Grace Weatherby
/ Categories: WELLNESS, 2023

Boost Your Heart Health this Holiday Season

The holidays are meant to be a time for good cheer and rejoicing. Unfortunately, for far too many Americans, the holidays are also when they’re most likely to experience a heart attack.

According to the American Heart Association, December 25 and January 1 are the top two days when Americans are most likely to die from cardiac arrest.

While it’s difficult to eliminate the stress and opportunities to overindulge, there are steps you can take to reduce your risk of suffering a cardiac event.

Here’s where to start:

1. Celebrate in moderation: If you’re headed to an event where food and drink will be plentiful, have a healthy snack before you go lessen the chance you’ll overeat. At the event, fill up first on high-fiber, low-calorie foods like raw fruits and vegetables. Follow that up with any lean proteins, like chicken or shrimp, which will work to slow your digestion and make you feel full. If you’re still hungry, take small amounts of carb-heavy foods, like bread, chips, pasta and, of course, cookies. Listen to your body and stop eating when you’re full.  

2. Keep moving: Even if your calendar’s full of events and gatherings, there’s always time for a bit of physical activity. A 10- to 15-minute walk after a meal or while you’re on the phone chatting with friends will do your heart good. Exercise is also a good way to work off or step away from any stress that may be weighing on you. 

3. Stick to a schedule: Traveling and/or hosting company can make it hard to stick to your regular routine over the holidays. But it’s important to take all prescribed medications as and when directed and to get a good night’s sleep. Falling out of rhythm or behind on either can place unnecessary stress your heart. If you need help staying on top of your needs, set an alarm on your phone to alert you it’s time to take your meds and or to step away from the fun to ensure you get a good and full night’s sleep.

In addition, it’s important to recognize the signs of a heart attack early before a lot of damage occurs.

If you or someone else experiences any of the following warning signs, don’t hesitate. Call 911.

  • Chest discomfort: Most heart attacks—especially in men—involve a sense of heaviness or uncomfortable pressure in the center of the chest that lasts more than a few minutes. The pressure may go away and then return. 
  • Upper body discomfort: Symptoms can include pain or discomfort in the upper back, neck, jaw, one or both arms, or stomach.
  • Shortness of breath: This can occur with or without chest discomfort.
  • Heart palpitations: Palpitations, which may feel like a fast beating or fluttering heart, are more common in women.
  • Other signs: Other potential signs of a heart attack include breaking out in a cold sweat, lightheadedness, nausea, or vomiting.

The sooner medical treatment begins, the better the chances of survival and preventing heart damage.

Scott Rogge, MD, FACC, is the Medical Director at Southwestern Vermont Medical Center Cardiology

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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