Posts Tagged ‘ heart-attack ’

July 5.11-Men Killers

It was a sunny September day in the Pacific Northwest, and Jeff Hale had just closed a $1.5 million deal. To celebrate, he was taking the afternoon off, relaxing on his patio lounge, and playing ball with his dog. That’s when he began feeling compression high in his chest, some pain in his left shoulder, and an unsettling sense of dread. At 44, he was in relatively good shape, although 15 pounds overweight and under a lot of stress from work. At first, he thought it was an asthma attack and took a hit off his inhaler. But when that didn’t help, he remembered an article he’d read in Men’s Health. “There were two things from that article I recalled,” he recounted to our reporter a few years ago. “One was that every heart attack is unique. My symptoms will be different from your symptoms. The other was, if you suspect you’re having a heart attack, take an aspirin.” Hale took two and drove himself to the hospital. He almost didn’t make it. Doctors found blockages in three arteries and performed a triple bypass the next day. “They told me I’d saved my life,” says Hale. “The aspirin thinned my blood, and the inhaler dilated my arteries.” Heart disease is the number one killer of men, claiming the lives of nearly 400,000 fathers, friends, brothers, and sons every year. Often, the difference between life and death is razor thin—remembering to pop an aspirin, not delaying your trip to the E.R. This week is National Men’s Health Week, which was created by Congress in 1994 to raise the awareness of the health threats uniquely facing men. To commemorate, we’ve put together a list of the most popular ways to die as a man in America. Collectively, these diseases kill nearly one million of us annually. And, chances are, your lifestyle or genetic profile puts you at risk for at least one of them. But, as Jeff Hale learned, our fates are not sealed. If you understand your risks, and learn how to negate them, you can outrun the reaper. Here’s how:

STROKE
Why you’re at risk: Each year, nearly 50,000 American men die of a stroke, according to the American Heart Association. I know what you’re thinking: But those are really old men. But you’re wrong. In fact, 1 in 14 stroke victims is younger than 45. As a neurologist I interviewed a few years ago told me: “If you did MRI scans on a hundred 40-year-olds, you’d see that a large number have already had a silent stroke.” And that’s scary because small, silent strokes often precede large, debilitating strokes. What you can do about it: Keep your blood pressure at 120/80 or lower. Every 20-point increase in systolic BP (the top number) or every 10-point rise in diastolic BP doubles your risk of dying of a stroke, says Walter Kernan, M.D., an associate professor of medicine at Yale University. The good news: Simple lifestyle changes can dramatically reduce your risk. Assess your stroke risk right here, and learn how to turn the odds in your favor.

CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Why you’re at risk: Nearly 60,000 men died from COPD—which includes chronic bronchitis and emphysema—in 2006, according to the CDC. The chief cause: the Marlboro Man. In fact, smoking causes 80 percent of COPD deaths. Considering that tobacco use has also been directly linked to the other man killers on our Top 5 list—notably, heart disease (#1) and cancer (#2)—you have to ask: Why are people still smoking? What you can do about it: It’s pretty simple, really. You need to figure out how to kick butts for good. Improve your odds by joining a gym—smokers who are trying to quit often fall off the wagon during stressful moments. Regular exercise lowers levels of cortisol, the stress hormone, in the brain. Warning: Going cold turkey is one of the least successful ways of quitting. Find out how to tilt the odds of success in your favor by checking out Will You Be Able to Quit Smoking?

ACCIDENTS
Why you’re at risk: According to the CDC, 80,000 men die each year in unexpected tragedies, from sports injuries to fires to falls. But the most preventable accidental deaths are the 30,000 that occur on America’s roads every year. What’s that? You’re a great driver? Not surprising that you think so. According to a study by the Insurance Institute for Highway Safety, 72 percent of drivers regard themselves as more skilled than everyone else. Researchers trace the bias to a fundamental information imbalance, namely that the poorest performers are also the least able to recognize skill (or lack of skill) in themselves or others.

But fine, let’s say it’s true. Then consider the guys you’re sharing the road with: Surveys indicate there’s a nearly 80 percent chance they speed regularly, and a 53 percent likelihood they talk on the phone while driving. There’s a 4 percent chance they run red lights—on purpose—and a 2 percent chance they have driven after drinking too much. These guys make Evel Knievel look like a defensive driver. What you can do about it: If you do one thing today, make it this: Stop texting while driving. You’ve probably heard that texting behind the wheel is just as dangerous as drinking and driving. Not true. Texting is way more dangerous. In fact, texting increases your risk of a crash by 23 times (versus 11 times for driving under the influence), according to a Virginia Tech study. Step into the MH Driving Simulator and test how well you multitask behind the wheel.

CANCER
Why you’re at risk: The Big C killed nearly 300,000 men in 2010, according to the American Cancer Society. Lung cancer tops the list, accounting for 29 percent of all cancer deaths, followed by prostate cancer (11 percent) and colon/rectum cancer (9 percent). We all know that smoking causes lung cancer, but the risk factors for prostate cancer are less well known. Yet, it’s one of the most common—1 in 6 men will get prostate cancer in their lifetimes—and least understood killers of men. What you can do about it: Take our quiz to determine your risk. If you’re at high risk, put certain staples of the Mediterranean diet on your plate. A study published in the Journal of the National Cancer Institute shows that men who eat more than 10 grams of garlic or scallions (about three cloves of garlic or 2 tablespoons of scallions) daily have a 50 percent lower risk of prostate cancer than those who eat less than 2 grams. Sound like too much of a good thing? Other studies have linked the lycopene in cooked tomato products to lower prostate cancer risk; aim for at least two servings a week. And if you really like coffee . . . Harvard researchers found that drinking 6 cups a day reduces your risk of developing advanced prostate cancer by 59 percent.

HEART DISEASE
Why you’re at risk: This is the deadliest disease known to man. More than 1 in 3 adult men have some sort of heart disease and more than 390,000 men died of the killer in 2007, according to the American Heart Association. But you’re a fit, healthy guy, right? Why would you die of heart disease? Believe it or not, not every victim of the disease is overweight or inactive. Men’s Health Editor Peter Moore discovered this eight years ago. He was doing everything right: He was thin, exercised regularly, and ate a healthy diet. But none of that prevented one of the arteries in his heart from becoming 99 percent blocked. Still think you’re risk-free? You can find out your heart disease risk by clicking right here. What you can do about it: Small lifestyle changes can yield big results when it comes to improving heart health. Here are four simple changes you can make today:

• Exercise for 30 minutes. Middle-aged men who exercise vigorously for two hours a week (aim for 30 minutes, four times a week) have a 60 percent lower risk of a heart attack than inactive men.

• Lose the spare tire. If you’re overweight, dropping 10 to 20 pounds lowers your risk of dying from a heart attack. In fact, a 10-year study found that overweight people had heart attacks 8.2 years earlier than normal-weight victims.

• Drink five glasses of water a day. Men who drink that many 8-ounce glasses are 54 percent less likely to have a fatal heart attack than those who drink two glasses or fewer. Researchers say the water dilutes the blood, making it less likely to clot.

• Count to 10. Keeping your cool under stress may keep you alive. Men who respond with anger are three times more likely to have heart disease and five times more likely to have a heart attack before turning 55.

 
To Download this Article: Top 5 Men Killers
 

Nov.10.10-Heart Attack Symptoms

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Top Heart Attack Symptoms You Might Ignore
Heart attacks don’t always strike out of the blue — there are many symptoms we can watch for in the days and weeks leading up to an attack. But the symptoms may not be the ones we expect. And they can be different in men and women, and different still in older adults. Last year, for example, a landmark study by the National Institutes of Health (NIH) published in Circulation: Journal of the American Heart Institute found that 95 percent of women who’d had heart attacks reported experiencing symptoms in the weeks and months before the attack — but the symptoms weren’t the expected chest pain, so they went unrecognized.
Don’t let that happen to you. Here,  heart symptoms you’re likely to ignore — and shouldn’t.
1. Indigestion or nausea
One of the most oft-overlooked signs of a heart attack is nausea and stomach pain. Symptoms can range from mild indigestion to severe nausea, cramping, and vomiting. Others experience a cramping-style ache in the upper belly. Women and adults over age 60 are more likely to experience this symptom and not recognize it as tied to cardiac health.  Most cases of stomach ache and nausea aren’t caused by a heart attack, of course. But watch out for this sign by becoming familiar with your own digestive habits; pay attention when anything seems out of the ordinary, particularly if it comes on suddenly and you haven’t been exposed to stomach flu and haven’t eaten anything out of the ordinary.
2. Jaw, ear, neck, or shoulder pain
A sharp pain and numbness in the chest, shoulder, and arm is an indicator of heart attack, but many people don’t experience heart attack pain this way at all. Instead, they may feel pain in the neck or shoulder area, or it may feel like it’s running along the jaw and up by the ear. Some women specifically report feeling the pain between their shoulder blades.  A telltale sign: The pain comes and goes, rather than persisting unrelieved, as a pulled muscle would. This can make the pain both easy to overlook and difficult to pinpoint. You may notice pain in your neck one day, none the next day, then after that it might have moved to your ear and jaw. If you notice pain that seems to move or radiate upwards and out, this is important to bring to your doctor’s attention.
3. Sexual dysfunction
Having trouble achieving or keeping erections is common in men with coronary artery disease, but they may not make the connection. Just as arteries around the heart can narrow and harden, so can those that supply the penis — and because those arteries are smaller, they may show damage sooner. One survey of European men being treated for cardiovascular disease found that two out of three had suffered from erectile dysfunction before they were ever diagnosed with heart trouble.
4. Exhaustion or fatigue
A sense of crushing fatigue that lasts for several days is another sign of heart trouble that’s all too often overlooked or explained away. Women, in particular, often look back after a heart attack and mention this symptom. More than 70 percent of women in last year’s NIH study, for example, reported extreme fatigue in the weeks or months prior to their heart attack.  The key here is that the fatigue is unusually strong — not the kind of tiredness you can power through but the kind that lays you flat out in bed. If you’re normally a fairly energetic person and suddenly feel sidelined by fatigue, a call to your doctor is in order.
5. Breathlessness and dizziness
When your heart isn’t getting enough blood, it also isn’t getting enough oxygen. And when there’s not enough oxygen circulating in your blood, the result is feeling unable to draw a deep, satisfying breath — the same feeling you get when you’re at high elevation. Additional symptoms can be light- headedness and dizziness. But sadly, people don’t attribute this symptom to heart disease, because they associate breathing with the lungs, not the heart.
In last year’s NIH study, more than 40 percent of women heart attack victims remembered experiencing this symptom. A common description of the feeling: “I couldn’t catch my breath while walking up the driveway.”

6. Leg swelling or pain
When the heart muscle isn’t functioning properly, waste products aren’t carried away from tissues by the blood, and the result can be edema, or swelling caused by fluid retention. Edema usually starts in the feet, ankles, and legs because they’re furthest from the heart, where circulation is poorer. In addition, when tissues don’t get enough blood, it can lead to a painful condition called ischemia. Bring swelling and pain to the attention of your doctor.
7. Sleeplessness, insomnia, and anxiety
This is an odd one doctors can’t yet explain. Those who’ve had heart attacks often remember experiencing a sudden, unexplained inability to fall asleep or stay asleep during the month or weeks before their heart attack. (Note: If you already experience insomnia regularly, this symptom can be hard to distinguish.)  Patients often report the feeling as one of being “keyed up” and wound tight; they remember lying in bed with racing thoughts and sometimes a racing heart. In the NIH report, many of the women surveyed reported feeling a sense of “impending doom,” as if a disaster were about to occur. If you don’t normally have trouble sleeping and begin to experience acute insomnia and anxiety for unexplained reasons, speak with your doctor.
To Download this Article: Heart Attack Symptoms