CArdiovAsCulAr heAlth

An Independent supplement by medIAplAnet to usA todAy
lifesaving legislation
An untimely death
results in change
A family affair
Implement a
heart-healthy diet
on the run
making fitness
fit into your life
CArdiovAsCulAr heAlth
the complete
Guide
to a healthy
heart
Kim Burrell, three-time Grammy Nominee and
heart attack survivor, divulges the secret to her dramatic
weight loss and what motivates her to stay on track.
When it comes to breakfast, one
good bite deserves another.
Smart Start® Strong Heart
cereal is a great tasting way to
get the vitamins and nutrients your
heart needs to stay strong.
Photo: Lewis Agency
Heart and soul
2 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
ChAlleNGes
February is american heart month, and we hope that you
will take a few moments to focus on your heart and its health.
Change of heart
C
arol
Hyman
Allan was born
during the 1950s
with “Blue Baby
Syndrome,” a
heart defect
which caused a
lack of oxygen in her blood. When
she was a young girl, she remembers that her heart felt like it would
pound out of her chest. She gasped
for air when walking and her hands
and feet would turn blue.
More than 50 years ago,when she
was 15, Carol traveled from Canada
to the U.S.with the strong desire to
be able to do things that others took
for granted. The innovative heart
surgery by Mayo Clinic’s legendary
Dr. John Kirtland was a success.
Carol has not needed any further
surgeries and has thrived.
Carol is happy to share her
story with others. Recently it gave
comfort to a 7-year-old girl,Alli,with
the same condition who was facing
similar struggles. A pen pal friendship formed between Alli and Carol.
The two helped each other—Carol
offering Alli advice and hope; and
Alli reminding Carol of what it’s
like to be young and how some
things change while others seem to
stay the same.
a promising new era
Patients today continue to display
courage and face uncertainty, but
the boundaries of heart care have
changed dramatically in the past
and are poised to expand even more
in the future.A promising new area
is regenerative medicine—growing
new heart muscle from a patient’s
own cells.In the new field of individualized medicine, treatments are
tailored to a patient’s specific body
chemistry and genetics. New minimally invasive surgical techniques
have patients back to their normal
routines sooner and they experience less pain.Integrated prevention programs are enabling people
to proactively identify and modify
their risks. We continue to develop
novel approaches to the treatment
of chest pain and atrial fibrillation. New treatment options are
giving patients with heart failure
new hope.
“patients today
continue to display
courage and face
uncertainty, but the
boundaries of heart
care have changed
dramatically in
the past and are
poised to expand
even more in the
future. ”
charanjit rihal, mD
Chair, division of Cardiovascular
diseases, mayo Clinic, rochester, mn
In spite of these advancements,
we still face big challenges. The
population is becoming older and
the risk of heart disease becomes
greater as we age. Rates of heart
disease and stroke increase sharply
after age 65.Further,while smoking
rates have diminished, there has
been a dramatic increase in obesity
in the U.S.Obesity increases the risk
of heart disease, stroke, high blood
pressure,and diabetes.
Heart disease is the number one
killer in the U.S., and one in three
adults have one or more types of
cardiovascular disease. Unlike
Carol’s case, most heart disease is
preventable. February is American
Heart Month, and we hope that
you will take a few moments
to focus on your heart and
its health. The content in this special section was
not reviewed by Dr. Rihal or Mayo Clinic.
Dr. Rihal and Mayo Clinic do not endorse
any of the advertisers appearing within
this special section or the companies
mentioned in the editorial sections.
Dr. Rihal received no compensation
for writing this introduction.
we recommend
Keeping
kids active
Creative ways to
get kids moving
pAGe 4
Survivor spotlight
p. 10
WomenHeart Champion Ann Hulett
readjusts to life after an attack.
cArdiovAscuLAr heALth
4th edition, FebruAry 2011
managing Director: Jon silverman
jon.silverman@mediaplanet.com
editorial manager: Jackie mcdermott
jackie.mcdermott@mediaplanet.com
responsible for this issue:
publisher: megan brunhofer
megan.brunhofer@mediaplanet.com
Business Developer: luciana Colapinto
luciana.colapinto@mediaplanet.com
Designer: missy Kayko
missy.kayko@mediaplanet.com
contributors: American College of
Cardiology, Kathy berra, Cardiovascular
research Foundation, michelle demeuleHayes, Karen donato, Jeff Galloway,
suzanne Hughes, Avery Hurt, michael m.
Koehler, national Heart lung and blood
Institute, nHlbI/We Can!, dr. Gary s. mintz,
Charanjit rihal, md; dr. mary n. Walsh,
WomenHeart, preventive Cardiovascular
nurses Association; special thanks: Ken,
Jerri, and Khrissi miller; Kim burrell, Krishnar
lewis, Ann Hulett
Distributed within:
usA todAy, February 2011
this section was created by mediaplanet
and did not involve usA todAy or its
editorial departments.
mediaplanet’s business is to create new
customers for our advertisers by providing
readers with high-quality editorial
content that motivates them to act.
When I had heart valve surgery at Mayo Clinic, I was treated like an
individual, not a number. My answer was Mayo Clinic.
Katherine Sperlik, Illinois
Thousands travel to Mayo Clinic each year for treatment, diagnosis, or a second opinion. Mayo Clinic is an in-network provider for millions, and a physician’s referral is typically not required. To request an appointment, visit mayoclinic.org.
PHOENIX/SCOTTSdalE,
arIzONa
rOCHESTEr,
MINNESOTa
jaCkSONvIllE,
flOrIda
820-74_9.75x10.25_bleed_sepia.pdf
1
2/11/11
11:19 AM
C
M
Y
CM
MY
CY
CMY
K
Cardiac research that gets to the
heart of world-class care.
At UPMC, our physicians aren’t just utilizing
the latest treatments for heart failure – they’re
working to find newer and better ones. We have a rich
tradition of clinical research and innovation as one of
the first heart transplant centers in the country and as
developers of one of the first heart-assist devices.
Whether researching gene therapy for coronary
artery disease or novel noninvasive therapies for
heart failure, UPMC physicians consistently are at
the cutting edge, exploring and employing new technologies and treatments for the benefit of patients.
To learn more, visit UPMC.com/PatientCare.
Affiliated with the University of Pittsburgh School of Medicine, UPMC is ranked among the nation’s best hospitals by U.S. News & World Report.
4 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
iNsiGht
on the right trAck
olympian Jeff Galloway
offical training consultant, rundisney
the american heart
association notes that
more vigorous exercises,
like running, are best for
improving fitness of the
heart and lungs, lowering
blood pressure and increasing hDl cholesterol (the
good type), with improvements in heart capacity
and circulation.
Many experts believe that
marathon training may
provide increased protection
from heart attacks and control
over diabetes. Emory Cardiologist Lawrence Sperling notes a
significant pulmonary capacity increase among marathoners over, say, 10K runners. Post-cardiac patients or
those diagnosed with heart
disease used to be told not
to move around very much. Today many are running marathons. Mentally, they are no
longer patients but athletes. Olympian Jeff Galloway
has coached over 300,000
runners to their goals. He is the
official training consultant
for runDisney and a monthly
columnist for Runner’s World
Magazine.
Creative ways to keep your
kids healthy and active
■■ Why is it so crucial to
implement a heart-healthy
diet for children?
It is important for children to have
a heart-healthy diet for many
reasons. Eating heart-healthy foods
in appropriate portions provides
children with the nutrients they
need to grow up healthy without
gaining excess weight. This kind
of eating plan also helps children
maintain a healthy weight while
controlling blood pressure and
cholesterol levels, which is especially important since the buildup of plaque in arteries begins in
childhood. Children also learn to
choose these foods when they are
away from home and in environments where all kinds of options
are available to them.
■■ What are the risks for
obese children?
Obesity in childhood can add up
to health problems, often for life.
Research has shown that obese
children are at a high risk of becoming overweight or obese adults,
meaning that they are also at
greater risk for developing adultassociated health problems,such as
heart disease, type 2 diabetes, high
blood pressure,certain cancers,and
other chronic conditions.
Heart-healthy lifestyle habits, such
as eating healthy, being physically
active, and reducing screen time,
can help children maintain a
healthy weight,and lower their risk
of developing these conditions later
in life.
■■ What are the components
of a heart healthy-diet
for children?
The components of a heart-healthy
diet for children are similar to those
for adults, and include a variety of
fruits and vegetables, whole-grain
1
tip
heart health
iS a liFeloNG
purSuit
PHOTO: AmericAn HeArT AssOciATiOn
Karen Donato, S.m.
Coordinator of
overweight and
obesity research
Applications
national Heart, lung,
and blood Institute
breads and cereals,low-fat milk and
milk products, and beans, fish, and
lean meats. To keep heart-healthy,
children should also avoid foods
that are high in saturated fat, trans
fat, and cholesterol, such as French
fries, cookies, sweet rolls, and
hamburgers.
■■ What can parents do to
make a heart-healthy diet fun
for their kids?
Getting children on board with
healthy eating can be a bit of a challenge, especially if your child is
a picky eater; however, there are
ways to make healthy eating fun
for kids. Children are more likely
to eat food that they help prepare
themselves,so involving kids in the
preparation of food (from making
the shopping list, to going to the
grocery store, and even slicing,
mixing, baking, or cooking the
food) is a great way to entertain and
educate them on healthy eating.
Another thing parents can
do to make healthy eating fun
is to constantly introduce new
foods. Instead of cutting up an
everyday apple, try serving sliced
avocado or sliced kiwi; and in
place of carrot sticks, try sliced bell
peppers or cucumbers for a different type of color and crunch. Finally, another great way to
make healthy food fun is to make it
active and visually appealing. Cut
food into bite size pieces–like baked
chicken–and let kids “dip” these
pieces into a variety of dunking
sauces (hummus, low-fat ranch
dressing, mustard, etc.); cut sandwiches into fun shapes; or supply
your kids with ingredients to
“build” their own taco or pizza. ■■ What are some creative
ways to get children to
be active?
The 2008 Physical Activity Guidelines for Americans recommend that children and teens be
physically active for at least 60
minutes on most, if not all, days.
For many youth and parents, 60
minutes of daily physical activity
may seem daunting, if not impossible. However,not all physical activity has to be time spent in the gym
or on a sports team.
There are plenty of fun and creative ways to be active throughout the day. One of the best ways
to get children active is to lead by
example. Instead of settling in on
the sofa after dinner, encourage
your family to play tag, kick-ball, or
even a pick-up game of basketball in
the backyard or at a local park.
If the weather is not cooperating,
play hide-and-go-seek in the house,
turn up the stereo and have a “dance
party” to your kids’ favorite tunes,
or introduce your family to a new
activity—set up towels in the living
room and try a family yoga night.
We Can! is a program of the National
Institutes of Health. It is administrated by the National Heart, Lung, and
Blood Institute, in collaboration with the
National Institute of Diabetes and Digestive and Kidney Diseases, the Eunice
Kennedy Shriver National Institute of
Child Health and Human Development,
and the National Cancer Institute.
We Can!, and its logo are trademarks of HHS.We Can!® is a national awareness campaign about maintaining a healthy weight for children sponsored by the National Heart, Lung, and Blood Institute, part of the
National Institutes of Health,U.S.Department of Health and Human Services.Participation by HHS/NIH/NHLBI and its spokespeople does not imply endorsement of any commercial sponsors of this supplement.
You Can runDisney Too!
Olympian Jeff Galloway,
When You Run Disney
Every Mile Is Magic
the official runDisney
training consultant, has
developed a simple and
proven training method
to make the magic of
Disney marathons and
half marathons a possibility
for almost everyone.
Visit runDisney.com/Galloway
to find training programs
and videos or a training
group near you.
Upcoming Events:
Disneyland® Half Marathon
Weekend
Sept. 2 - 4, 2011
Disney Wine & Dine Half
Marathon Weekend
Sept. 30 - Oct. 1, 2011
Walt Disney World® Marathon
Weekend presented by CIGNA
Jan. 5 - 8, 2012
Disney’s Princess Half
Marathon Weekend
Feb. 24 - 26, 2012
Register at runDisney.com
© Disney
6 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
iNsiGht
start heart-healthy eating early to stay healthy later in life
home is where the heart is,
and implementing a hearthealthy diet for your kids
starts at home.
Obesity rates in children have
risen steadily over the past few
decades and have leveled off only
recently. Nearly one in three
U.S. children is overweight or
obese, and many of them face
heart disease later in life. A key
to preventing cardiovascular
disease is controlling modifiable
risk factors. Children develop
their food preferences early in
life; good nutrition beginning in
childhood can set the stage for
lifelong healthy eating.
A diet designed for kids should
follow the same principles as
a heart-healthy diet for adults,
but in age-appropriate portions.
It is rich in fruits, vegetables,
low-fat dairy and lean protein
with only moderate fat intake.
Fruits and vegetables provide
abundant amounts of vitamins,
especially vitamins A and C, both
important antioxidants that can
stave off cell damage responsible
for dangerous fatty build-up and
inflammation of the arteries.
Low-fat dairy should be offered
to promote adequate amounts
of calcium and vitamin D. Lean
proteins such as legumes, fish,
and chicken should be offered.
Fish should be included; its
Omega 3 fatty acids are believed
to promote the formation of
good cholesterol, while reducing
the levels of bad cholesterol.
Children mirror parental
behaviors so parental adhe-
rence to a heart-healthy diet is
essential in establishing lifelong
healthy eating habits in their
children. Following these simple
dietary rules can help pave the
way toward a healthy heart for
everyone in the family.
Demeule-Hayes manages the Center
for Pediatric Weight Management and
Healthy Living at Mt. Washington
Pediatric Hospital, owned and operated
by Johns Hopkins and the University
of Maryland.
VeGetaBleS. you need 2 ½ cups
of vegetables a day. Dark green and
orange are smart choices.
GraiNS. you need 6 ounces a day;
make at least half of your servings
whole grain and low in sugar.
Dairy. 3 cups are needed each day;
Fat-free and low-fat choices are best.
meat aND BeaNS. eating 5 ½ oz. a
day will provide needed protein,
vitamins, and minerals.
michelle Demeule
-hayes, mS, rD, lDN
manager, Center
for pediatric Weight
management and
Healthy living, mt.
Washington pediatric
Hospital, Inc.
reAd more
FruitS. 2 cups of fruit are recommended each day. one cup is about the size of a baseball.
PHOTOs: cOurTesy Of nATiOnAl HeArT lung And blOOd insTiTuTe/we cAn!
We Put a Lot of Heart
in Every Batch.
Dietary fiber from whole grains, as part of an overall healthy diet,
helps reduce cholesterol levels and may lower risk of heart disease.
– American Heart Association
20g
Up to
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Dietary
Fiber
Go with the snacks that offer more of what’s good for you—like plenty
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PHOTOgrAPHed by
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PAid fOr by AdVerTisers
8 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
NeWs
2
on the
run
tip
Kathy Berra,
mSN, Np
Preventive
cardiovascular
nurses Association
cut the Salt!
Finding the time to fit exercise
into your daily routine can be a
challenge. There is a long list of
excuses to skip the gym: Your
children demand all of your attention,your career is all-consuming,
you have too little time, or not
enough energy. And the list goes
on…
While there are a million
reasons not to exercise, there is
one reason that you should: Your
heart.TheAmerican HeartAssociation has determined that regular
exercise can help prevent heart
attack and stroke—the number
one killer of both men and women
worldwide.
So what are you waiting for? It’s
time to get up and move. Incorporate exercise into your daily
activities—take a brisk walk
around your office,be an “aerobic
shopper,” take the stairs instead
of the elevator, park just a little
further away from the bank or the
hairdresser and “take a walk.”
Quick tips to stay on
track:
■ Wearing a pedometer—work
up to 10,000 steps a day
■■Keeping a calendar of your
“bouts of exercise.” Ten minutes,
three times a day equals 30
minutes a day.
■■Walking with a family
member or a neighborhood friend
■■Listening to your favorite
music while you do your chores
■■Rewarding yourself when you
accomplish your goals
■■Exercising when it works best
for you.
Start slowly (check with your
doctor if you have heart disease
or any other health concerns),
choose an activity that you like,
and have FUN.
PHOTOs: THe AmericAn HeArT AssOcATiOn
Fitting exercise
into a busy schedule
eat your heart out
implementing a healthyheart diet is a family affair.
As you are planning meals for your
family, it’s important to keep in
mind that making healthy food
choices is just as much about
what you don’t eat as what you
do eat!
The connection between diet
and heart disease is related to the
impact of the foods we eat on blood
pressure, cholesterol, diabetes
risk, and weight—all proven risk
factors for heart disease.
tips to make meals count:
■■consume nutritionally dense
foods.
■■Fill half your plate with
fruits and vegetables, ¼ with lean
protein,and the remaining ¼ with
whole grain carbohydrates. Fruits
and veggies are not only satisfying and low in calories; they
contain powerful disease-fighting
nutrients.
■■avoid empty calories.
Substituting skim milk or water
for sugary soft drinks and juices is
an easy way to cut calories.
■■Balance your calories with
your energy expended to achieve
and maintain an ideal weight.
Physically inactive adults require
200-300 calories less per day than
active adults. When you splurge a
little, ramp up the exercise!
“balance your
calories with
your energy
expended to
achieve and
maintain an
ideal weight.”
tiPs For smArt snAcking
a quick mid-morning or
afternoon snack is a great way
to boost your energy level and to
curb those “super-munchies” that
can result in over-eating and binging at mealtime. but choose those
snacks (and portion sizes) carefully. it is easy to eat mindlessly,
especially in front of a tv or computer screen! Aim for a nutritio-
nally dense snack of 100 calories
or less:
■■ 2 tablespoons of (unsalted)
nuts
■■ reduced-fat yogurt or low-fat
cheese (two 1inch cubes)
■■ A cup of sliced bananas and
fresh raspberries
■■ 2 cups of carrots
Suzanne hughes mSN rN
preventive Cardiovascular
nurses Association
■■ Give the nutty flavor of
whole wheat pasta a try! When
choosing breads, pasta, or cereal,
choose whole grain rather than
refined grain products.
■■in combination with other
elements of a heart-healthy
diet, dairy products (2-3 servings
daily) can help to lower blood
pressure. Opt for the low-fat,
or no-fat choices, as higher fat
products pack on the calories.
■■the american heart association recommends at least
2 servings weekly of fish- ideally
oily fish that is high in omega-3
fatty acids, like salmon or trout.
■■tomatoes and tomato
products have a protective effect
against cardiovascular disease.
They are rich in lycopene, a
powerful antioxidant, and are also
a significant source of potassium
■■cut the salt! Nearly 70
percent of our salt intake is
hidden in prepared foods. Be a
label reader. Most adults should
have less than 1500 mg of sodium
per day.
■■limit portion sizes and
second helpings. Above all, moderation in all things.
Compromise elsewhere
Your heart’s health is no place to cut corners.
© 2011 Boar’s Head
Provisons Co., Inc.
Dozens of heart-healthy deli meats certified
by the American Heart Association.
™
boarshead.com
10 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
iNspirAtioN
3
survivor
sPotLight
heart attack
survivor,
ann hulett,
volunteers her time
to educate others.
tip
coNSult your
phySiciaN
high tech with heart
Ann Hulett went in for what
she thought was a routine
stress test. “Three minutes into
the test, they pulled me off the
machine,” Hulett recalls.A catheterization revealed six blockages
and her surgeon discovered that
she had already had four undetected heart attacks.
Hulett had no idea she had
heart disease, but looking back
she realizes that she should have.
Like many women, she didn’t
recognize her symptoms as
signs of heart trouble.“I had been
extremely tired,” she recalls,“and
didn’t feel like going to visit my
grandson. I was constantly out of
breath.”
After her bypass surgery,Hulett
went online to womenheart.org.
It was there she learned about
the Implantable Cardioverter
Defibrillator (ICD), a device that
continually monitors and adjusts
heart rhythms. She printed the
information and took it to her
doctor, who agreed that Hulett
was a good candidate for an ICD.
Two weeks later, she had one
implanted. The improvement
was immediate.“When I woke up
I said,‘Oh my god,why didn’t they
do this to me earlier? This is the
best thing since peanut butter
and jelly.’”
“I’m lucky to have been born
in this time,” reflects Hulett.
“Ten or 15 years ago the technology wasn’t there to give me this
quality of life.” Now that she has
more energy and can manage
the stairs to her third-floor
apartment, she can walk to her
mailbox each day and gets to visit
her grandson more often.
Avery Hurt
editorial@mediaplanet.com
committeD to chaNGe
After three heart attacks by the age of 37, kim burrell
knew it was time for a change.
beFore: kim before a 106 lb. transformation.
beFore
PHOTO: lewis Agency, (bOTTOm rigHT) geTTy imAges
the power of love: A heartto-heart with Kim Burrell
■■Question: When it comes
down to it, what motivates a
person to stay healthy?
■■answer: sometimes, it
is love.
LeAder to LeAder
Kim Burrell has long inspired
others with her gospel/jazz singing.
Now she is also inspiring us with
the story of how she survived three
heart attacks and changed her life
for the better.
Burrell’s first thought when
she was told that she had had
three heart attacks, was, “It finally
happened.” Her stressful lifestyle,
unhealthy diet, and high weight
may have made it inevitable that
she would eventually have heart
problems.She just didn’t expect it to
happen so young—she was only 37.
undetected heart attacks
When Burrell’s sister,who happens
to be a nurse, insisted that Burrell
see her family doctor before
leaving for a seven-city tour,Burrell
resisted. She felt fine; there was no
reason to take time for a check-up.
She did eventually agree to go and
that’s when her doctor informed
her that she’d already had three
undetected heart attacks. A change
in lifestyle, especially diet, was
Burrell’s only hope of avoiding
invasive procedures and possibly
death. “My doctor told me, ‘Do this
to save your life,’” says Burrell. Like
everything else she does, Burrell
approached her new lifestyle with
commitment. Using a combination of portion control (she now
eats only a cup of nutritious food at
any one sitting) and self-discipline
techniques,such as putting her fork
down between bites, she has lost
106 pounds so far.
”it became about him”
Staying motivated, especially while
living such a busy life (Burrell typically maintains a notoriously heavy
touring schedule), is not always
easy. When I asked how she stays
motivated, Burrell paused for a
moment and then her legendary
voice became low and soft and
serious. “I have one son, now eightyears-old.It occurred to me that it is
not possible for him to love anyone
more than he loves his mother.
Another person could care for him,
but no one could replace me in his
life. At that point it stopped being
about me and became about him.”
Of course you don’t have to have
small children to find the motivation necessary to change your life
to protect your health. Burrell is
convinced that you can do it for yourself.“Life is worth meeting the entire
you,finding out all that you are made
of. When you debilitate yourself in
anyway,you disconnect from all that
you could ever be,” she says. “Yet if
you spend the energy you previously
spent on unhealthy habits and put
that same energy into healthy ones,
you’ll be amazed at how everything
in your life can change.”
How have things changed for
Burrell? “I was extremely confident
even at my biggest weight,” she
explains, “but I didn’t know life as
I know it now until this happened
to me. Find a way to love yourself so
that you can make the changes you
need to take care of yourself.”
Avery Hurt
editorial@mediaplanet.com
459111-VW-ADS-LAY:459111-USATODAY
2/14/11
11:23 AM
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12 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
iNspirAtioN
QuestionnAire
Dr. Gary S. mintz
chief medical
officer, cardiovascular research
Foundation
■■I remember during my
training that when patients
came in having a heart attack,the
best that we could do was prescribe bed rest (for three weeks!),
morphine, and oxygen. Then
came the remarkable development of balloon angioplasty, in
which a balloon is inserted into
a narrowed artery to open it and
clear the blockage. That technology emerged into the use of tiny
metal stents, which prop open
the vessel and allow blood to flow
into the heart. The next generation of stents will be made of
materials that are broken down
and absorbed into the body once
they have fully performed their
function.
Intervening in heart attacks in
this way, along with enhanced
public awareness of heart disease,
has unquestionably saved lives.In
1975,the rate of death from a heart
attack was almost 25 percent. By
2005, it had been reduced to five
percent.
What is aortic valve
stenosis and how has the
treatment for it advanced?
■■With age, heart valves (which
allow blood to travel in and out of
the heart) deteriorate or otherwise fail to perform. Once symptomatic, patients with aortic
stenosis (narrowing of the aortic
valve) have a predictable mortality rate and are referred for valve
replacement if they are surgical
candidates. Researchers recently
revealed that a replacement heart
valve that is inserted for patients
who could not undergo open heart
surgery resulted in a 20 percent
lower rate of death compared to
the standard medical therapies.
That translates to survival of one
in five patients who otherwise
PHOTOs: THe miller fAmily
how has the standard of
care changed for people
having a heart attack? happier timeS
left: Ken miller with
young Josh and daughter, Khrissi. right:
Josh rings in the holidays with his family.
PHOTOs: THe miller fAmily
Never again: legislation
to stop needless deaths
■■Question: What happens
when a child’s death touches
the entire community?
■■answer: In Josh miller’s
case, political action.
“Josh’s death
didn’t just break
the hearts of his
family, it broke
the hearts of his
community.”
chAnge
Josh Miller was a straight-A
student taking advanced classes,
an active 15-year old middle linebacker on the Barberton, Ohio
football team who also loved
wrestling. While walking off
the field after the final game of
the 2000 football season, Josh
suddenly collapsed. By the time
paramedics arrived, it was too
late. He died at the stadium of
sudden cardiac arrest. Josh’s dad,
Ken Miller, recalls the feeling of
helplessness as he and his family
suPPort the eFFort
contact information:
■■ readers who might like to
support the effort can contact:
■■ parent heart Watch
tel: 800-717-5828 ext. 3
fax: 888-669-4924
www.parentheartwatch.org
congresswoman Betty Sutton
and friends waited for the ambulance, unable to do anything to
save his son.
But there is something that
could have been done. This
tragedy and all too many others
like it could have been avoided
had the school owned an automated external defibrillator
(AED). For victims of Sudden
Cardiac Arrest, AEDs can greatly
increase the odds of survival by
restoring normal heart rhythm
before emergency crews arrive—
something Ken Miller discovered
can take too long. “You lose a ten
percent chance of survival for
every ten minutes you wait for the
ambulance,” says Miller. Accor-
Josh miller
straight-A student and athlete
collapsed on the
sports field. his
death prompted
sutton to take
political action.
ding to the American Heart Association, only about 8 percent of
victims of Sudden Cardiac Arrest
survive, yet communities with
comprehensive AED programs
have achieved survival rates of 40
percent or higher.
Congressional representative Betty Sutton, representative
from Josh’s district and a native of
Josh’s hometown, has introduced
the Josh Miller HEARTS Act, legis-
lation that would provide schools
with grants to purchase AEDs
and provide AED/CPR training to
make sure people know how to
use them. Similar legislation was
passed in Ohio a few years after
Josh’s death. Sutton would like to
offer the program to all schools
across the country.The legislation
passed unanimously in both the
110th and 111th Congress, but has
so far failed to get any action in the
senate, explains Sutton. But she
doesn’t plan to give up. She will
soon reintroduce the popular bill.
“Every year that passes [without
passage of this bill] more kids will
not have help available when they
need it,” Sutton says.
“Josh’s death didn’t just break
the hearts of his family, it broke
the hearts of his community
as well,” says Sutton. The AED
program is a one-time expense
that can save lives and prevent
more broken hearts. To get
involved and support this legislation, contact Representative
Sutton’s office at 866-317-9980.
Avery Hurt
editorial@mediaplanet.com
HeartSine
JOB: #06.11.04 #11048
AD SIZE = 9.75” x 10.25”
Helping keep the flames alive of
those we’ve lost and those we shouldn’t.
www.heartsine.com
1-866-478-7463
14 · FebruAry 2011
An Independent supplement by medIAplAnet to usA todAy
iNsiGht
signs and symptoms: Follow your heart
■■Palpitations or irregular pulse
■■Fainting or fatigue
it’s important to be honest
Your doctor will ask you about symptoms and examine you to look for
signs. It’s important to be honest
with your doctor about any changes
symptoms are what you may expe- in your ability to do regular activirience. The more you know and ties like yard work, vacuuming, or
report about your symptoms, the exercising. Any symptoms suggesmore informed your doctor will ting that you have slowed down and
be about your risks. Here are some can’t keep up your usual pace are
examples:
important to report.
Signs of possible heart disease AnginA
■■Swelling of the legs or abdomen ■■Heart murmur
A symptom of coronary artery
■■Abnormal sounds over arteries disease is angina, which is chest
■■Decreased pulses pain or discomfort that occurs when
Symptoms of possible
the heart is not receiving enough
oxygen. AnginaS:9.75”
may feel like presheart disease
sure in the chest. It is classified into
■■Chest pain or pressure
two types: stable and unstable.
■■Shortness of breath
Knowing your risks for heart
disease is the best way to get the most
out of your visit with your doctor.
Some important risks include:
family history of heart disease, high
blood pressure, smoking, abnormal
cholesterol, diabetes, and obesity.
These risks can be monitored by
you and your doctor. Knowing your
numbers is a great way to stay heart
healthy. Use CardioSmart’s online
tools to measure BMI and blood
pressure and to keep track of your
diet and exercise routines between
visits with your doctor. Bring this
information with you when you see
your doctor.Armed with data on your
progress, you and your doctor can
make more informed decisions.
Being CardioSmart is about empowering you to work with your doctor
in managing your care to assure the
best possible outcome.The ultimate
judgment regarding your care must
be made by you and your doctor
together, in light of the circumstances and information that is
specific to you.
Stable angina occurs when the
heart is working harder than usual
(i.e. during physical activity or
emotional stress). This can be relieved
with rest and medications. Unstable
angina is not predictable,can occur at
rest,and requires immediate medical
attention.
Talk to your doctor if you have
angina. A variety of medications
are available to treat angina. Other
important steps to keeping angina
at bay are smoking cessation, diet,
and exercise.
MANUFACTURER COUPON
CUPÓN DEL FABRICANTE
056806
$2.00
EXPIRES: 3/31/11
VENCE: 31/3/11
OFF
056806
Dr. mary
N. Walsh
spokesperson for
the American
college of
cardiology’s
cardiosmart
national care
initiative
ONE Metamucil® product
de descuento al comprar
UN producto Metamucil®
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Metamucil® with Psyllium helps lower
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*Diets low in saturated fat and cholesterol that include 7 grams of soluble fiber
per day from psyllium husk, as in Metamucil, may reduce the risk of heart disease
by lowering cholesterol. One adult dose of Metamucil has at least 2.1 grams of
this soluble fiber. Use as directed.
†These statements have not been evaluated by the Food and Drug Administration.
This product is not intended to diagnose, treat, cure, or prevent any disease.
© Procter & Gamble, Inc. 2011 GCOU10244
CONSUMIDOR: LÍMITE DE UN CUPÓN POR COMPRA
de los productos y cantidades especificados. LÍMITE
DE 4 CUPONES SIMILARES en la misma compra.
No se autorizan los cupones si los productos se
compran para reventa. Nulo si se transfiere, vende,
subasta, reproduce o altera antes de redimirlo en
tienda. Cualquier otro uso constituye fraude. Puede
que pague impuestos de venta. No lo envíe a Procter
& Gamble.
DEALER: Sending to Procter & Gamble
2150 Sunnybrook Drive, Cincinnati, OH 45237
signifies compliance with “Requirements for Proper
Coupon Redemption.” Copy available by
writing to the above address. Cash Value 1/100 of 1¢
Procter & Gamble 110225 © Procter & Gamble, Inc. 2011
3
NO PURCHASE NECESSARY. Void where prohibited
37000 63182
Visit our website to learn more:
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CONSUMER: LIMIT ONE COUPON PER PURCHASE
of products and quantities stated. LIMIT OF 4
LIKE COUPONS in same shopping trip. Coupons
not authorized if purchasing products for resale. Void
if transferred, sold, auctioned, reproduced or altered
from original. Any other use constitutes fraud. You may
pay sales tax. Do not send to Procter & Gamble.
5
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** Metamucil wafers and Clear & Natural do not provide
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0037000-056806
B
eing an active participant in your
own healthcare is
the best way to be
proactive in your
fight against cardiovascular disease.
By taking a hands-on approach to
monitoring your signs and symptoms you will not only be more heart
smart but also know what questions
to ask your doctor. The American
College of Cardiology has launched
a patient-centered campaign called
CardioSmart to engage people to
play an active role in their own heart
health and empower them to make
better, healthier lifestyle choices.
Knowing the signs of heart disease
and your own symptoms are critical.
There is a subtle difference
between signs and symptoms.Signs
are what a doctor observes, while
“Tell your cardiologist exactly how you’re feeling.
Don’t hold anything back.”
Donnette, angina patient
If you have been limiting your work or your
activities because of your chronic angina,
be sure to talk about it with your cardiologist.
Your cardiologist
is listening
www.SpeakFromTheHeart.com
Tips, information, and more from real angina
patients Donnette, Ralph, and Claudia.
Claudia, angina patient
Ralph, angina patient
A17932_1b_SFTH.indd
01.24.11
Speak From the Heart is a trademark, and the Speak From the Heart logo
is a registered trademark, of Gilead Sciences, Inc.
© 2011 Gilead Sciences, Inc. All rights reserved. UN7952 1/11
A17932x01C_240ucr.tif
A17932x02B_240ucr.tif
Giant Creative Strategy
Speak from the
heart about
your angina
Advertisement
The day my life changed forever
Emergency Response Team (ERT) uses Philips HeartStart AED
to save co-worker’s life
W
hen Catherine Rochford, RN, a clinical
research specialist for Philips Healthcare,
heard her beeper go off. “I was sitting in
a product development meeting when I received a
page notifying me that a colleague was in distress,”
recalls Kate. A veteran member of the Philips Andover
Emergency Response Team (ERT), Kate says the
majority of the company’s medical calls are not lifethreatening issues. “I saw that the victim was in another
building so I took off running.”
“I don’t remember anything between the time I toweled off
in the locker room and when I woke up in a hospital bed 24
hours later.” Joe continues, “When the cardiologist came
in and explained that I had suffered Sudden Cardiac Arrest
(SCA) due to a plaque rupture in one of my arteries,
I was shocked. I never imagined I’d be a candidate for
something like this. Then he told me that I was one of the
few who survive with virtually no heart or brain damage.
At that point, I realized how fortunate I was to have had
the Philips ERT team and AED by my side that day.”
As Kate approached the scene, she saw a man lying
on the floor. “As I got closer I saw that the gentleman
was blue, unconscious and not breathing. We started
CPR and within seconds an ERT member arrived with
a Philips HeartStart AED. We quickly applied the AED
pads to the patient’s chest. At that point, the AED went
into analyze mode and indicated ‘shock advised’.”
Seth Bilazarian, MD., FACC, Clinical & Intervention
Cardiologist, Pentucket Medical Center, Haverhill, Mass.,
met Joe at the ER that afternoon. “The fact that he was
able to be resuscitated was thanks in large part to his
prompt defibrillation. That was really the difference
in this particular patient from most patients who have
Sudden Cardiac Death.”
The AED shock button was pressed and a shock was
delivered. “We then resumed CPR for two minutes.
The AED went into analyze mode again and that’s when
we could see a rhythm and feel a pulse,” says Kate. “The
AED indicated ‘no shock advised’. Our patient was still
unresponsive, but his heart was beating and he was
breathing on his own. The paramedics arrived a few
minutes later and loaded him into the ambulance.”
Kate agrees. “Joe was in great shape. To look at him you
would never suspect that he had any cardiac issues. He’s
walking proof that SCA can strike anyone at anytime,
that AEDs save lives, and that ERT programs work.”
The victim was Joe Moscato, a technical writer with Philips
Healthcare. “I had just finished my regular two-hour
workout at our company’s onsite gym,” recalls Joe.
Will you be prepared when sudden
cardiac arrest strikes?
Know the facts.
Fact: Each year, approximately 300,000 people
in the U.S. die from sudden cardiac arrest (SCA).
Fact: The risk of sudden death is highest soon
after a heart attack, yet SCA is often the first
sign of heart disease. In fact, 50% of males and
64% of females who experience SCA report no
prior symptoms of heart disease.
Fact: With every minute that passes without
a shock to the heart, an SCA victim’s chance of
survival decreases by 7-10%. After 10 minutes,
very few SCA victims survive.
Early Defibrillation Helps Save Lives.
As for Joe, he just celebrated his first year anniversary
as an SCA survivor. “I didn’t know how I’d feel when
July 22 rolled around this year. As it turned out, it was
just another ordinary day. I went through my normal
routine, including my two-hour workout at the gym.
And then I sent a one-year anniversary thank you note
to the members of Philips ERT. It was a good day.”
To learn more about AED programs, go to: www.philips.com/communities
To learn more about AEDs, go to: www.heartstarthome.com or call 1-800-453-6860
1 American Heart Association. 2010 Heart and Stroke Statistical Update. Dallas, Texas: American Heart Association, 2010, pg e13.
2 Occupational Safety and Health Association (OSHA). www.osha.gov/dts/tib/tib_data/tib20011217.pdf.
3 Cummins R.O., et al. Improving survival from sudden cardiac arrest: The ‘Chain of Survival’ concept. A statement for health professionals from the Advanced
Cardiac Life Support Subcommittee and the Emergency Cardiac Care Committee, American Heart Association. Circulation 1991; 83:1832-1847.
CRS-AED Advertorial_9.75x10.25.indd 1
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