Better understanding the brain, the heart, the problems and the solutions

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Better understanding the brain, the heart, the
problems and the solutions
Heart Wise Stroke Savvy
Steven Harrington, MD Wilma Agnello-Dimitrijevic
, MD Cardiothoracic Surgeon Neurologist Heart
Vascular Institute Stroke Center
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Why women should care about heart disease and
stroke

• Heart disease is womens 1 killer
• Stroke is womens 3 killer
• Of the women who die each year, one in three die
  from cardiovascular disease.
• CVD kills more women than the next 5 causes of
  death combined

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What most women dont know

• Coronary heart disease rates in women rise 2-3
  times after menopause
• African Americans are at higher risk than
  Caucasians
• 42 of women die within 1 year of heart
  attackalmost double the statistic for men
• 64 percent of women who died suddenly of heart
  disease had no previous symptoms
• Each year, about 55,000 more women than men have
  a stroke

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Your heart Arteries and veins are the plumbing

• http//www.henryford.com/myhealth/adam/BGuide/fram
  eParent.html

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Cardiovascular diseases

• Coronary artery disease, including angina and
  heart attack
• Heart failure
• High blood pressure and high cholesterol
• Irregular heart rhythms (arrhythmias)
• Heart valve problems
• Peripheral artery disease (PAD)
• Stroke

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What happens during a heart attack?

• Coronary artery becomes blocked, blood cannot get
  through the area and to the heart
• Within about 20 minutes, the heart begins to die.
  When heart tissue dies, it can no longer function
  as it did before.

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Heart Attack Know the signs

• Unusual fatigue or exhaustion
• Chest discomfort pressure, squeezing, fullness
  or pain that is sudden or severe, constant or
  passing
• Other upper-body pain arm, neck, jaw or stomach
  discomfort
• Shortness of breath unable to catch your breath
  for several minutes
• Cold sweat, nausea or
  light-headedness
  (combined
  
  with chest
  pain)

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Are womens symptoms
different than mens?

• In both women and men, most common heart attack
  symptom is chest discomfort
• However, women are more likely than men to
  experience
• Shortness of breath
• Nausea/vomiting
• Back or jaw pain

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Treating heart disease Beyond lifestyle changes
and medication
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Minimally invasive cardiac surgery
Open Surgical Incision daVinci Cardiac Bypass
Incision
http//www.heartlungrobotics.com/dvs-system/proced
ure-multimedia
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Understanding Stroke

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TIA versus stroke

• A Transient Ischemic Attack (TIA), is a "warning
  stroke" or "mini-stroke"
• Produces stroke-like symptoms but no lasting
  damage
• Recognizing and treating TIAs can reduce the risk
  of a major stroke
• About 10 - 15 of patients who have a TIA have a
  stroke within 3 months, with half of these
  strokes occurring within 48 hours after the TIA.

• .

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Most common stroke type can be stopped, if you
act FAST!

• Hemorrhagic stroke occurs with sudden bleeding
  into or around the brain. While less common than
  ischemic strokes, they tend to be more deadly.
• Ischemic stroke occurs when a blood clot forms
  within the cerebral arteries, or when a blood
  clot circulates from another part of the body and
  lodges in the brain
• Compared with the rate of neuron loss in normal
  brain aging, the ischemic brain ages the
  equivalent of 3.6 years for
  every
  hour without treatment
• Only 3-5 reach the ER in time
  to
  receive the needed
  
  brain-saving and life-saving care.

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Stroke types
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Stroke types
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Stroke treatment

• Clot-busting drugs available for appropriate
  ischemic stroke patients, but must be
  administered within the first few hours after of
  the onset of symptoms
• Other treatments available, including MERCI clot
  retriever

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Know the stroke warning signs

• Sudden numbness or weakness of the face, arm or
  leg
• Sudden confusion, trouble speaking or
  understanding
• Sudden trouble seeing in one or both eyes
• Sudden trouble walking, dizziness, loss of
  balance or coordination
• Sudden, severe headache with no known cause
• Signs that may be unique to women
• Sudden face and limb pain, nausea, chest pain,
  shortness of breath or palpitations

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Henry Ford Macomb Hospitals

• Heart Vascular Institute recognized with Top
  100 Cardiovascular Hospital awards in 2007, 2008
  and 2009
• Among nations leaders in heart attack treatment
  (door-to-angioplasty average treatment time of 52
  minutes)
• Stroke centers at both Clinton Township and
  Warren hospitals, with Clinton Township
  designated as a Primary Stroke Center (Warren in
  process of attaining accreditation)
• Clinton Townships stroke program recognized with
  just one other hospital in state as Gold Plus
  Award honoree by
  American Heart Stroke
  Association

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Faces of women and stroke
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• Women are speaking up about the No. 1 and No. 3
  killers of women. The good news is that by taking
  action, we can beat those statistics.
• Taking care of you is the first priority.