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27 33_SFVBJ_heartdisease&stroke.qxp 2/18/2015 9:07 PM Page 27 February 23, 2015 • An Advertising Supplement to the San Fernando Valley Business Journal Heart Disease & Stroke Awareness New American Heart Association Statistics Take Global View or the first time in the 50 years that the American Heart Association/American Stroke Association has released an annual snapshot of heart disease and stroke statistics in the U.S., the new report adds a global view. Health data compiled from more than 190 countries show heart disease remains the No. 1 global cause of death with 17.3 million deaths each year, according to “Heart Disease and Stroke Statistics — 2015 Update: A Report From the American Heart Association.” That number is expected to rise to more than 23.6 million by 2030, the report found. Stroke remains the No. 2 cause of death in the world. The stroke death rate — the number of deaths per 100,000 people — went down between 1990 and 2010. However, the number of people having first and recurrent strokes each year went up, reaching 33 million in 2010. Here are a few key statistics about heart disease, stroke, other cardiovascular diseases and their risk factors, in addition to commonly cited statistics about the association’s research program: F Heart Disease, Stroke and other Cardiovascular Diseases • Cardiovascular disease is the leading global cause of death, accounting for 17.3 million deaths per year, a number that is expected to grow to more than 23.6 million by 2030. • In 2008, cardiovascular deaths represented 30 percent of all global deaths, with 80 percent of those deaths taking place in low- and middleincome countries. • Nearly 787,000 people in the U.S. died from heart disease, stroke and other cardiovascular diseases in 2011. That’s about one of every three deaths in America. • About 2,150 Americans die each day from these diseases, one every 40 seconds. • Cardiovascular diseases claim more lives than all forms of cancer combined. • About 85.6 million Americans are living with some form of cardiovascular disease or the aftereffects of stroke. • Direct and indirect costs of cardiovascular diseases and stroke total more than $320.1 billion. That includes health expenditures and lost productivity. • Nearly half of all African-American adults have some form of cardiovascular disease, 48 percent of women and 46 percent of men. • Heart disease is the No. 1 cause of death in the world and the leading cause of death in the United States, killing over 375,000 Americans a year. • Heart disease accounts for 1 in 7 deaths in the U.S. • Someone in the U.S. dies from heart disease about once every 90 seconds. Heart Disease • From 2001 to 2011, the death rate from heart disease has fallen about 39 percent – but the burden and risk factors remain alarmingly high. • Heart disease strikes someone in the U.S. about once every 43 seconds. • Heart disease is the No. 1 cause of death in the United States, killing over 375,000 people a year. • Heart disease is the No. 1 killer of women, taking more lives than all forms of cancer combined. • Over 39,000 African-Americans died from heart disease in 2011. • Cardiovascular operations and procedures increased about 28 percent from 2000 to 2010, according to federal data, totaling about 7.6 million in 2010. • About 735,000 people in the U.S. have heart attacks each year. Of those, about 120,000 die. • About 635,000 people in the U.S. have a firsttime heart attack each year, and about 300,000 have recurrent heart attacks. Stroke • In 2010, worldwide prevalence of stroke was 33 million, with 16.9 million people having a first stroke. Stroke was the second-leading global cause of death behind heart disease, accounting for 11.13% of total deaths worldwide. • Stroke is the No. 4 cause of death in the United States, killing nearly 129,000 people a year. • Stroke kills someone in the U.S. about once every four minutes. • African-Americans have nearly twice the risk for a first-ever stroke than white people, and a much higher death rate from stroke. • Over the past 10 years, the death rate from stroke has fallen about 35 percent and the number of stroke deaths has dropped about 21 percent. • About 795,000 people have a stroke every year. • Someone in the U.S. has a stroke about once every 40 seconds. • Stroke causes 1 of every 20 deaths in the U.S. • Stroke is a leading cause of disability. • Stroke is the leading preventable cause of disability. Continued on page 33 27 33_SFVBJ_heartdisease&stroke.qxp 2/18/2015 9:07 PM Page 28 28 AN ADVERTISING SUPPLEMENT TO THE SAN FERNANDO VALLEY BUSINESS JOURNAL FEBRUARY 23, 2015 HEART DISEASE & STROKE AWARENESS About Those Designations: All Emergency Rooms are Not Created Equal oments matter in the event of a heart attack or stroke. But even more important than getting immediate medical attention is receiving care from a facility with the highly trained doctors and nurses using the advanced technology necessary for your life-threatening emergency. Fortunately, paramedics in the field know which hospitals offer the leadingedge specialty care that set them apart for different types of emergencies. It is not uncommon for them to bypass the closest hospital for the best hospital for that type of emergency, even if it is farther away. Some hospitals have taken their emergency departments to the next level by pursuing center of excellence status for certain medical conditions. Brain attack, more commonly known as a stroke, is one example where having advanced specialty care can literally make the difference between life or death. Patients who receive tPA within four hours have a better chance of recovering from a stroke. This four-hour window is why it is so important to correctly diagnose and treat a stroke appropriately. Not all hospitals have personnel trained to deliver tPA. Endovascular procedures may also be used to treat certain hemorrhagic strokes similar to the way the procedure is used for treating an ischemic stroke. For strokes caused by a bleed within the brain, surgical treatment may be required to stop the bleeding. Because of the medical competencies and advanced technology needed to rapidly diagnose and treat stroke, the nation’s primary accrediting organization, The Joint Commission, created the Advanced Primary Stroke Center Certification. To attain this designation, a medical center must demonstrate that it has the equipment, infrastructure, staff, and training programs needed to quickly diagnose and treat patients presenting Different Strokes with acute stroke. The Joint Commission Stroke impacts the arteries leading to performs an initial extensive on-site – and within – the brain. It is the No. 4 review of a facility’s compliance with specause of death and a leading cific standards and protocols cause of disability in the that have been proven to result HEART United States. According to the in better outcomes for stroke HEALTH Centers for Disease Control, patients. Follow-up surveys are nearly 800,000 people have a conducted every few years to SPOTLIGHT stroke in the U.S. each year. ensure continuing compliance. The treatment for a brain Only hospitals with Advanced attack depends on the kind of stroke the Primary Stroke Center Certification are patient has suffered. The only FDAequipped to quickly treat stroke victims. approved treatment for ischemic stroke For instance, Antelope Valley Hospital is tissue plasminogen activator (tPA), (AVH) just recently achieved Advanced which is administered intravenously in Primary Stroke Center Certification. The the arm. tPA dissolves the clot and Joint Commission surveyors found the improves blood flow to the brain. In hospital met or exceeded all requiresome patients, an endovascular procements. AVH averages 45 minutes from dure performed by specially trained docthe time a stroke patient arrives at the tors may be used to deliver tPA directly hospital until the tPA drug is adminisinto the blood clot. In other cases, the tered, significantly lower than the 60doctor may attempt to remove the clot. minute goal set by the American Stroke M Fortunately, paramedics in the field know which hospitals offer the leading-edge specialty care that set them apart for different types of emergencies. It is not uncommon for them to bypass the closest hospital for the best hospital for that type of emergency, even if it is farther away. Some hospitals have taken their emergency departments to the next level by pursuing center of excellence status for certain medical conditions. Brain attack, more commonly known as a stroke, is one example where having advanced specialty care can literally make the difference between life or death. Association. AVH treats more than 500 cases of stroke a year. STEMI Designation – What’s That About? Each year, nearly 400,000 people experience a severe type of heart attack known as an ST Elevation Myocardial Infarction, or STEMI. These attacks carry a substantial risk of death and disability because they are caused by a prolonged period of blocked blood supply that affects a large area of the heart. Unfortunately, a significant number of these people do not receive timely treatment. So the emergency medical community responded several years ago by creating a designation known as a STEMI receiving center. STEMI receiving centers are emergency rooms that offer the equipment, medical expertise and facilities to administer percutaneous coronary intervention (PCI), a mechanical means of treating heart attack patients. Although PCI is the preferred means of treating STEMI patients, only 25 percent of hospitals in the United States are equipped to do so. These PCI-capable hospitals are called STEMI-receiving hospitals because they are well equipped to receive and treat STEMI patients. An established goal of 90 minutes from “door to balloon time” – or the point at which patients enter an emergency room’s doors to their evaluation in the cath lab – is the gold standard of treatment in STEMI receiving centers. While many people will never need the services of an Advanced Primary Stroke Center or STEMI receiving center, chances are someone they love will. For many people, it is reassuring to know in advance which facilities offer the highest level of care. And that’s when those designations really make a difference. Information for this article was provided by Antelope Valley Hospital. Positive Factors in Youth Linked to Better Heart Health Later in Life hildren with favorable psychosocial experiences may have better cardiovascular health in adulthood, according to new research in the American Heart Association journal Circulation. Positive psychosocial factors include growing up in a family that practices healthy habits, is financially secured, is a stable emotional environment, and where children learn to control aggressiveness and impulsiveness and fit in socially. In a Finnish study, participants with the most psychosocial advantages in youth scored higher on an ideal cardiovascular health index in adulthood than those with the least psychosocial advantages. To calculate “ideal cardiovascular health,” researchers used the C American Heart Association’s Life’s Simple 7: being active, controlling cholesterol, eating healthy, controlling blood pressure, losing weight, reducing blood sugar and stopping smoking. Results from the study revealed those with the most psychosocial advantages in childhood had: • 14 percent greater chance of being at normal weight as an adult; • 12 percent greater chance of being a non-smoker as an adult; and • 11 percent greater chance to have a healthy glucose level as an adult. “The choices parents make have a long-lasting effect on their children’s future health, and improvement in any one thing can have measurable benefits,” said Laura Pulkki-Råback, Ph.D., study senior author and research fellow at the University of Helsinki in Finland. “For instance, if an unemployed parent gets steady employment, the effect may be huge. If he or she also quits smoking, the benefit is even greater. All efforts to improve family well-being are beneficial.” Researchers initiated the project with 3,577 children ranging in age from 3-18. They measured six factors: socioeconomic status, emotional stability, parental health behaviors, stressful events, self-regulation of behavioral problems and social adjustment. Twenty-seven years later, researchers assessed 1,089 of the participants 30-45 years old to determine their level of ideal cardiovascular health. Favorable socioeconomic status and self-regulatory behavior, meaning good aggression and impulse control, in youth were the strongest predictors of ideal cardiovascular health in adulthood. Early experiences appear to have cardiovascular health benefits for all people. The results also highlight the importance of early life stages — periods during which other studies have proven cardiovascular diseases begin to root. “Scientific evidence supports the fact that investing in the well-being of children and families will be cost effective in the long run because it decreases healthcare costs at the other end of life (old age),” she said. “The knowledge is out there, and now it is a question of values and priorities.” 27 33_SFVBJ_heartdisease&stroke.qxp FEBRUARY 23, 2015 2/17/2015 1:20 PM Page 29 AN ADVERTISING SUPPLEMENT TO THE SAN FERNANDO VALLEY BUSINESS JOURNAL 29 27 33_SFVBJ_heartdisease&stroke.qxp 2/18/2015 9:08 PM Page 30 30 AN ADVERTISING SUPPLEMENT TO THE SAN FERNANDO VALLEY BUSINESS JOURNAL FEBRUARY 23, 2015 HEART DISEASE & STROKE AWARENESS Cardiac Rehabilitation: An Essential Part of Recovery ardiac rehabilitation is an important next step in recovery for those who have experienced a recent heart attack, heart surgery, angioplasty, or angina. In fact, it has been shown to reduce the incidence of re-hospitalization; decrease the need for cardiac medications; lessen the chances for another cardiac event; slow the progression of damage to blood vessels in the heart; and improve overall health. Full-service cardiac rehab programs provide patients a continuum of preventive care, including exercise and fitness, nutritional services, and education. Facilities are staffed by specially trained cardiac nurses who monitor patients, helping them stay on track with their lifestyle changes and medications. C Eat, Move, Sleep Eat Healthy: Eat five servings a day of fruits and vegetables, and avoid foods high in saturated fat and trans fats. Get Moving: 13 minutes of moderate exercise each day can reduce your heart disease risk by up to 50 percent. Sleep Well: Try to get eight hours of good, quality sleep each night. Cardiac rehab programs focus on specialized individual care, providing guidance and encouragement as patients recover. Cardiac rehabilitation teams maintain close contact with physicians, who receive regular progress reports on their patients. While in the program, a patient’s cardiac risk factors such as blood pressure, high cholesterol levels, inactivity, diabetes and stress are assessed. A safe exercise and risk factor reduction plan is then put into place, with recommendations given to promote a heart healthy lifestyle. Regular participation in a cardiac rehab program improves stamina and strength, increases confidence and wellbeing, and lessens the physical and emotional effects of heart disease. The ultimate goal is to motivate and encourage patients to become active participants in their health care. HEART HEALTH SPOTLIGHT The Three Phases of Cardiac Rehabilitation: • Phase One: In-patient Rehabilitation and Education During hospitalization and prior to discharge, the patient receives education on identifying and reducing risk factors for heart disease, and learns how to make therapeutic lifestyle changes to Full-service cardiac rehab programs provide patients a continuum of preventive care, including exercise and fitness, nutritional services, and education. Facilities are staffed by specially trained cardiac nurses who monitor patients, helping them stay on track with their lifestyle changes and medications. improve their health and quality of life. • Phase Two: Post-discharge Rehabilitation During this time, the patient participates in a monitored, supervised exercise program that is tailored to their needs and abilities. This phase includes a more detailed education program that focuses on blood pressure control, heart healthy nutrition, safe exercise and stress management techniques. Education increases patient awareness about how to implement lifestyle modifications and promote healthy living. • Phase Three: Maintenance and Ongoing Education This phase can last indefinitely, and may be the most important phase of rehabilitation. By phase three, patients typically regain independence but must be diligent about maintaining the lifestyle changes that they have made during supervised rehabilitation. This phase is more about supervised maintenance and prevention and gives patients the opportunity to stay in a supervised exercise program. Information provided by Henry Mayo Newhall Memorial Hospital Cardiovascular Services located in Valencia. Henry Mayo is one of very few hospitals in the Los Angeles area to offer all three phases of Cardiac Rehabilitation Services, in addition to a full continuum of Cardiac Services. For more information or to make an appointment to visit Henry Mayo’s new, state-of-the-art Cardiac Rehabilitation Center, please call (661) 253-8756 or (661) 253-8000. We take our patients’ care to heart. What makes Antelope Valley Hospital the area’s top choice for heart and vascular care? • Its newly opened Institute for Heart & Vascular Care offering complete care for the detection, prevention and treatment of heart and vascular conditions all in one convenient location. • As a STEMI Receiving Center, Antelope Valley Hospital has the expertise, equipment, and facilities to handle the most dangerous type of heart attack, which significantly improves survival rates. • The most advanced technology to diagnose and treat heart and vascular conditions. • A team of cardiologists, radiologists, cardiac surgeons and nurses who are specially trained and highly experienced in all aspects of cardiovascular care. • As an Advanced Primary Stroke Center, Antelope Valley Hospital is equipped to quickly treat stroke victims. Celebrating 60 years of quality care with compassion and respect. 1600 West Avenue J • Lancaster, CA 93534 (661) 949-5000 • www.avhospital.org 27 33_SFVBJ_heartdisease&stroke.qxp 2/19/2015 1:02 PM Page 31 FEBRUARY 23, 2015 AN ADVERTISING SUPPLEMENT TO THE SAN FERNANDO VALLEY BUSINESS JOURNAL 31 HEART DISEASE & STROKE AWARENESS Bringing Certified Advanced Primary Stroke and Chest Pain Treatment to the Los Angeles County Region eart disease is the leading cause of death in the United States for both men and women. That’s why Glendale Adventist Medical Center (GAMC), makes keeping people’s hearts healthy one of its top priorities. To fulfill this mission, GAMC offers the newly instated, fully equipped, Heart & Vascular Institute, where some of the area’s top physicians have come together to bring the community the most advanced treatment options available in cardiology, cardiovascular disease, electrophysiology, interventional radiology and much more. “A heart-healthy lifestyle can reduce your chances of ever developing heart disease. Losing weight, exercising regularly, and eating better will improve the health of your heart,” said Dr. Harry Balian, medical director of cardiovascular interventional procedures and services. “Begin with an assessment of your heart to find out if you are at risk. An early diagnosis can save your life if you do have heart problems.” GAMC strives for excellence every day. As such, the hospital was recently identified as the “Number One Top Performer” for its STEMI Receiving Center. GAMC had the lowest door-to-balloon time out of 34 L.A. County hospitals – ranging from 41 to 75 minutes. What this means for a heart attack patient is that GAMC has the fastest treatment time from arrival at the Emergency Department to transfer H to Cardiac Catheterization to restore blood flow to the heart. The hospital has had the STEMI program designation from Emergency Medical Services Agency of Los Angeles County for the past six years. “Symptoms of heart attack can include: chest pain, back pain, nausea, epigastric pain, fatigue, dizziness and/or vomiting. Time is muscle. If you or someone you know are experiencing these symptoms, call 911 immediately,” said Dr. Balian. The Heart & Vascular Institute Outpatient Clinic celebrated a grand opening last year, July 9, 2014. GAMC is home to one of the most technologically advanced cardiac centers in the Los Angeles area. The new state-of-the-art facility features 10 exam rooms, a nuclear camera, treadmill and echocardiogram room, all-in-one convenient location. The institute occupies 4,500 square feet in the Lee Hughes Medical Building, located right across from the Emergency Department. The cardiac care team includes board–certified cardiolotage of a hospital with specialgists, nurses and staff who are ized services for stroke treatHEART dedicated to quality treatments ment. The American Stroke HEALTH for patients. The new clinic is Association uses the acronym SPOTLIGHT also designed to connect specialFAST to teach people what to ists and patients with advanced look for and how to react if technology and integrated care. Patients they think someone is experiencing a may undergo testing, screening and proce- stroke: dures-giving the community the opportu• F is for face drooping. Does one side of nity to receive world-class care in a conthe person’s face droop, or does the pervenient location – right on the hospital son say his or her face feels numb? campus. When they smile, is the smile uneven? • A is for arm weakness. Is one arm is Heart Attack Symptoms weak or numb? When you ask him or If you’re experiencing heart attack her to raise both arms, does one arm symptoms, call 911 immediately. drift downward? According to the American Heart • S is for speech difficulty. Is the person’s Association, common signs of heart attack speech slurred, or is he or she unable to include: speak or hard to understand? Can the • Chest discomfort—uncomfortable presperson repeat a simple sentence back to sure, squeezing, fullness or pain, lasting you, such as “The sky is blue”? for more than a few minutes or that • T is for time to call 9-1-1. If someone goes away and returns. shows any of these symptoms — even if • Pain or discomfort in the arms, the the symptoms go away — call 9-1-1 back, neck, jaw or stomach. immediately. If possible, note the time • Shortness of breath, with or without when the symptoms first appeared. This chest discomfort. will help the medical team provide the • Cold sweat, nausea and/or lightmost appropriate care to the person headedness. experiencing the stroke symptoms. GAMC is the only Certified Advanced Stroke Symptoms Primary Stroke and Chest Pain Center in GAMC is also a highly accredited all of Los Angeles County. Primary Certified Stroke Center. Residents of Glendale and nearby communities For more information, call (818) 409-8100 who experience a stroke have the advanor visit AdventistHealth.org/Glendale/Heart. We began as a small neighborhood provider of personalized medical care in 1958. Today, Valley Presbyterian Hospital is one of the largest full-service acute care facilities in the San Fernando Valley. Our nurses, therapists, technicians and more than 500 physicians represent virtually every specialty. When specialized care is needed, VPH delivers to our community with these key services: Amputation Prevention Center Certified STEMI receiving center Certified Stroke Center Emergency Department Approved for Pediatrics (EDAP) Hepatobiliary and Pancreas Center Perinatology Clinic Valley Hip and Knee Institute Serving our community with pride and respect. Since 1958, our legacy of personalized medical care, Excellence inhas allsetwe do pride and respect us apart. A legacy of personalized care. 15107 Vanowen Street Van Nuys, CA 91405 valleypres.org Excellence in all we do 27 33_SFVBJ_heartdisease&stroke.qxp 2/18/2015 9:08 PM Page 32 32 AN ADVERTISING SUPPLEMENT TO THE SAN FERNANDO VALLEY BUSINESS JOURNAL FEBRUARY 23, 2015 HEART DISEASE & STROKE AWARENESS Critical Heart and Stroke Care in the Valley Since 1958 ome medical conditions require immediate treatment, so having quality health care that is close to home is crucially important. As an independent, nonprofit and community-based provider of health care services, Valley Presbyterian Hospital has delivered essential medHEART ical care to the San HEALTH Fernando Valley SPOTLIGHT since 1958. We treat more than 60,000 patients each year through our Emergency Services Department and hold multiple accreditations for quality of care in emergency response, including the treatment of serious conditions, such as heart attack and stroke. S Heart & Vascular Services: Heart Attack With heart events, acting fast is critical. To save lives and provide patients with the best possible outcomes, our heart specialists are ready to treat a heart attack victim within 90 minutes of the onset of chest pain. Based on our equipment, treatment protocols, expertise, patient outcomes and many other factors, Los Angeles County Emergency Medical Services has designated Valley Presbyterian Hospital as a STEMI Receiving Center. STEMI stands for ST-Elevation Myocardial Infarction, which is a serious heart attack caused by lack of blood flow to large areas of the heart. As a receiving center, paramedics bring patients experiencing heart attacks directly to our Emergency Services unit, where they are rapidly assessed and triaged. Depending on the patient’s diagnosis and condition, he or she may undergo an immediate angiography, angioplasty, or even bypass surgery, if necessary. Our STEMI designation assures that we have a highly skilled cardiac response team ready to treat heart attack patients 24 hours a day, seven days a week, 365 days a year. Valley Presbyterian Hospital is proud to be among only 25% of hospitals nationwide to meet these rigorous standards of care. Emergency Services: Stroke Also called a “brain attack,” a stroke is a blockage of blood flow and oxygen to the brain, which can result in impaired movement, speech and memory impairment, brain damage and death. When a stroke occurs, speed of diagnosis and treatment is critical to minimize damage to brain cells and loss of function. Valley Presbyterian Hospital is designated as a certified Primary Stroke Center based on our response to critical patient conditions. This certification is provided through a partnership between the American Heart Association/American Stroke Association and The Joint Commission, the nation’s largest independent health care evaluation body. As a Primary Stroke Center, we have demonstrated the ability to meet standards to support better outcomes for stroke care. We also have a dedicated strokefocused program that is staffed by qualified medical professionals who are specially trained in stroke care and who use advanced technologies to act quickly and save lives. Our stroke patients receive care that meets their individual needs, and we involve our patients and their loved ones in the treatment plan. Visit www.valleypres.org for more information on Valley Presbyterian Hospital’s full range of medical services and community education programs. To learn how you can support the Hospital’s mission to improve the quality of health in the community, contact the Fund Development department at (818) 902-7928 or visit [email protected]. C A L L F O R N O M I N AT I O N S Nomination Deadline: Wednesday, June 24, 2015 The San Fernando Valley Business Journal is proud to announce the 2015 Trusted Advisors Awards. This event honors the important work of accountants, bankers, attorneys, insurance professionals and wealth managers in the greater San Fernando Valley region. We invite you to nominate an associate, client, colleague or acquaintance that you believe is an outstanding candidate for our 2015 Trusted Advisors Awards. PRESENTING SPONSORS: Specialty categories include: • Client Services Award • Community Service Award • Innovation Leadership Award • Trailblazer Award To nominate someone for this event, please call us at 323.549.5225 or visit us online at www.sfvbj.com/bizevents. GOLD SPONSOR: Gish Seiden 27 33_SFVBJ_heartdisease&stroke.qxp 2/18/2015 9:09 PM Page 33 FEBRUARY 23, 2015 AN ADVERTISING SUPPLEMENT TO THE SAN FERNANDO VALLEY BUSINESS JOURNAL 33 HEART DISEASE & STROKE AWARENESS adults, 20 percent of men and 16 percent of women are smokers. • Among adults, those most likely to smoke were American Indian or Alaska Native men (26 percent), white men (22 percent), African-American men (21 percent), white women (19 percent), American Indian or Alaska Native women (17 percent), Hispanic men (17 percent), African-American women (15 percent), Asian men (15 percent), Hispanic women (7 percent), Asian women (5 percent). • In 2012 there were approximately 6,300 new cigarette smokers every day. Continued from page 27 Sudden Cardiac Arrest • In 2011, about 326,200 people experienced out-of-hospital cardiac arrests in the United States. Of those treated by emergency medical services, 10.6 percent survived. Of the 19,300 bystanderwitnessed out-of-hospital cardiac arrests in 2011, 31.4 percent survived. • Each year, about 209,000 people have a cardiac arrest while in the hospital. Heart Disease, Stroke and Cardiovascular Disease Risk Factors • The American Heart Association gauges the cardiovascular health of the nation by tracking seven key health factors and behaviors that increase risks for heart dis--ease and stroke. We call these “Life’s Simple 7” and we measure them to track progress toward our 2020 Impact • Goal: to improve the cardiovascular health of all Americans by 20 percent and reduce deaths from cardiovascular diseases and stroke by 20 percent, by the year 2020. Life’s Simple 7 are: not smoking, physical activity, healthy diet, body weight, and control of cholesterol, blood pressure and blood sugar. Here are key facts related to these factors: Physical Activity • About one in every three U.S. adults – 31 percent – reports participating in no leisure time physical activity. • Among students in grades 9-12, only about 27 percent meet the American Heart Association recommendation of 60 minutes of exercise every day. More high school boys (36.6%) than girls (17.7%) self-reported having been physically active at least 60 minutes per day on all seven days. Healthy Diet • Less than 1 percent of U.S. adults meet the American Heart Association’s definition for “Ideal Healthy Diet.” Essentially no children meet the definition. Of the 5 components of a healthy diet, reducing sodium and increasing whole grains are the biggest challenges. • Eating patterns have changed dramatically in recent decades. Research from 1971 to 2004 showed that women consumed an average of 22 Smoking • Worldwide, tobacco smoking (including secondhand smoke) was one of the top three leading risk factors for disease and contributed to an estimated 6.2 million deaths in 2010. • 16 percent of students grades 9-12 report being current smokers. Among percent more calories in that span and men consumed and average of 10 percent more. The average woman eats about 1,900 calories a day and the average man has nearly 2,700, according to the government figures. Overweight/Obesity • Most Americans older than 20 are overweight or obese. Over 159 million U.S. adults – or about 69 percent – are overweight or obese. • About 32 percent children are overweight or obese. About 24 million are overweight and about 13 million – 17 percent – are obese. • In 2008, an estimated 1.46 billion adults worldwide were overweight or obese. The prevalence of obesity was estimated at 205 million men and 297 million women. Cholesterol • About 43 percent of Americans have total cholesterol higher of 200 mg/dL or higher. The race and gender breakdown is: • 46 percent of Hispanic men • 46 percent of white women • 43 percent of Hispanic women • 41 percent of black women • 40 percent of white men • 37 percent of black men • About 13 percent of Americans have total cholesterol over 240 mg/dL. • Nearly one of every three Americans has high levels of LDL cholesterol (the “bad” kind). • About 20 percent of Americans have low levels of HDL cholesterol (the “good” kind). High Blood Pressure • About 80 million U.S. adults have high blood pressure. That’s about 33 percent. About 77 percent of those are using antihypertensive medication, but only 54 of those have their condition controlled. • About 69 percent of people who have a first heart attack, 77 percent of people who have a first stroke and 74 percent who have congestive heart failure have blood pressure higher than 140/90 mm Hg. • Nearly half of people with high blood pressure (46 percent) do not have it under control. • Hypertension is projected to increase about 8 percent between 2013 and 2030. • Rates of high blood pressure among African-Americans is among the highest of any population in the world.Here is the U.S. breakdown by race and gender. • 46 percent of African-American women have high blood pressure. • 45 percent of African-American men have high blood pressure. • 33 percent of white men have high blood pressure. • 30 percent of white women have high blood pressure. • 30 percent of Hispanic men have high blood pressure. • 30 percent of Hispanic women have high blood pressure. • In 2000, it was estimated that 972 million adults worldwide had hypertension. Information provided by the American Heart Association. Sanjay Sharma, MD Edgar Aleman, MD Eric Lee, MD Marc Ladenheim, MD Naveen Sharma, MD Joseph Lee, MD Harry Balian, MD Glendale Adventist Medical Center Fastest Heart Attack Care Glendale Adventist Medical Center STEMI Receiving Center is proud to be ranked Number 1 out of 34 hospitals in L.A. County for lowest door-to-balloon time! What this means for a heart attack patient is that GAMC has the fastest treatment time IURPDUULYDODWWKH(PHUJHQF\'HSDUWPHQWWRWUDQVIHUWR&DUGLDF&DWKHWHUL]DWLRQWRUHVWRUHEORRGÁRZWRWKHKHDUW Healthcare at a Higher Level AdventistHealth.org/Glendale (818) 409-8000