Thursday, February 18, 2010

Quick Chest Pain Test Simplifies Discharge Decision


Hallelujah!  Which of my local hospitals will be offering this 'simple, inexpensive test'?  Moreover, will it be available at my cardiologist's office?!  It's so frustrating being told to go to the emergency room (where the emergency room doctor's call my cardiologist and ask what to do...).  A lot of waste (especially when I've gone in at night, they automatically admit me into the hospital overnight, no if's, and's or but's.  Quite a lot of expense in the end.  I don't want it to sound like I make a bee line for the ER every time my heart skips a beat (I've gone twice since my heart attack, for my heart).  I'm very happy for all heart patients about this new test!  Article below:

Quick Chest Pain Test Simplifies Discharge Decision
Thursday, February 11, 2010
CT scan lets doctors see any blockage in arteries, study finds

A simple, inexpensive test can tell doctors whether it's safe to discharge a patient who has come to the emergency room with chest pain, a new study shows.
The coronary artery calcium scoring (CACS) test detects coronary artery disease. A CT scan is used to quickly provide doctors with a detailed image of the heart that shows calcium build-up in the coronary arteries.
This study of 1,031 chest pain patients found that those with a CACS score of zero can be safely sent home without further heart testing. Of the patients in the study, 61 percent had a CACS of zero.
"It is imperative to accurately diagnose patients who come to the emergency department with chest pain. Unfortunately, diagnosing chest pain is often expensive and time-consuming. This new data could save millions of health-care dollars and countless hours spent waiting on unnecessary tests," principal investigator Dr. John Mahmarian, a cardiologist at the Methodist DeBakey Heart & Vascular Institute in Houston, said in a news release.
The study was published online Feb. 8 in the Annals of Emergency Medicine.

Wednesday, February 17, 2010

Beta Blockers May Have Side Effects


Health Tip: Beta Blockers May Have Side Effects

Thursday, February 4, 2010
But most people have no adverse reactions




(HealthDay News) -- Beta blockers often are prescribed to treat various heart conditions, including congestive heart failure and an irregular heartbeat. They also may be used to help treat high blood pressure.
As with any drug, beta blockers may cause side effects in some people. The American Academy of Family Physicians says although most people have no side effects from beta blockers, it offers this list of possible adverse reactions:

  • Fatigue or lack of energy.

  • Decreased libido or impaired sexual function in men.

  • Dizziness or lightheadedness.
If you have serious side effects from one of these medicines -- including difficulty breathing, chest pain, slowed heart rate of fewer than 50 beats per minute, unexplained weight gain or swelling of the hands, legs or feet -- contact your doctor immediately.

Tuesday, February 16, 2010

Thank You for Spreading Heart Disease Awareness, Better Homes & Gardens!

Article (2004) below republished online at Better Homes and Gardens magazine, regarding nutrition and heart disease.  I love viewing media in non-health specific magazines regarding heart disease:  thank you for getting the word out to a larger audience!  From one heart attack survivor, thank you, Better Homes and Gardens!  

Now, a 'recipe':  I've always loved oatmeal.  I'd say 97% of my life, my mornings have begun with oatmeal.  Since my heart attack, I've made it even healthier by no longer having honey (I used to have honey - no butter, but tons of honey).  My favorite recipe now is to begin with Trader Joe's Pumpkin Pie Spice and add a hefty scoop of old fashioned oatmeal (not instant).  Add water.  Microwave for approximately 1 to 2 minutes (depending on amount of oatmeal).  While microwaving, dice up whichever fresh fruit is in season.  My favorite are pears!  Amazing flavor paired with the pumpkin pie spice.  Once the oatmeal is done, add the fresh fruit and sprinkle in a few dried cranberries for color & taste.  Last, top it all off with a few walnut pieces (or your favorite heart friendly nut).  Give it a try for what I consider a heart healthy breakfast.  You can even make it ahead of time and take to work and reheat (or eat cold if you are a diehard fan like me).  Try other fresh fruits - let me know what you come up with!!!



10 Superfoods for Heart Disease

Nutritious foods for lower cholesterol and a healthy heart.
Heart disease is the leading cause of death among women and men in the United States. We all know a healthy diet can help reduce your risk, especially when coupled with regular exercise and maintaining a reasonable weight. But what really are the best foods to include on your weekly menu to keep your heart healthy and strong?
"When it comes to prevention, increasing total dietary fiber and unsaturated fats is the way to go," according to Linda Van Horn, PhD, registered dietitian (RD), member of the American Heart Association's nutrition committee, and professor of Preventive Medicine at Northwestern Medical School in Chicago.
Eating unsaturated fats, like omega-3 fatty acids and olive oil, can help to reduce triglycerides, which inhibit blood from clotting and our arteries from becoming clogged with plaque. And a diet rich in soluble fiber, which is often found in legumes and some fruits and vegetables, helps to lower your LDL cholesterol. Here are 10 foods that are rich in heart-healthy nutrients.
Sardines
Although these little fish tend to have a bad reputation, they are a great source of omega-3 fatty acids, along with calcium and niacin. Try them fresh on the grill or use canned sardines packed in oil on salads, in sandwiches, or in sauces.
Recommended serving size: Fresh, 3 whole sardines: 281 calories Canned in oil, 3.5 ounces drained: 220 calories
Oatmeal
If you're looking for a comforting breakfast, start your day off with oatmeal for an instant boost of fiber. Oatmeal also has a low glycemic index, which helps to provide lasting energy and keeps hunger at bay. Look for rolled oats, and add some raisins, apples, and honey for flavor. Try to avoid instant oatmeal, since it is loaded with sugars that you don't need.
Recommended serving size: Raw, 1/3 cup: 113 calories Made with water, heaping 3/4 cup: 98 calories
Mackerel
Sick of salmon, but always eating it for the health benefit? Try mackerel instead. An excellent source of omega-3s, mackerel is also packed with the antioxidant mineral selenium, which may help protect the body from heart disease and cancer.
Recommended serving size: 3.5-ounce fillet: 220 calories
Walnuts
Women who are looking for an easy way to get omega-3s on the go can grab a small handful of walnuts for an afternoon snack. "Although they are high in fat, most of it is polyunsaturated fat, which is considered a 'good fat' and, thus, they are fine to eat in moderation," says Rachel Brandeis, a registered dietitian in Atlanta, Georgia, and spokesperson for American Dietetic Association. Add some to your green salad, or give chicken salad a nutrition boost by adding ground walnuts.
Recommended serving size: Shelled, scant 1/2 cup: 344 calories
Tofu
Tofu is made from soybeans, which have been shown to reduce cardiovascular disease risk by lowering LDL cholesterol, says Brandeis. A diet containing 25 grams of soy protein and 50 to 60 milligrams of soy isoflavones can reduce LDL cholesterol levels. Tofu usually absorbs the flavor of whatever else you're cooking with it, so add it to a chicken or beef stir-fry dish, salad, or chili.
Recommended serving size: Firm, 3.5 ounces: 73 calories
Plums/Prunes
Known for their laxative effect, prunes are an excellent source of fiber and iron, and regular consumption has been shown to reduce LDL cholesterol in the blood. Prunes may also help protect you against colon cancer. If you're not a prune fan, plums are also a decent source of fiber and beta-carotene.
Recommended serving size: Plums, two: 34 calories Pitted prunes, five: 71 calories
Kidney Beans/Chickpeas
Like many legumes, kidney beans are a low-fat, high-soluble fiber protein source. These vitamin-rich beans also have a low glycemic index and are cholesterol-free. Add them to salads and chili, as they truly are almost a perfect health food. Both the canned and dried beans are equally high in fiber, but canned varieties are likely to have a higher salt content, so stick with dried varieties for maximum heart benefits.
Recommended serving size: Kidney beans, dry, 1/4 cup: 133 calories Kidney beans, canned, heaping 1/3 cup, drained: 100 calories Chickpeas, dry, 1/4 cup: 160 calories Chickpeas, canned, heaping 1/3 cup, drained: 160 calories
Barley
Whole-grain barley is rich in soluble fiber and insoluble fiber, which is good for combating constipation. A decent protein source, barley also contains a good supply of iron and minerals. Beware when choosing which barley to buy. So-called "pearl barely" lacks the outer husk, and thus, most of the nutrients are removed. Look for whole-grain barley cereals, or substitute whole-grain barley for rice and pasta side dishes once a week.
Recommended serving size: Dry, 1/4 cup: 151 calories
Published on BHG.com, October 2004.