An Independent supplement by medIAplAnet to usA todAy
take control be proactive Know your symptoms
living a full life Asking your doctor What is atrial
with angina about angioplasty fibrillation?
Cardiovas in honor oF
a woman’s heart
Photo: Breck MacnaB
How one mother turned a difficult diagnosis
into a heart healthy life for her family
2 · FebruAry 2012 An Independent supplement by medIAplAnet to usA todAy
Innovations in the field of cardiology have changed the
prognosis for many patients.
a heart-to-heart on health Debbie liguori
survivor shares her
tips for managing
ichard Neuman burgers for healthier leaner food
knew something which his wife, Waltraut, makes at pAge 8
was wrong in
1997 when he people live home.He is always aware of how his
body is feeling and his positive atti-
found he was tude is as important to his health
too tired for golf, as his lifestyle changes. Working in
a game he had partnership with his cardiologist
played avidly for 50 years. He and Waltraut, Neuman is enjoying cardiovascular health, fifth
edition, feBruary 2012
visited his doctor and received life,travel,and his golf game.
what once would have been a tion. A new class of drugs called The American College of Cardiol- publisher: elba flamenco
death sentence—a diagnosis David holmes cholesterol ester, which transfer ogy has established CardioSmart. Business Developer: rebecca ramgren
md, FACC, president, American College
of heart failure. Heart failure of Cardiology protein inhibitors, shows great org to help patients and their physi- email@example.com
Designer & editor: ariela anelli
means the heart is unable to promise in treating atheroscle- cians work together to take control firstname.lastname@example.org
pump blood efficiently. Neuman the future of medicine rosis, the thickening of arteries. of their heart health. By visiting managing Director: Justin Guttman
worked in partnership with his Innovations in the field of cardiol- Impressive advances in imaging, CardioSmart.org, patients and
cardiologist on a treatment plan ogy have changed the prognosis for human genomics, and cell therapy those at risk for heart disease contributors: american college of
cardiology, anatoly langer, Bruce
that includes medication and many patients. New treatments are will help to both diagnose and can find information on heart Wilkoff, cardiosmart, david holmes,
lifestyle changes that allowed coming online every day and more treat cardiovascular disease like conditions, risk factors, diet and heart rhythm society, kathy Berra,
Petra canan and Womenheart
him to return to the links and an are on the horizon. In addition, never before. A new heart valve is exercise, and calculate their
active life. heart teams in emergency rooms inserted into the heart through an BMI or track their blood pres- Distributed within:
usa today, february 2012
Neuman isn’t living with heart are improving how they respond artery,offering an option to patients sure to see how they can stay this section was created by
failure alone; an estimated five to heart attacks, and hospitals and who are not healthy enough for in the game. Mediaplanet and did not involve usa
today or its editorial departments.
million people in the U.S. suffer cardiology practices participate in open-heart surgery.
from this condition. He is also registries that help to ensure they The content in this special section was
not alone in successfully manag- offer their patients care based on Working together not reviewed by Dr. Holmes or the ACC.
ing a heart condition that would the best scientific data available. Technology and the best-trained Dr. Holmes and the ACC do not endorse
have killed him a short time ago. These and other advances in cardi- doctors in the world cannot do it any of the advertisers appearing within
In the last decade, there has been ology have combined to create this all. Medicine is at its best when the this special section or the companies men-
a 30 percent reduction in deaths dramatic decrease in deaths from patient is a partner with the phy- tioned in the editorial sections. Dr. Holmes folloW us on faceBook & tWitter!
in the United States due to cardio- heart disease. sician in maintaining health and received no compensation for writing this twitter.com/mediaplanetUsa
vascular disease, including heart This trend is sure to continue, making treatments work. Richard introduction.
mediaplanet’s business is to create new
failure, heart attacks, clogged even as the population ages, with Neuman,now 83 years old,exercises customers for our advertisers by providing
arteries, atrial fibrillation and exciting new therapies and pro- and takes his medicine.He also gave DaviD holmes readers with high quality editorial content
that motivates them to act.
other conditions. cedures that seem like science fic- up his almost daily fast food cheese- email@example.com
4 · FebruAry 2012 A todAy
An Independent supplement by medIAplAnet to usA todAy
Dawn’s story has influenced her to
become an advocate for education and
awareness about heart health.As a national
spokeswoman for WomenHeart: The
National Coalition for Women with Heart
Disease, the country’s only patient centered
organization providing support to women
heart disease survivors, she has found an
outlet to reach other women like herself.
Photo & editorial inset Photo: Breck MacnaB
Question: How can you prevent heart failure?
answer: Learn about your family history and talk to your doctor early on about risk factors and symptoms.
a mother’s intuition
trustinG yourself the doctor take action to prevent lasting changes horseback riding, and Dawn is
any future cardiovascular issues. Today, both are in good health, working towards a master of arts
In the week following the birth
of her daughter, Lily, Dawn
She said the feelings of frustra-
tion and helplessness were “inde-
to seek out sharing their experience and nutri-
tional advice with the whole family.
degree in Integrated Health and
Manogue of Connecticut knew scribable,” as mother and daugh- support. They encourage women to never Dawn recommends open com-
this is a
something wasn’t right. She was ter had to be quarantined during ignore their instincts and seek out munication with your doctor and
having trouble breathing, espe- Lily’s initial recovery. multiple opinions. You know your remaining informed about your
cially lying down, and her symp-
toms were progressing.
“All I focused on was my baby
and I wasn’t going to be well long-term, body best.
“It is really fun to me,” said Lily,
own health and family history.
She insists it was her strong-
Unfortunately, her concerns
were dismissed as new mother’s
enough to take of her,” Dawn said.
emotional now 11. “I like giving out the mes-
sage to take care of your heart.”
willed nature and positive atti-
tude that led to her diagnosis,
anxiety by her doctor, so Dawn recovering together commitment They consider their choles- recovery and subsequent
took charge and went to the emer- With proper treatment,they healed terol and avoid unnatural or lifestyle changes.
gency room. together, staying positive and find- processed foods. Be your own advocate:
Diagnosed with Peripartum ing answers and comfort through “Try to exercise and take “Health is a relationship
Cardiomyopathy, Manogue had a the support organization Women- following diagnosis, one will not care of your body,” Lily sug- with yourself,” she said.
grim prognosis when her three- Heart. recover,” said James D.Fett,MD,who gests. “Listen to your “And it requires work.”
month-old daughter was taken “You need to seek out sup- worked with Dawn on developing intuition.”
in for open heart surgery to repair port. This is a long-term, emo- amothersheart.org. “Many PPCM Lily admires her To learn more, visit
her congenital heart defect. tional commitment to yourself,” mothers continue to improve— mother for speaking womenheart.org.
When a murmur was detected she said. with proper treatment—dur- out and taking care of
during Lily’s checkup, it was “The ‘myth’ about PPCM is that if ing the next six, 12 and 18 their family. She par- - Petra Canan
Dawn’s family history that made one has not recovered by six months to 24 months.” ticipates in sports like firstname.lastname@example.org
An Independent supplement by medIAplAnet to usA todAy FebruAry 2012 · 5
Patient-doctor dialogue crucial to
successFul warFarin treatment
For patients undergoing as atrial fibrillation, deep vein about any new medications, the impor-
treatment with anticoagu- thrombosis, or who have suffered “[patients] need supplements or changes in tance of
keep yoUr Bill
lants to prevent blood clots,
maintaining an open, ongo-
a previous stroke or heart attack.
to see their your condition. m o n i t o r-
ing,” he said. “They also need to
ing relationship with their
physician ensures success-
doctor monitoring your treatment
For some, monitoring their treat-
be educated with respect to prick-
ing their own finger in order to get
ful treatment and peace While a patient is on warfa- regularly.” ment from home is possible by a small amount of blood.”
of mind. rin treatment, their physician pricking their finger to check While taking anticoagu-
needs to routinely check their son they need to be seen at least their PT/INR, called Patient Self- lants, the ACC also recom-
According to the American Col- body’s response with the pro- every month is that the effect of a Testing (PST). Dr. Ezekowitz said mends patients do their best
lege of Cardiology, anticoagulant thrombin time test and Inter- single dose of Coumadin is highly these patients can then submit to prevent injury and should
or warfarin treatments like Cou- national Normalized Ratio variable and that those need to the results to their doctor for wear a medical alert brace-
madin are intended for patients at (PT/INR). be changed from time to time review. let that states they are on
risk for a stroke. “They need to see their doc- depending on the patient’s cir- “These patients are usually blood thinners.
These medications slow the tor regularly, at least every cumstances, which are often not patients that are well informed
process of blood clotting in indi- month, for blood checks,” said predictable.” about their condition, well Petra Canan
viduals with conditions such Dr. Michael Ezekowitz. “The rea- Keep your doctor informed informed about monitoring and email@example.com
6 · FebruAry 2012 An Independent supplement by medIAplAnet to usA todAy
olive oil, Flax
You are not alone
nearly 10 million people in
america have a heart con-
■ types of angina: stable and
unstable unstable last,and how severe is it?
Some of the answers to these
■ make a plan
Sit down with your doctor and
dition called angina, and
around 500,000 more will
There are two major, more com-
mon types of angina; stable and angina could questions will help your doctor
determine what type of angina you
come up with an emergency plan.
Because angina can increase your
develop angina each year. unstable. Each type has different
be a sign of a have and how to treat it. risk for a heart attack, it’s impor-
Angina occurs when your heart
symptoms and will require a dif-
ferent type of treatment. Stable heart attack
■ living with the condition
We know that stable angina is not no one can
does not get enough oxygen,
which results in a tightness,
angina is the most common form.
It occurs when your heart is not get- large meal and then resolving in 5
a heart attack, but it does increase
your risk of having a heart attack. say that living
pressure, burning or pain in the ting enough oxygen. Stable angina minutes with rest or medication. No one can say that living with
with angina is
“easy” but it
chest and/or the neck, jaw, back, can occur with regularity, almost It is a much more dangerous form angina is “easy” but it is possible.
shoulders, or arms. Sometimes in a pattern, giving you the ability of angina. Unstable angina could After a few episodes of angina you’ll
it’s a sense of unusual fatigue or to predict when the discomfort or be a sign that you are having a have a better idea of the pattern,
shortness of breath. The discom- pain will occur, how severe it will heart attack. and a better idea of how to control
fort or pain from angina is often be and what factors will trigger it. ■ helping your doctor it but it doesn’t mean your work is
confused for indigestion. The discomfort or pain will usually help you done. It’s important to continue tant that you, your family and your
Angina is not actually a go away within a few minutes after Doctors can’t predict the future, monitoring any changes that may friends know when and how to
disease; it is a symptom of you’ve rested or taken medication and they certainly cannot feel dis- occur. If your angina symptoms seek medical attention. Help them
coronary artery disease (CAD- prescribed to you. Stable angina comfort or pain for you. In order start to occur more often, last lon- understand the signs and symp-
blockages in the bigger arter- symptoms do not mean that you are to completely understand how to ger, become more severe or don’t toms of a heart attack and how to
ies in the heart) and coronary having a heart attack, but it does diagnose and treat your angina it’s go away with rest or medicine then use the medications your doctor has
microvascular disease (MVD- let you know that you your heart is important for you to track when you your angina may be getting worse, approved. Ensure that you are aware
blockages in the smaller arter- not getting enough oxygen and that have feelings of pain, discomfort, or or becoming unstable. Have your of the nearest hospital that has 24
ies in the heart). This means you need to stop what you are doing, other feelings that you know are angina medicines readily available hour emergency heart care. The most
that the underlying causes of rest and take medication that your your angina symptoms. If you are and know how to take them. Make important thing is to never underes-
angina are a result of blockages doctor prescribed. Unstable angina exercising and begin to feel a short- sure that you are aware of your lim- timate your heart condition. It is dif-
in the arteries of the heart; is very different than this. Unsta- ness of breath or discomfort in your its for physical activity,and don’t go ficult to tell whether you are having a
both the bigger arteries and ble angina is usually much more chest, make a note of it. Determine over those limits. Eliminate stress heart attack or experiencing unstable
the smaller arteries. Research severe, can occur at any time, and exactly what activity you are doing in your life. Of course, that is easier angina. If you have any doubt, call 911
suggests that smoking, high can last for a longer time. It usually that brings on the pain or discom- said than done, but stresses, like immediately.
amounts of fat and choles- does not follow a specific pattern— fort, as well as what relieves it. Tell anger and worrying, can trigger For more information about heart
terol in your blood, high blood such as with exercise or eating a your doctor what it feels like. your angina as well. Always let your disease, you can visit the Preventive
pressure and a high amount of ■■Is it heaviness, or tightness in doctor or nurse know if your usual Cardiovascular Nurses Association’s
sugar in the blood due to dia-
stable angina your chest? angina symptoms are changing website at pcna.net.
is the most
betes or insulin resistance are ■■Does it occur on a regular basis? If in any way. Your doctor may want
all factors that contribute to so,how often? to give you new medications for
blockages in your heart arteries ■■Where are you feeling the dis- angina or you may need some tests Kathy Berra
and symptoms of angina. comfort, how long does it generally to better evaluate your heart. edItorIAl@medIAplAnet.Com
8 · FebruAry 2012 An Independent supplement by medIAplAnet to usA todAy
Question & ansWer
Cardiovascular For angina Patients,
the beat goes on
nurse practitioner For a gooD
Fats, eat nUts
For yoUr Daily
■ What can you tell readers ■■Question: What is the key
about quality of life related to a healthy, active life after
to their angina? being diagnosed with angina,
Individuals often don’t real- a symptom of coronary artery
! ize how a symptomatic disease?
problem like chronic angina can ■■answer: by talking
affect their quality of life. All that openly with your doctor and
said, I think it is important to remaining in control of your
have this discussion—but it is a heart health through diet and staying in toUch
two way street. exercise, angina doesn’t have Debbie liguori: “it is not like an ‘aha moment’, it happens very slowly, when you start to feel like yourself again.”
Healthcare providers need to to limit you. Photo: sPeak froM the heart
ask women and men about how “It is not like an ‘aha moment’,” was always willing to address Dancing for health
they are feeling; are they enjoy- Following her heart attack at age she said. “It happens very slowly, her concerns. After losing eighty pounds, Liguori
ing their life, are there things 53 and subsequent diagnosis with when you start to feel like yourself Beckmann recommended is focused on losing the final 20
that they wish they could be angina, Debbie Liguori of Long again, that’s when you realize you medication, along with diet pounds and continuing to progress
doing that they are not doing Island, NY, struggled to accept her have to start making the changes.It and exercise to control her in her dancing, competing with
now? The answers to these body’s new limitations, especially just has to hit you.” angina and improve her quality her partner, Rodrigue, six to seven
questions can help guide medi- when it came to her passion: ball- of life. Despite her weight clas- times annually.
cal therapies or other interven- room dancing, which she started the doctor-patient sifying her as obese, Liguori Above all, she knows that angina
tions to reduce the symptom three years ago. dialogue had always been active, and does not have to hold her back as
burden—hopefully resulting “I could see how people could get Liguori believes a major com- was glad she could keep danc- long as she remains in control of her
in an improved quality of life. depressed,” she said. “In the very ponent of her success was her ing. health, calling her experience “an
Understand that your health beginning you think that is how open, honest relationship with “You have to find something awakening.”
care provider is there for more you will always be.” Cardiovascular Nurse Practi- you enjoy,” she said. “It can’t be “Be prepared when you see your
than just treating and cor- According to the National Heart tioner Wendy Beckmann who something you are tortured to do.” doctor—write down any questions
recting disease, they really are Lung and Blood Institute, men and or concerns,” Liguori said.“You have
stay in control to stay Well
interested in your life in general women with certain risk factors like to take responsibility, not just sit
and how you are feeling in terms high cholesterol, being overweight ■ Drink plenty of water and ■■ Watch your salt intake and and be told what to do.”
of quality of life, depression and or diabetic are diagnosed equally keep track of it. avoid processed foods. For tools to help you better com-
sleep. All of this knowledge will with coronary artery disease, the ■■ Find a form of exercise you ■■ know the symp- municate with your Cardiovascu-
help guide their care. underlying cause of angina. love and stick with it. toms of a heart lar Healthcare Professional, visit
Once the initial denial subsided, ■■ keep a positive outlook and attack and how SpeakFromTheHeart.com.
Kathy Berra Liguori decided it was time to pay attention to your mental and they differ for men Petra Canan
firstname.lastname@example.org take action. emotional health. and women. email@example.com
net A todAy
An Independent supplement by medIAplAnet to usA todAy FebruAry 2012 · 9
help save a life
cholesterol Sudden Cardiac Arrest (SCA)
try oatmeal occurs when the heart stops
Fast, to help pumping because of a malfunc-
loWer tion in its “electrical system,”
resulting in an immediate halt
of blood flow to the body.Victims
lose consciousness almost at
When atherosclerosis arteries, which carry oxygen-rich how severe your block- once, become unresponsive and
affects the coronary blood to your heart. When ath- ages are, where they’re do not breathe normally (or at all).
arteries, the condition erosclerosis affects the coronary located, and other diseases you concern you. SCA claims more than 300,000
is called coronary artery arteries, the condition is called may have. Angioplasty is often Although angioplasty can lives each year. If someone near
disease (caD) and in coronary artery disease (CAD) and used when there is less severe nar- reduce the symptoms of coronary you experiences SCA take these
this situation a coronary in this situation a coronary angio- rowing or blockage in your arter- artery disease (CAD), it isn’t a cure steps:
angioplasty may be plasty may be required as a way to ies, and when the blockage can be for CAD or the risk factors that ■■Call 911 immediately.
required as a way to restore blood flow to the heart. reached during the procedure. lead to it. Making healthy lifestyle ■■Begin CPR (hands-only CPR
restore blood flow to changes can help treat CAD and appears to be just as effective as
the heart. ■ Who needs coronary angio- ■ What to expect after coro- maintain the good results from CPR that includes breathing).
plasty? nary angioplasty angioplasty. ■■If there is an automated exter-
Angioplasty is a process to re-open When medicines and lifestyle Most people recover from angio- Talk with your doctor about nal defibrillator at the scene, use
or enlarge blood vessels that are changes, such as following a plasty and return to work about your risk factors for CAD and it promptly. Ninety-five percent
closed or occluded. It may involve healthy diet, quitting smoking, one week after being sent home. the lifestyle changes you’ll need of SCA victims die because they
one of several techniques includ- and getting more physical activ- Your doctor will monitor your to make. do not receive defibrillation
ing expanding a small balloon ity,don’t improve your CAD symp- progress after you leave the hos- within four to six minutes.
in the vessel, injecting agents to toms, your doctor will talk to you pital. During the follow up visit, For some people, these changes may Visit HRSonline.org to learn
dissolve clots, or inserting a metal about other treatment options. your doctor will examine you, be the only treatment needed. Visit about the “Apples and Oranges”
device called a stent to keep the These options include angioplasty make changes to your medicines CardioSmart.org for more informa- awareness campaign to help the
vessel open. and coronary artery bypass graft- if needed, do any necessary tests, tion about angioplasty, for tips on public understand risks, symp-
Atherosclerosis is a condition ing (CABG), a type of open-heart and check your overall recovery. how to prepare for your visit with your toms, and treatments for SCA.
in which a material called plaque surgery. Your doctor will take into Use this time to ask questions you cardiologist, and more.
builds up on the inner walls of account a number of factors when may have about activities, medi- heart rhythm soCiety
the arteries. This can happen in recommending the best proce- cines, or lifestyle changes, or to CarDiosmart firstname.lastname@example.org
any artery, including the coronary dure for you.These factors include talk about any other issues that email@example.com
10 · FebruAry 2012 An Independent supplement by medIAplAnet to usA todAy
bruce l. wilkoff
Md, fhrs, ccds; President of the heart rhythm society
Do you feel like there are fish flopping, thunder rumbling or
By the numbers drums pounding in your chest? if so, you may be one of the
■ Atrial fibrillation (AF) is the 2.6 million people in the united states suffering from a
most common heart rhythm serious heart condition called atrial fibrillation.
disturbance and it is estimated
that one in four individuals
aged 40 will develop AF. AF
increases the risk of stroke by
Know your facts about afib
five-fold and accounts for 15-20
percent of all strokes. The risk
of stroke in AF increases with
age: 1.5 percent in 50–59 year
olds and 23.5 percent in 80–89 atrial Fibrillation (aF or afib) years will be diagnosed with normal or changing between failure and more
year olds. The risk of stroke is is characterized by a rapid Afib. Although it increases the fast and slow ■■Thyroid disease
also increased by a number of and irregular heartbeat risk of stroke by 500 percent, ■■Shortness of breath ■■Chronic lung disease
risk factors, such as hyperten- caused when the top cham- many people know very little ■■Heart palpitations (feel- ■■Sleep apnea
sion, diabetes, prior history of bers of the heart (the atria) about Afib and just how seri- ing like your heart is racing, ■■Excessive alcohol or stimu-
a stroke, or history of cardio- quiver (fibrillate) erratically, ous it can be to one’s long-term pounding or fluttering) lant use
sometimes faster than 200
vascular disease. Importantly, health. ■■Trouble with everyday exer- ■■Serious illness or infection
times per minute.
AF is commonly asymptom- To combat this lack of knowl- cises or activities If you think that you are
atic and therefore screening The condition can severely edge, the Heart Rhythm Society ■■Pain, pressure, tightness or experiencing symptoms of or
with an electrocardiogram impact an individual’s qual- has launched a national public discomfort in your chest may be at risk for developing
(ECG) in patients at risk for AF ity of life, causing heart pal- awareness campaign, “A-Fib ■■Dizziness, light headedness Afib, please talk to your physi-
is of critical importance. The pitations, chronic fatigue and Feels Like,” complete with or fainting cian, who can also refer you
optimal way for screening debilitating pain. Effective a public service announce- ■■An increased need to urinate to an electrophysiologist (a
includes the use of ECG devices treatment for AF returns the ment to explain the symp- cardiologist with specialized
that are capable of prolonged heart to a normal rhythm or toms, risks and treatments Although a completely healthy training to treat heart rhythm
or repeated monitoring as the controls the heart rate, and available to, ultimately, help person with no other medical disorders).
patient goes about their usual prevents blood clots and stroke. save lives. problems can develop Afib, the
daily activities. Early detec- There are approximately most common causes and risk For more information about
tion of AF with ECG is the first 160,000 new Afib cases diag- Generally, symptoms of factors include: Afib and the Heart Rhythm
critical step in managing and nosed each year. Moreover, as Afib include: ■■Older than 60 years of age S ociety’s campaign, visit
reducing the risk of stroke. the population ages in the U.S. ■■Feeling over-tired or a lack ■■Diabetes MyAfib.org.
and other countries, projec- of energy (the most common ■■Heart problems, including
anatoly langer tions show that more than 5.6 symptom) high blood pressure, coronary BruCe l. WilKoff
firstname.lastname@example.org million adults in the next 40 ■■Pulse that is faster than heart disease, congestive heart email@example.com