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In this issue . . .
Winter 2009
Learning to Live With Heart Disease

Joy Throm

Joy Throm, 56, had been learning to live with one heart problem when she unexpectedly developed another.

Throm was diagnosed several years ago with atrial fibrillation, an irregular heartbeat that can cause blood clots and lead to a stroke.

She was evaluated by Charles Gornick, MD, a cardiac electrophysiologist at the Minneapolis Heart Institute®, who prescribed medications to help control the heart rate and prevent blood clots from forming.

Throm often couldn’t tell when her heart rhythm became irregular. But there were signs that stress and fatigue made the problem worse. “Then my heart rate would go up and my blood pressure would drop,” she said.

Because she had difficulty finding her pulse, Throm began using a home blood pressure monitor. If her blood pressure was low, she knew she needed to be seen by a doctor. “I usually was able to keep it under control, except when I was stressed,” said Throm.

Then, while visiting relatives last summer, Throm was bothered by what she thought was heartburn. She attributed it to the fresh seafood she had eaten at a family reunion. “I woke up early the next morning with the worst heartburn I’ve ever had,” she recalled. When she went to take a shower, she realized she was too fatigued to step into the tub. Then she noticed severe pain in her neck under both ears.

“Finally, the light went on. I woke my sister and told her she needed to take me to the hospital right away.” Tests at the hospital in Great Falls, Mont., showed she was having a heart attack. Doctors were able to treat her immediately and she had minimal damage to her heart.

When she returned to the Twin Cities, she wanted to do everything she could to understand her condition and prevent further problems. That’s when Gornick referred her to Elizabeth Grey, MD, a cardiologist with the Women’s Heart Health Program at the Minneapolis Heart Institute®.

While Gornick continues to treat Throm’s atrial fibrillation (she recently had an ablation procedure to eliminate areas of the heart tissue that were responsible for triggering her erratic heart rhythm), Grey is helping Throm manage the conditions that contributed to her heart attack.

“Fortunately, Joy has good heart function, so it’s a matter of managing her cholesterol, calibrating her medications and helping her keep the atrial fibrillation under control so she can get regular exercise,” said Grey.

Throm also attends the Women’s-Only Cardiac Support Group at the Minneapolis Heart Institute. “As soon as I read about it, I knew this was the program for me,” she said.

Throm noted that she is not the only member of the support group to have had a heart attack at a relatively young age. “Some started this journey years ago, so I’m learning from them what has kept them healthy and alive.”

Moreover, she is committed to helping other women learn about the risks of heart disease. “This is so critical for all women to know. We all need to know the atypical signs of a heart attack and we need to learn to be our own advocates.”

Women’s Heart Attack Symptoms Easy to Miss

Although chest pain is considered the classic symptom of a heart attack, a survey by the National Institutes of Health showed that many women who had heart attacks never experienced chest pain. Here is how women reported their symptons: 

Major symptoms during month before the heart attack
    • unusual fatigue 
    • sleep disturbance 
    • shortness of breath 
    • indigestion 
    • anxiety.

Major symptoms during the heart attack
    • shortness of breath 
    • weakness 
    • unusual fatigue 
    • cold sweat 
    • dizziness.


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I am 50 and have noticed an increasing number of small, bluish veins on my calves. Should I be concerned and can they be removed?

Veins are the blood vessels that return blood to the heart. When they become enlarged and more prominent they are called varicose veins.

Veins have valves that open and close to allow the blood to flow only in an “uphill” direction. Problems arise when the valves become “leaky” and allow gravity to pull blood the wrong way down the vein, which overstretches the vein.

Varicose veins can range from unsightly but symptomless spider veins to large, bulging varicose veins associated with pain, swelling and brown discoloration and hardening of the skin. Hereditary factors, age, obesity, pregnancy and being female increase the risk of developing varicose veins.

Prescription knee-length elastic (compression) stockings will alleviate many symptoms but will not make the veins go away. If stockings don’t relieve your symptoms or you are concerned about the appearance of the veins, see a vascular specialist. Your evaluation should include an ultrasound test to examine the blood flow in the deep and superficial (close to the skin surface) veins and to identify sources of leakage.

Treatments may include:

  • injection sclerotherapy (injection of an irritating substance to close off a vein) 
  • ambulatory phlebectomy (removal of diseased segments of vein through needle punctures) 
  • endovenous ablation (closing off larger feeding veins using heat delivered by a catheter).

Most vein treatments can be done in the office with local anesthesia, minimal downtime and excellent cosmetic results. Insurance coverage varies.

 
Skipping breakfast daily can lead to a one-pound weight gain every seven weeks.

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Give it a Rest: Sleep Habits and Your Heart

Exercise and good eating habits aren’t the only indications of a heart healthy lifestyle. Getting enough sleep also contributes to heart health.

Studies have shown that inadequate sleep can contribute to obesity, high blood pressure and calcium build-up in coronary arteries – important risk factors for heart disease.

Getting enough sleep is also a powerful stress management tool. In fact, sleep and stress are closely related. A good night’s rest helps you to endure the stresses of your day – and stress-filled days often lead to sleepless nights.

Sleep experts say that one of the most important habits for healthy sleep is to wake up at the same time every day. People often make the mistake of sleeping later on the weekend to make up for insufficient sleep during the week. That contributes to a later bedtime and when the early wake-up is again required, you get less sleep. If you find yourself short of sleep, establish a bedtime that is eight hours before your wake time and maintain that schedule throughout the week.

Other sleep suggestions:

  • get regular exercise early in the day 
  • avoid caffeine, nicotine and alcohol for at least 4-6 hours before your bedtime 
  • avoid checking your email or using your computer for several hours before bed 
  • establish a pre-sleep ritual, like a warm bath or a few minutes of reading 
  • sleep in a cool room with enough blankets to stay warm.

While all of us have the occasional sleepless night, about one in four people have a sleep disorder. Answer these simple questions to determine if you may be helped by a sleep evaluation at Abbott Northwestern’s Sleep Center.


Eating Smart Helps Your Heart

Try this strategy to help you eat healthy in 2009. Instead of focusing on what you can’t eat, concentrate on what you can eat. Research shows that adding heart healthy food is as important as cutting back on other food.

Here are six important additions to reduce your risk of heart disease:

  • Eat more fruits and vegetables. A recent National Institute of Health study showed that only 40 percent of Americans ate the recommended five or more 1/2-cup servings of fruits and vegetables per day. Fruits and vegetables are a powerhouse of essential nutrients and fiber -- and most are naturally low in calories. Importantly, people who eat a diet rich in colorful fruits and vegetables are likely to have a reduced risk of some chronic diseases.
  • Include nuts in your diet. Nuts lower the risk of heart disease for every group researched. Whether you are male or female, black or white and young or old, nuts seem to be cardio-protective. Try a ½-ounce daily, which is 10 almonds, 10 walnut halves or 14 peanuts.
  • Eat more fish. Fish is a good source of protein and low in unhealthy saturated fat. Fatty fish like tuna, salmon, herring and sardines contain heart beneficial omega-3 fatty acids, DHA and EPA. Aim for at least two fish meals weekly.
  • Choose whole grain. There are many types of whole grain, such as oats, whole wheat, brown or wild rice and barley. Different types provide different health benefits. Choosing a variety of grains daily will reduce the risk of many chronic diseases. Start the day with a high-fiber cereal, choose whole wheat bread and experiment with kasha as a side dish.
  • When you choose fat, select fats high in monounsaturated fat. Olive, canola and peanut oils, most nuts and avocados are good sources of monounsaturated fat. These fats, if used in replacement of others, can lower the risk of heart disease by reducing LDL (bad) cholesterol. Incorporate into the diet by sautéing with olive oil instead of butter, or adding a slice of avocado instead of cheese on a sandwich.
  • Feed your body regularly. Missed meals often lead to overeating. Eating three meals or five smaller meals daily is the best way to control appetite, regulate blood sugar and cholesterol levels.

Healthy food choices can make a healthier you. Add a half-hour walk to these eat smart strategies and you are on your way to reducing heart disease risk.

Tradition with a Twist Meatloaf

Embrace winter with a new version of a cold weather comfort food. The combination of lean ground beef, egg whites, shredded carrots and bran flakes keeps it heart healthy and remarkably moist. Served with parsleyed red potatoes and warm applesauce, this meatloaf is certain to be a family favorite. 
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Ingredients:

1 pound of 90% lean ground beef
¾ cup 40% bran flakes
1 cup shredded carrot
½ cup chopped onion
3 tablespoons vegetable cocktail juice
2 egg whites
2 tablespoons flour
2 tablespoons chopped fresh parsley
½ teaspoon pepper
¼ teaspoon salt
¼ tsp beef-flavored bouillon granules
teaspoon dry mustard
½ teaspoon dried marjoram leaves, divided
3 tablespoon no-salt-added catsup

Directions:

Combine first 12 ingredients and ¼ tsp marjoram in a bowl, mix well. Shape into a loaf, and place in a glass loaf pan sprayed with cooking spray. Combine catsup and remaining ¼ tsp marjoram. Spread catsup mixture over meatloaf. Bake meat loaf at 350° for 1 hour and 15 minutes. Let stand in pan 10 minutes. Cut into 6 servings.

Yield: 6 servings

One serving provides 188 calories, 7 grams fat (3 grams saturated), 49 milligrams cholesterol, 285 milligrams sodium, 9 grams carbohydrate, 2 grams fiber, and 17 grams protein.

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Upcoming Events


Feb. 23, Cambridge: Prevention and Heart Health

Feb. 26, St. Francis: Women’s Heart Healthy Community Education Event

Feb. 26, Aitkin: Heart Healthy Living Community Education Event


Join us at the Women's Only Cardiac Support Group

This is a weekly program designed especially for women to provide support, encouragement and helpful information about improving heart health. This educational support group is led by a health professional, there is no charge and you can join at any time.

Current Session
Dates: Monday nights
Time: 6:30 - 8 p.m.
Cost: Free
Location: Minneapolis Heart Institute

For more information: Denise Windenburg, 612-863-3816 or denise.c.windenburg@allina.com