
• Cardiac Valve Repair/Replacement
• Minimally Invasive Valve Surgery
• Thoracic Aneurysm Repair
• Cardiac Catheterization• Diagnostic Heart Caths
• Coronary Angioplasty & Stenting
• Radial Catheterization
Heart DiseaseRisk Factors & Prevention
Florida Hospital Zephyrhills Heart InstituteServices Offered (Cont’)
• Other Catheterization Procedures• Valvuloplasty
• Renal Artery Stenting
• Peripheral Artery Stenting
• Electrophysiology Procedures• Electrophysiology Studies
• 3D Mapping
• Cardiac Ablations, Including Atrial Fibrillation
• Pacemakers/Defibrillators
Heart DiseaseRisk Factors & Prevention
Florida Hospital Zephyrhills Heart InstituteServices Offered (Cont’)
• Other Cardiac Testing Procedures & Services• Stress Tests
• Echocardiograms
• Tilt Table Tests
• Cardiac Rehabilitation Program
• Congestive Heart Failure Support Group
• Device Support Group
Heart DiseaseRisk Factors & Prevention
Florida Hospital Zephyrhills Heart InstituteServices Offered (Cont’)
• Other Services• State of the Art Cardiovascular Operating Room (CVOR)
• Cardiac Intensive Care Unit (CVICU)
• Cardiac Step-down Unit (CSDU)
• Cardiac Procedure Recovery Unit (CRU)
Heart DiseaseRisk Factors & Prevention
ReferencesThe American Heart Association (2013). Retrieved from www.heart.org .
Bean, C.A., et al (2006). Image. ACC Atlas of Pathophysiology, 2nd Edition.
Philadelphia: Lippincott & Wilkins.
Centers for Disease Control and Prevention (2013). Heart Disease Facts. Retrieved
from http://www.cdc.gov/heartdisease/facts.htm.
Florida Department of Health. (2013) Retrieved from www.Floridacharts.com.
Heart DiseaseRisk Factors & Prevention
ReferencesDrchandler.com (2005). Image. Retrieved from http://
drchander.com/diagnoseCAD.html.
National Institutes of Health (2011). What Are the Signs and Symptoms of Diabetic
Heart Disease? Retrieved from http://
www.nhlbi.nih.gov/health/health-topics/topics/dhd/signs.html.
U.S. Census Bureau (2010). American Fact Finder. Retrieved from
http://factfinder2.census.gov/faces/nav/jsf/pages/searchresults.xhtml
Heart DiseaseRisk Factors & Prevention