iRhythm "success", Part II

Exhaustion has been my best friend since the hospitalization in November 2010.  Being instructed to go to the local emergency room is where I left off in my last entry regarding the iRhythm, so here is the rest of the story, as Paul Harvey would say.

We arrived at the local emergency room (after having to walk through several cigarette smokers at the entrance - who does that!?).  Unlike past trips to the emergency room (E.R.), as soon as I told the staff my name they took me directly into a bed.  My spouse found it amusing (for lack of a better word) that as the E.R. staff were taking me back, I found it necessary to make them aware of the aforementioned smokers.  I have zero tolerance for smokers, much less individuals huddled around the entrance to a hospital.  We live in California for heaven's sake, so it's not as though it was freezing outside (not that it would matter to me if it were a blizzard; get away from the building!).  

It was a long night.  We arrived before midnight and I was finally moved to a hospital bed around 4:30 A.M.  I always feel so guilty being moved into a room in the middle of the night where another patient is already sleeping.  Fortunately I was sharing a room with a woman who didn't seem to mind my arrival as she began to talk to my non-stop asking who I was and what was wrong with me.  I could write a coffee table book regarding some of the odd roommates I've had in hospitals (I'm sure many have plenty of stories!).  Once I had a woman who kept meowing like a cat.  I digress...


The only negative experience I had at the hospital was with the radiology technician.  Around 2:00A.M. the radiology technician arrived and stated he would be taking images of my heart.  He turned around, at which time I assumed he was reaching to get an apron for our baby, but instead he pushed the button on the mobile x-ray device.  At the same moment my spouse tried to stop him, exclaiming, "She's pregnant".  I was speechless.  It takes a lot to leave me speechless.  The radiology technician told us that nobody had told him I was pregnant.  So, my new rule is to tell everyone I am pregnant.  I don't know why he didn't ask the obligatory, 'Are you pregnant?  Is there a chance you could be pregnant?', which are the two questions I have been asked every time I've had x-rays (including dental) since young adulthood.  I try to tell medical personnel everything I can think of as a rule.  Now I state what should be obvious, "I'm pregnant!".   My spouse has tried to reassure me that no harm was done to our baby as have the doctors I told following the incident.

I was very happy with the nursing staff, they have been wonderful at my local hospital.  I am thankful for them and everything they do.  My heart (and vitals) in addition to our baby were monitored the entire time at the hospital.  To my knowledge, Ventricular Tachycardia (V-Tach) was not detected once at the hospital.  Good news!  In layman's terms, my body/heart had automatically reset itself following the V-Tach detected using the iRhythm.  I am so thankful my cardiologist provided me with the iRhythm!  I struggle on a daily basis with wondering if something I am experiencing is or isn't life threatening.  I imagine other's feel the same way trying to decipher the signals being sent to the good old central nervous system.  While I have never solely depended on a diagnostic device such as the iRhythm to alert me to a medical emergency, it does give me a sense of relief.


It has been two and a half years since the myocardial infarction (heart attack) I had and until Thanksgiving, there had not been any detection of V-Tach from my heart.   As I understand it, an anti nausea medication (Ondansetron) prescribed by my Obstetrics/Gynecology physician is to blame for the V-Tach.  I only took the medication as needed rather than full strength as prescribed, so I can't imagine if I'd taken it full strength how my heart would have felt.  I don't like to take medications period, so I have really tried to avoid everything (including over the counter remedies such as Tylenol).  I don't drink coffee or consume caffeine (I don't even like chocolate unless it is hot cocoa).  Following the myocardial infarction, the hospital nutritionist and nurse practitioner at the cardiology office went down a list of things I should avoid.  [Un]fortunately, I already avoided them.
   
I was released from the hospital and continued to use the iRhythm heart monitoring device for a couple of weeks.  I've continued to experience palpitations since November.  My cardiologist has partnered with another cardiologist who was on-call over Thanksgiving.  I greatly admire both cardiologists.  The newer cardiologist came to the hospital to run tests prior to releasing me.  I was re-prescribed a beta-blocker (I had stopped taking Sotalol due to the pregnancy).  I don't have high blood pressure, in fact my blood pressure has always been very good, if not on the low side.  The beta-blocker is prescribed for other reasons.  The same evening, before my new prescription was ready, the cardiologist phoned my spouse to say that he didn't want me to take what he had prescribed as he had spoken with an electrophysicist who didn't believe it was a good medication during pregnancy.  I greatly respect the new cardiologist for following up, as well as being forthcoming regarding changing to a different medication due to my pregnancy.  It's wonderful to have physicians who aren't afraid to admit that they are human!  

iRhythm "success"

On Thanksgiving 2010, I felt like I was "off" all day.  One of our cats woke me up at 5:30AM.  I have been exhausted over the last few months anyway.  

I hadn't previously shared this via the Internet, but I am pregnant for the first time.  I have only been this exhausted once before:  prior to the myocardial infarction (M.I.) I survived in 2008.  Nausea is also a common theme during this pregnancy.  My nutrition has been non-existent since becoming pregnant (I could tell early on that I was pregnant).  Excitement has carried me through the last few months of pregnancy.  I've done my best to block out the 'what if' ideas and instead think positively about having a healthy baby.  

Back to Thanksgiving.  Preparation in the kitchen kept me busy until about 10AM when I decided to take a nap.  The smell of food cooking woke me up a couple of times, but I fell back asleep unable to get up.  A little before 2PM, I made myself get up even though I still felt tired (I needed to help with the cooking, but it was already all done, hooray!).  After showering and dressing, I tried to set the table, but felt like I was about to faint in addition to palpitations.  My pulse was rapid compared to the usual rate.  I decided to use an electronic blood pressure/heart rate device.  My pulse was on average at 100 which is a high rate for me.  My shoulder blades were also extremely painful (another symptom during the M.I. I had).  Unfortunately I had walked our wild dog the day before and wasn't sure if that was the cause.  When we sat down for dinner at 3PM, I had no appetite.  After dinner, I "retired" to my recliner.  I finally asked my husband to call the on-call cardiologist because I eerily felt similar to the day(s) leading up to my M.I. (heart attack).  Soon I spoke with the on-call cardiologist who told me to record and transmit anything I felt via the iRhythm medical device and assured me that Zio Event Card/IRhythm would contact the cardiologist should something be received that needed immediate attention.  Needless to say, I later found myself at the local emergency room.

Arrival at the ER was a result of using the iRhythm.  I recorded an event later in the evening around 8pm while watching football.  The cause for the recording occurred when I felt a dull, repetitive pain below my left breast.  About an hour later, I phoned iRhythm and transmitted the recording.  I know, I shouldn't have waited.  Unlike previous transmissions, the representative asked me to record another event while they remained on the phone and then transmit the event.  After doing so, I asked why I was instructed to complete the task and was told that the event (that I recorded while watching football an hour earlier) met the criteria to notify the on-call cardiologist.  After waiting about 20 minutes, I called iRhythm back and asked if they had contacted the on-call cardiologist.  The representative stated that they were in the process and that if I wasn't contacted, that would mean the on-call cardiologist deemed the event not an emergency.  Thankful for the fact that I was wearing the Zio Event Card/iRhythm, I asked if it was okay for me to call back if I didn't hear from the on-call cardiologist.  I found it hard to believe that given the fact I had already spoken with the on-call cardiologist, that I wouldn't be contacted.  The representative stated I was welcome to call back.  Fortunately I received a call from the on-call cardiologist about 10-15 minutes later.  I was told that it was a good idea for me to go to the hospital and that the doctor would call ahead of my arrival.  


More on that later.  I'm tired and my husband just handed me a homemade piece of apple pie!  I'm very thankful for every day I have and need to go spend time with the ones I love.

more on the iRhythm monitor

I haven't been wearing the iRhythm monitor since Sunday afternoon.  I got an itchy rash underneath one of the electrode patches.  I'm going to give it a try again today since the area on my stomach where the rash was has dried out.  I've never had a rash before (even when I was going to cardiac rehabilitation and exercising where they monitor you via the use of electrodes) so I hope it was just a fluke occurrence.  

monitor

I'm hooked up to a heart monitor.  I'd been having palpitations earlier this week, so the cardiologist has provided a heart monitor for me to wear for thirty days.  It isn't like the twenty-four hour monitor that I've worn in the past.  With the twenty-four hour monitor, I wore it, recorded palpitations by pressing a button on the device and kept a written diary which included what I was doing at the time of the 'event'.  This thirty day monitor, called a iRhythm (Zio Event Card), is more labor intensive as a patient (which isn't a big deal, just different).  The iRhythm allows the patient to record a total of two events.  After that, the data has to be sent to the company by phoning their toll free number (a land line is mandatory).  After speaking with a representative and verifying your name, date of birth and the last four number from the backside of the Zio Event Card, the device is placed facing up on a flat surface while the phone receiver connected to a land line is held over the telephone icon on the iRhythm device.  Once the telephone is in place, the patient presses send on the iRhythm device.  A series of audible key tones are transmitted (sounding very similar to a facsimile machine) over the land line telephone.  Once the key tones have ended, the patient uses the telephone to continue speaking with a representative who verifies if the data is readable.  One perk to the iRhythm is that the representatives will contact your doctor if the data presents as emergent, whereas the twenty-four hour monitor will be interpreted at a later date.  The iRhythm unit comes with helpful instructions that describe it's usage in more depth.

Dr. Oz: Mehmet C. Oz, M.D.

I've never been a fan of "talk shows", no matter the genre, not to mention the lackluster garbage most television networks produce of late.  Despite my usual lack of interest, the Dr. Oz Show has more than peaked my interest since the initial broadcast in the fall of last year (2009).  I can't get enough of the show.  I find it so adorable that all the women who join Dr. Oz from the audience on stage are so taken with Dr. Oz.  The admiration reminds me of stories I've heard from family about the fanfare that followed Elvis Presley, except instead of teenagers, these are mature women.  Okay, maybe not quite the level of crazed hormonal teenagers, yet it would appear that Dr. Oz, has become, a sex symbol to many.  I digress.  I wish I lived within a reasonable distance to be a patient at New York Presbyterian Hospital, moreover, the Complementary Care Center.  I first learned of the Complementary Care Center in one of the books I am currently enjoying, 'Healing from the Heart' by Mehmet C. Oz, M.D. with Ron Arias and Lisa Oz (1999).  Please take note, this book has a copyright date of 1998.  While the book is now twelve years old, it remains years ahead of Western medicine.  

I bought this book shortly after the myocardial infarction I had two years ago.  I am embarrassed that I only began reading it a couple of weeks ago.  It is an easy read as the saying goes.  I don't know why it took me so long to open; maybe I was scared of the reality.  'Healing from the Heart' is nothing to be frightened of though.  Reading it as a heart attack survivor has brought me comfort.  Every heart attack/disease survivor should read this book.  Dr. Oz isn't just concerned with the mechanics of Western medicine as evident in each chapter.  Factual medical information explaining the "biology of an MI" begins in chapter one, followed by the exploration/comparison of various non-traditional or "complementary medicine" as referenced by the author.  Dr. Oz clearly wishes to treat and benefit patients not only physically, but emotionally as well.  His writing should be required reading for all medical students.  The healing ideas discussed should be heeded by all persons wishing to enter into the medical field, and if not, I myself would never want that person as a physician.  


Please excuse me while I bird-walk over to the topic of health insurance.  It is well past the time that the Western world and insurance companies remain open minded about approaching health as complementary medicine describes - prescription pills and surgeries alone are not the answer.  Perhaps this is why insurance companies continue to deny therapies.  If these therapies were available, they just may heal people to the point that there is no longer the need for a battery of prescription medicine or unnecessary treatment(s)/surgery(s).  Where would the insurance companies be without repeat patients:  having only received traditional medical care, still lacking, universal, whole body and mind care!?  

Personally, I've explored some of the therapies shared in Dr. Oz's book prior to reading it.  While not coming out and labeling the various therapies discussed, it's clear to me that processes such as Reiki are described.  (I'm on page 129, so forgive me if I am wrong.)  When I met with a Reiki practitioner (or energy healer), I felt a tremendous improvement emotionally and physically.  Whether or not this was a placebo effect, what does it matter if overused Western therapies are not proving beneficial?  I honestly don't care if it is in my mind or an actual result of Reiki, I feel better!  I doubt others who experience chronic pain would (having benefited) state, oh no, this might not truly be effective treatment, and return to therapies that produce less satisfactory physical/emotional results.  The same can be said with acupuncture.  I found acupuncture to be very beneficial.  


Again, I fail to understand why insurance companies do not offer coverage for these types of medical therapies (at least mine doesn't).  I can only assume it comes down to their financial situation being more advantageous by having frequent customers.  Since this is the case, I'd like my frequent flyer card issued immediately.  I 'fly' the standard, repetitive, western medicine skies all too much not to receive a freebie or upgrade at some point.  No frequent flyer card available?  Okay, I'd much prefer to have my insurance company cover complementary medical treatments in the end anyway.  It's ridiculous the insurance hoops patients have to jump through to get the health care they desire.  It's a shame in a country that is supposedly so forward thinking.  Dr. Oz is a forward thinker (and that doesn't even give his approach justice).  I could go on about the book, but like many medical situations, suffering a trauma is pretty personal.  Interpretation (by reader) will be individual and personal also.  

If you are cardiac patient or have a loved one who is, don't pass up Dr. Oz's book.  If you want my copy when I'm done, let me know, I'd be happy to pass it along!  If you have television, don't pass up the Dr. Oz Show either, it could positively increase your lifetime.  Incidentally, I'd be irresponsible if I didn't mention talking with your own doctor prior to making changes to your health care.  Everyone is different and your medical providers should always be kept in the know.

New Month

I am so glad June is over, for a variety of reasons.  Various occurrences have kept me mum; I haven't wanted to see/hear the news nor have any contact with people other than those closest to me.  I can't keep my head in the sand forever.  That being said, I am finally 'here'.  

As far as everything medically is concerned, I am still trying to deal with the Medtronic failure situation.  I thought I was getting by okay, however, the actual implant is becoming extremely uncomfortable.  I unfortunately KNOW (chronic) pain, and this isn't pain so much as it is a major annoyance:  the battery continues to protrude more and more from my abdomen.  I feel like Sigourney Weaver from the movie 'Alien' - in my case, I keep waiting for this piece of electronic junk to rip through my skin, out of my stomach.  Dramatic, yes; possible, yes.  I just want it out!  Is this what women in the last days of pregnancy feel like?  Yuck.

I did meet with a new pain specialist doctor who confirmed that the battery has in fact expired.   Previously  my spouse and I traveled 141 miles round trip, to the doctor who implanted the medical device only to find that he couldn't work the monitoring device and opted not to have a Medtronic representative present for my appointment.  The doctor further stated that the other patient had cancelled, so 'he decided not to have the [Medtronic] rep. come in').  Gee, thanks.  Next, he asked me to come back in two days (another 140 miles) following a blatant insult regarding the myocardial infarction I previously suffered.  I have no problem traveling for competent health care, but there was no way I was going back to him.  An office staff member at the new doctor office was able to operate/read the monitoring device.  What a joke that my former doctor couldn't do the same; what a worthless 'pain management' physician.

Decisions, decisions.  I am so sick of hospitals and surgeries.  It could be worse though.  It easily could be worse, and that is what I remind myself every time the 'alien' causes me discomfort or I feel frustrated about the medical device failure.

Medtronic Failure

I feel I would not be a responsible patient if I did not comment regarding the recent failure(s) by Medtronic and the spinal cord stimulator I received in 2008. My spinal cord implant had been an overall happy story until a few weeks ago (less the physician form the get go). I should have listened to my instincts and at least switched to a new physician (I almost cancelled the surgery the day of, even after already receiving the I.V. I began having problems with the medical device (it had protruded); giving me the worst stinging/burning sensation at the implantation site. My 'pain specialist' doctor and Medtronic have not been helpful - they have been the complete opposite. It's as though they consider me an enemy and could care less now that the Medtronic implant is in (though failing). In addition to the shifting of the device, the battery has failed. It hasn't even been two years. I cannot impress upon others considering this life changing event to thoroughly research before going through with the surgery. I was utterly desperate after living with chronic pain for years - I would have done it differently had I known what I am experiencing now. I also had a blood clot form in my heart within three months of my surgery, thus suffering a myocardial infarction, of which I am lucky to be alive.  I am hopeful that my situation stems from an irresponsible physician and Medtronic representative. I truly hope that all who have the devices already implanted have continued success.

Today is the day! April 7th: National Start! Walking Day!!!!!

Wherever you are, sometime before the clock strikes midnight, get out and walk for  thirty minutes today - even twenty minutes if it comes down to squeezing it in while you're at work (on your morning or afternoon break?!).  Start walking for a healthier lifestyle (yup, I stole that last phrase from the American Heart Association website, but it's soooo true and simple).  You have to make the time for yourself.  Your well-being and health are priceless; you'll even feel a little less stressful after going for a thirty minute walk (I can pretty much guarantee it).  The American Heart Association even has a nifty online tracker, if you're like me, and prefer to see your progress in the days and months to come.  There is no time like the present!  I'll be doing the same thing today - I confess, I've slacked off ;-)  Begin the change today.  

More Reasons To Walk, Not Only For Your Heart, But For Your Brain! From HealthDay News

With the American Heart Association's (AHA) National Start! Walking Day fast approaching this Wednesday (just two days away!), read the article below to learn about another great reason to start walking regularly.   Participate in National Start! Walking Day wherever you are this April 7th!  Check out the details here.  When it really comes down to it, all you need is yourself, 30 minutes and a pair of comfortable shoes!!! 

Exercise May Stave Off Mental Decline

Monday,January 11, 2010 (Healthday News)

FRIDAY, Jan. 8 (HealthDay News) -- Exercise appears to help prevent and improve mild cognitive impairment, two new studies show.

Researchers found that people who did moderate physical activity in midlife or later had a reduced risk of mild cognitive impairment and that six months of high-intensity aerobic exercise improved cognitive function in people with mild cognitive impairment.

Mild cognitive impairment is an in-between state between the normal changes in thinking, learning and memory changes that come with age and dementia, one of the studies explained. Up to 15 percent of people with mild cognitive impairment develop dementia each year, compared with 1 percent or 2 percent of the general population.

The first study included 1,324 dementia-free volunteers taking part in the Mayo Clinic Study of Aging. The participants completed a physical exercise questionnaire and were assessed and classified as having normal cognition (1,126) or mild cognitive impairment (198).

Those who said they did moderate exercise -- such as swimming, brisk walking, yoga, aerobics or strength training -- during midlife were 39 percent less likely to have mild cognitive impairment, while those who did moderate exercise later in life were 32 percent less likely to have the condition.

The Mayo team said exercise may guard against mild cognitive impairment through production of nerve-protecting compounds, increased blood flow to the brain, improved development and survival of neurons, and decreased risk of heart and blood vessel diseases.

The second study included 33 adults, average age 70, with mild cognitive impairment. Some were randomly assigned to do high-intensity aerobics for 45 to 60 minutes a day, four days a week. Others were put in a control group that had the same workout schedule, but did stretching exercises and kept their heart rate low.

After six months, the patients who did high-intensity aerobic exercise had improved cognitive function compared to those in the control group. The beneficial effects were more pronounced in women than in men, possibly because the body's use of and production of insulin, glucose and the stress hormone cortisol differed in women and men.

"Aerobic exercise is a cost-effective practice that is associated with numerous physical benefits. The results of this study suggest that exercise also provides a cognitive benefit for some adults with mild cognitive impairment," wrote Laura D. Baker, of the University of Washington School of Medicine and Veterans Affairs Puget Sound Health Care System in Seattle, and colleagues.

The studies appear in the January issue of the Archives of Neurology.

More information

The Alzheimer's Association has more about mild cognitive impairment.

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.

Pay the Rent, Eat or Buy Medicine?

Years ago I recall seeing elderly persons at the pharmacy telling a pharmacist that they weren't taking their medications as prescribed because they couldn't afford to; my heart would go out for them.  Now it seems like everyone, including me, is faced with tough decisions if they find themselves unhealthy.  I've heard the comments from the "naysayers", 'they should have planned better for retirement' (in reference to the elderly who don't have the means to pay for proper medical care.  I don't buy it.  I don't buy how a person can be a warm blooded human being and feel that universal medical care is not a basic human right and need.  

Please visit Hearts for Healthcare to learn more about how the American Heart Association has become involved in making the United States Congress aware of the health care crisis faced by Americans.

Heart patients worry about health costs

WASHINGTON (Reuters) - The monthly mortgage payment is the heaviest expense facing the average U.S. family but for heart patient Frank Amend, an engineer from North Carolina, the biggest cost is healthcare.

That's why Amend and tens of thousands of patients with similar conditions find themselves at the center of debate over how to reform the $2.5 trillion U.S. healthcare sector -- and whether the country can afford it.

Amend, 48, has insurance through his employer but since suffering a heart attack in 2003, his monthly out-of-pocket costs for premiums and medications have grown to consume as much as 20 percent of his wages, and he has become a strong advocate for broad healthcare overhaul.

He says he would like to start his own consulting firm, but can't because the cost of obtaining health insurance for him and his family would be "financial suicide."

A survey of heart patients by the American Heart Association shows that Amend is not alone. Cost of insurance premiums and medication is the top concern of heart patients, said the poll, made available to Reuters before its release on Thursday.

The online survey of 1,105 adults who said they had a heart condition, stroke or high blood pressure showed that 56 percent had trouble paying for prescription drugs or other medical care in the past few years. It was conducted from December 29, 2009 to January 5, 2010.

Stroke patients -- 69 percent -- were most likely to report having trouble paying medical bills.

Almost two thirds of heart patients -- 64 percent -- said making healthcare costs more affordable was a top priority for them.

AHA officials say they hope the survey will help jumpstart the drive for a more comprehensive approach to healthcare reform.

"The problem has not gone away," association president Dr. Clyde Yancy said in an interview.

Nearly 10 percent of heart disease patients eventually file for bankruptcy, said AHA spokeswoman Suzanne Ffolkes.

'ENTITLEMENT EXPANSION'

But a push by President Barack Obama and congressional Democrats to overhaul the sector to rein in costs and expand coverage to the uninsured has stalled in the face of Republican opposition and falling public support, denying Democrats victory on the top legislative priority.

Republicans say it is a mistake to expand the role of government in healthcare and oppose the roughly $1 trillion 10-year cost of expanding health insurance coverage at a time of record budget deficits.

"I don't know how you spend a trillion dollars to create a new entitlement ... That's not really reform, that's entitlement expansion," Representative Dave Camp said in an interview this week. He and other Republicans are pushing for less sweeping legislation that focuses on costs.

COSTS DISCOURAGE PATIENTS

About 46 percent of those who said they had trouble paying medical bills said they had to delay getting needed healthcare and 43 percent said they failed to fill a prescription because of the expense.

"The high cost of healthcare is forcing many of our patients to not take advantage of, or to forego, life-saving treatments and medications," Nancy Brown, chief executive of the Heart Association said in an interview. "They really are making life and death decisions because of the cost of healthcare."

The majority of those surveyed said they had some form of health insurance. About 16 percent of the non-elderly adults surveyed said they had no medical insurance.

Some 46 million people in the United States lack health insurance and many with coverage find it inadequate when it comes to preventive care or when struck by major illness.

"Everyone believes that if you have insurance, there's no issue here," Dr. Yancy said. "There is a big, big problem with the underinsured -- those who have insurance and are still having difficulty receiving care."

The Heart Association and other healthcare advocacy groups are pushing for broad healthcare reform.

The U.S. Senate and House of Representatives have passed sweeping reform measures but efforts to merge the two bills into a single piece of legislation stalled when Democrats lost their "supermajority" of 60 seats in the Senate after a special Massachusetts election last month.

The online survey conducted by research firm Synovate had a margin of error of plus or minus 3 percentage points. It is available at www.americanheart.org/accesstocare.

(Editing by Matthew Bigg, Xavier Briand and Eric Walsh)

Women's Heart Disease Awareness Still Lacking

Women's Heart Disease Awareness Still Lacking

Wednesday, February 10, 2010

More than 40 percent of women don't know it is leading killer, survey finds

WEDNESDAY, Feb. 10 (HealthDay News) -- Despite public awareness campaigns, almost half of all American women still don't know that heart disease is the leading cause of death in women, new research finds.

Even more concerning, only slightly more than half of women would call for emergency help if they were having heart attack symptoms, according to the latest survey for the American Heart Association's Go Red For Women public awareness campaign.

"We've made a lot of progress since 1997 [when the Go Red campaign first began], but we still have a long way to go," said lead researcher Dr. Lori Mosca, director of preventive cardiology at New York-Presbyterian Hospital in New York City.

For example, she said, "Only about half of women knew what heart attack symptoms are."

Results of the study are scheduled to be published in the March issue of Circulation: Cardiovascular Quality and Outcomes.

In 1997, when the survey was first conducted, just 30 percent of women realized that heart disease was the leading cause of death in women. In 2009, that number was 54 percent. However, that number is down slightly from 2006 when 57 percent of women said that heart disease was the biggest threat to their health.

Young women were more likely to believe that breast cancer was their biggest potential health threat. Thirty-four percent of women between the ages of 25 and 34 thought breast cancer was more of a threat than heart disease, compared to 22 percent of women over 65 who felt that way.

Racial disparities still exist, though the racial gap in awareness is narrowing, according to the survey. Just 43 percent of black women and 44 percent of Hispanic women correctly identified heart disease as the leading killer of women. However, those numbers were significantly increased from 1997, when the rates of awareness were 15 percent and 20 percent, respectively.

Other important findings from the new survey include:

• 
  

  Eighty-five percent of women said they had seen, heard or read about heart disease during the past year.

• 
  

  Only 53 percent of women said they would call 911 if they were having heart attack symptoms.

• 
  

  Just over half of women said the biggest barrier to taking preventive steps against heart disease were family and care-taking responsibilities.

Women are taking important preventive steps such as seeing their doctors and having their blood pressure checked. However, many women are relying on unproven strategies to prevent heart disease, as well. For example, 82 percent said they believed that fish oil would help them prevent heart disease, and 29 percent said aromatherapy could be helpful, according to the survey.

"Although there may be some benefit to alternative and complementary therapies, they pale in comparison to turning off the TV and going out for a walk," said Dr. Pamela Marcovitz, medical director of the Ministrelli Women's Heart Center at Beaumont Hospital in Royal Oak, Mich. "When people exercise even moderately most days of the week, they're incredibly more likely to be healthier and live longer."

Both Mosca and Marcovitz said that experts have to find new ways to get the message of heart disease prevention out to more people. Mosca said that having women tell their stories to other women at places like community centers could be helpful. She said it's also important to have information available in Spanish. Marcovitz said that social networking sites may also prove useful for spreading heart health messages.

Both doctors said that if you have chest pain -- and it may not always feel like pain; it could be pressure or a squeezing sensation -- that doesn't go away after a few minutes, you need to call 911. Women also may have more unusual symptoms, such as feeling nauseous or having jaw pain.

"If you're having symptoms, make the phone call," advised Marcovitz. "Take your symptoms seriously. Even if it's not a heart attack, you'll still get the right cardiology work-up."

Mosca echoed that advice. "Most women know something isn't right, but they don't want to bother anyone. We'd rather you called 911, even if it's a false alarm," she said.