Taking Your Heart Health To Heart
Courtney Carter
/ Categories: WELLNESS, 2024

Taking Your Heart Health To Heart

Only you can prevent heart disease

Image: The team at SVMC Cardiology celebrates Wear Red Day on February 7.

According to the American Heart Association (AHA), one in every five deaths in the U.S. is the result of heart disease. The AHA also notes that unless we change our habits, 60% of Americans will likely be affected by heart disease by 2050.

But the news isn’t all bad. According to the World Heart Federation, 80% of all cardiovascular disease is preventable. In fact, one study found that people who switched to favorable lifestyle habits, such as not smoking, not being obese, engaging in regular physical activity, and eating a healthy diet, lowered their heart disease risk by nearly 50%.

If you’re ready to take charge of your heart health, prioritize these lifestyle changes for the biggest impact:

Eat heart-healthy foods

A heart-healthy diet can help lower your risk of heart disease.  

Heart-healthy items include:

  • High-fiber foods, like whole grains, fruits, and vegetables

  • Foods with healthy unsaturated fats, like avocados, nuts, and fish (like salmon and sardines) 

Foods to avoid or limit include:

  • Saturated fats, including fatty meats (like beef), full-fat dairy products (like whole milk or cheese), and tropical oils (like coconut and palm oil)

  • Added sugars, like sweetened beverages, candy, cereals, and desserts 

  • Processed foods with a lot of sodium (salt), like deli meats and bacon, frozen dinners, and some canned foods

Drink alcohol only in moderation

Drinking too much alcohol can increase your risk of heart disease. If you choose to drink alcohol, drink only in moderation. That means 1 drink or less in a day for women and 2 drinks or less in a day for men.  

Aim for a healthy weight

People who are overweight or have obesity are at an increased risk for heart disease. Losing just 5 to 10 percent of your body weight can help lower your risk factors for heart disease, including high blood pressure, high blood cholesterol, and high blood glucose, which can lead to type 2 diabetes. 

Get active

Getting regular physical activity can help prevent heart disease. Aim for at least 150 minutes of moderate-intensity aerobic activity each week. If you’re new to exercise, begin with short walks and build up your strength and endurance before taking up more vigorous activities like biking, jogging, dancing, swimming, or pickleball.

Quit smoking  

Quitting smoking helps lower your risk of heart disease and heart attack. In fact, within 20 minutes of quitting your heart rate and blood pressure drop. After one year, your risk of heart disease is cut in half.

Manage stress

Stress can lead to health problems like high blood pressure, obesity, and heart disease. By getting stress under control, you can prevent serious health problems. Many things can be done to manage stress, including meditation, yoga, deep breathing, volunteering, spending time with loved ones, and doing something creative. The key is to find the activity that brings you joy and find ways to incorporate it into your daily routine

Get enough sleep

Most adults need seven to nine hours of sleep each night. Failing to get enough sleep or quality sleep can have a huge impact on your heart health. In fact, one study found that people who regularly get less than six hours of sleep had a 25% greater risk of having poor cardiovascular health. People who slept less than six hours and had sleep apnea experienced a more than 200% greater chance of poor heart health than those who slept longer. 

 

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

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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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