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Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem. The Heart Truth and Red Dress are trademarks of DHHS. A National Campaign. To help women understand their risk of heart disease and take action Especially women ages 40 to 60 Partnership of many groups

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Welcome Lisa Marzoli, BS, MBA Wellness Coordinator, Anthem

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Welcome lisa marzoli bs mba wellness coordinator anthem

WelcomeLisa Marzoli, BS, MBAWellness Coordinator, Anthem

The Heart Truth and Red Dress are trademarks of DHHS.

A national campaign

A National Campaign

  • To help women understand their risk of heart disease and take action

  • Especially women ages 40 to 60

  • Partnership of many groups

  • Red Dress—the national symbol for women and heart disease awareness

Today s session will cover

Today’s Session Will Cover

  • Why women need to know about heart disease

  • What heart disease is

  • Risk factors

  • Talking to your doctor

  • Taking action

  • Surviving a heart attack

  • Resources

  • Getting on the road to heart health

The heart truth

The Heart Truth

  • Heart disease is the #1 killer of American women—no matter what their race or ethnicity

  • Heart disease kills 1 of every 4 American women

  • Heart disease can permanently damage your heart—and your life

  • Every 39 seconds an adult dies of heart attack, stroke, or other cardiovascular disease in the U.S. (CDC Vital Signs, February 2011)




  • Worldwide 8.6 million women die from heart disease each year, accounting for a third of all deaths in women.

  • 8 million women in the US are currently living with heart disease; 35,000 are under the age of 65

  • 435,000 American women have heart attacks annually; 83,000 are under the age of 65 with the average age of 70.4 years

Prevalance continued

Prevalance continued

  • 42% of women who have heart attacks die within one year, compared to 24% of men

  • Under age 50, women’s heart attacks are twice as likely as men’s to be fatal

  • 267,000 women die each year from heart attacks, which kill six times as many women as breast cancer. Another 31,887 women die each year of congestive heart failure, representing 62.6% of all heart failure deaths

  • Resource: www.womensheart.org Women’s Heart Foundation

Compared to men

Compared to Men….

  • 46% of women and 22% of men heart attack survivors will be disabled with heart failure within 6 years

  • Women are 2-3 times as likely to die following heart bypass surgery. Younger aged women between the ages of 40-59 years are up to 4 times more likely to die from heart bypass surgery than men the same age

Compared to men1

Compared to men…

  • Women are twice as likely as men to die within the first few weeks after suffering a heart attack; 38% of women and 25% of men will die within one year of a first recognized heart attack

  • Since 1984, more women than men have died each year from heart disease, and the gap between men and women’s survival continues to widen

The heart truth1

The Heart Truth

  • Heart disease is a “now” problem

  • “Later” may be too late

What is heart disease

What Is Heart Disease?

  • Heart doesn’t get enough nutrient-rich blood

  • Chronic—develops over years

  • Atherosclerosis—arteries harden as cholesterol, fat, and other substances build up in artery walls

  • Blockage can result in heart attack

Welcome lisa marzoli bs mba wellness coordinator anthem

The cardiovascular system comprises the heart, with its four chambers; arteries, in which blood moves away from the heart; veins, in which blood returns to the heart; and a system of capillaries, which transport blood between small arteries and small veins. In this diagram, the heart has been split into two halves to illustrate better the functions of the right and left sides.

Source: Chung, M.K., and Rich, M.W. Introduction to the cardiovascular system. Alcohol Health and Research World 14(4):269–276, 1990.

Welcome lisa marzoli bs mba wellness coordinator anthem

Coronary Circulation: It's All in the Heart

While the circulatory system is busy providing oxygen and nourishment to every cell of the body, let's not forget that the heart, which works hardest of all, needs nourishment, too. Coronary circulation refers to the movement of blood through the tissues of the heart. The circulation of blood through the heart is just one part of the overall circulatory system.


Welcome lisa marzoli bs mba wellness coordinator anthem

The illustration shows a normal artery with normal blood flow (figure A) and an artery containing plaque buildup (figure B). Source=http://www.nhlbi.nih.gov/health/dci/Diseases/Hbc/HBC_WhatIs.html

No quick fix

No Quick Fix

  • Not “fixed” by surgery or procedures, such as bypass and angioplasty

  • Worsens if not treated—leads to disability or death

Good news

Good News

  • Heart disease can be prevented or controlled

  • Treatment includes lifestyle changes and, if needed, medication

Why me why now

Why Me? Why Now?

  • Risk rises ages 40–60

    • Estrogen level drops during menopause

  • Risk factors

    • Smoking

    • High blood pressure

    • High blood cholesterol

    • Overweight/obesity

    • Physical inactivity

    • Diabetes

    • Family history of early heart disease

    • Age (55 and older for women)

Heart disease risk factors

Heart Disease Risk Factors

  • Multiply their effects

  • Women who smoke risk having a heart attack 19 years earlier than non-smoking women

  • Women with hypertension experience a risk of developing CAD 3.5 times that of females with normal blood pressure; high blood pressure is more common in women taking oral contraceptives, especially in obese women

  • Women with diabetes have more than double the risk of heart attack than non-diabetic women. Diabetes doubles the risk of a second heart attack in women but not in men.

  • Same lifestyle steps prevent/control many of the risk factors

Have a heart to heart

Have a Heart-to-Heart

  • Ask your doctor about your risk of heart disease

  • Draw up a list of questions before your visit

    (do the research ahead of time)

  • Write down or tape record what the doctor says (or bring a family member or friend)

  • Tell your doctor your lifestyle behaviors, such as smoking or being physically inactive

Key tests for heart disease risk

Key Tests for Heart Disease Risk

  • Blood pressure

    Less than 120/80 mm Hg

  • Blood cholesterol

    Total: Less than 200 mg/dL

    HDL: Women 50 mg/dL or higher

    Men 40 mg/dL or higher

    LDL: varies according to heart risk

    for low risk less than 160 mg/dL

    Triglycerides: Less than 150 mg/dL

Key tests for heart disease risk1

Key Tests for Heart Disease Risk

  • Fasting plasma glucose (diabetes or blood sugar test)

    Less than 100 mg/dL

  • Body mass index (BMI) and waist circumference

    BMI: Less than 25 kg/m2

    Waist: 35 inches or less for women

    40 inches or less for men

Key tests for heart disease risk2

Key Tests for Heart Disease Risk

  • Electrocardiogram

    EKG or ECG is a record of heart’s electrical activity as it contracts and relaxes

    Can detect various problems such as abnormal heartbeats, muscle damage, and poor blood flow

  • Stress test

    Records heart’s electrical activity while exercising

Why women don t take action against heart disease

Why Women Don’t Take Action Against Heart Disease

  • They don’t put their health as a top priority

  • They think they’re not old enough to be at risk

  • They feel too busy to make changes in their lives

  • They’re already feeling stressed

  • They’re tired

How to lower heart disease risk

How To Lower Heart Disease Risk

  • Begin today it’s never too late to make changes

  • Stop smoking

  • Follow a healthy eating plan

    • Low in saturated fat, trans fat, and cholesterol and moderate in total fat

    • Check out Dietary Guidelines for Americans, 2010


    • Limit salt and sodium

    • If you drink alcoholic beverages, have no more than one a day

How to lower heart disease risk1

How To Lower Heart Disease Risk

  • Be physically active—30 minutes of moderate-intensity activity on most days of the week

  • Maintain a healthy weight

    • Balance calories taken in with those used up in physical activity

  • Manage diabetes

  • Take medication, if prescribed


Heart attack warning signs

Heart Attack Warning Signs

  • Chest discomfort

    • Usually in the center of the chest

    • Lasts for more than a few minutes, or goes away and comes back

    • Can feel like uncomfortable pressure, squeezing, fullness, or pain

  • Discomfort in other areas of the upper body, including pain or discomfort in one or both arms, the back, neck, jaw, or stomach

Heart attack warning signs1

Heart Attack Warning Signs

  • Shortness of breath, with or without chest discomfort

  • Other symptoms, such as breaking out in a cold sweat, nausea, or light-headedness

To survive a heart attack

To Survive a Heart Attack

  • Call 9-1-1 within minutes—5 minutes at most

  • Emergency medical personnel will begin treatment at once

  • Don’t drive yourself to the hospital

  • Uncertainty is normal—don’t be embarrassed by a false alarm

  • Plan ahead

  • Learn the warning signs

Resources for a healthy heart

Resources for a Healthy Heart

  • National Heart, Lung, and Blood Institute


  • American Heart Association

    Go Red for Women


  • Office on Women’s Health, DHHS

    National Women’s Health Information Center


  • WomenHeart: the National Coalition for Women with Heart Disease


It all begins with you

It All Begins With You

  • Take one step at a time

  • Replace unhealthy habits with healthier ones

  • Eat for heart health

  • Remember that calories count

  • Start walking—try 10 minutes and add time gradually to get 30 minutes a day

How to keep going

How To Keep Going

  • View changes as new lifestyle, not quick fixes

  • Set realistic goals

  • Buddy up

  • Don’t worry about a slip

  • Reward your success

  • Be your own advocate—ask questions and seek information

The heart truth2

The Heart Truth

  • It’s up to you to protect your heart health—start today!

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