Managers and Heart

1
Managers and Heart
2
Managers as individuals

• Economically better off
• Urban
• Life style differences
• Eating habits
• Exercises
• pollution
• Job stress

3
CV risk factors in general

• Smoking
• DM
• HTN
• High cholesterol
• Overweight
• Family history
• Stress

4
Stress and heart disease

• What is stress?
• Fight or flight hormones cortisol, adrenaline
• Normal response but can be damaging if too much

5
Stress and heart disease

• Stress cannot be measured directly
• Job strain (high work demand and low decision
  latitude) related to higher CV risk factors
• Cholesterol
• TG
• Homocysteine
• Higher smoking
• Systolic blood pressure

6
Stress in office

• Clerical workers have more stress
• Higher BP
• Higher cortisol levels at all times
• Senior executives
• High and low cortisol levels
• Less BP, HR, and cortisol

7
Causes of stress

• Professional
• Work overload
• Unemployement
• Retirement
• Relocation
• perfectionism
• Personal
• Illness/ loss of loved ones/financial/relationship

8
Signs of stress

• Physical headache, sleep disorders, racing
  heart, trembling, wt loss or gain
• Mental constant worry, forgetfulness, mood
  swings, loss of sense of humor
• Emotional anger, anxiety, negative thinking
• Behavioral critical attitude of others,
  impulsive actions, withdrawl from relations,
  alcohol abuse

9
Coping with stress

• Assert yourself honest and upfront
• Exercise regularly
• Control what you can and leave that you cant
• Examine your values and live by them
• Set realistic goals
• Sell yourself to yourself
• Get enough rest
• Eat and drink sensibly
• Stop smoking
• meditation
• Keep positive attitude

10
Depression

• Depression
• Hostility
• Unexpressed anger
• All have higher risk of CV disease

11
Type A personality

• Competitive
• Hostile/Aggressive
• Time pressured
• Have two fold risk of CV disease and 5-fold risk
  of MI

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The bad news

• Stress in the work place is a major factor in the
  development of heart disease and diabetes
• Other CV risk factors are also very prevalent
  among the managers

13
The good news

• Many of the risk factors for heart disease can be
  reversed or improved by life style changes
• Changing the managerial style