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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COVID-19 Vaccine for Those Pregnant or Nursing

Here are the facts you need to know to make a good decision about whether or not to recieve the COVID-19 vaccine: 

  • During the COVID-19 pandemic we found out that pregnant women with COVID-19 disease are more likely to get a very severe infection.  According to the Society for Maternal Fetal Medicine, they are three times more likely to have to go to an intensive care unit, two to three times more likely to need advanced life support and a breathing tube, and sadly, they have a small increased risk of death due to COVID-19. They may have worse pregnancy outcomes, such as pregnancy loss, stillbirth, and preterm birth. It is difficult to know yet whether COVID infection causes these outcomes or whether they happened at the same time by chance.
  • Similarly, COVID-19 can cause chronic inflammation, which could decrease fertility in both men and women.
  • The Federal Drug Administration (FDA) has provided Emergency Use Authorization for the COVID-19 vaccine. It is recommended for everyone over the age of 16 who has not had an allergic reaction to the ingredients in the vaccine. Research has shown that the COVID-19 vaccine is 95% effective in preventing COVID-19 as soon as 28 days after the booster vaccine. These agencies directed all their effort to this work, day and night, which is how the vaccine was approved for use so quickly. No steps were skipped. 
  • It is not possible to get COVID infection from the vaccine. The virus is not in the vaccine.  It is like the flu shot, which exposes the body to something that looks like the part of the virus, so our bodies do the natural process of making antibodies to protect against disease. 
  • Many people have minor side effects, like tiredness, fever, muscle pain, headache, and pain where the shot was given. They could last a few days.  A few people feel very unwell. Having symptoms is a sign that the vaccine is working, and antibodies are being made.
  • Pregnant women were not allowed to be part of the research, which is very common for medical research trials. There were no reports of negative outcomes among the trial participants who became pregnant during the trial.
  • The vaccine does use a new technology called mRNA.  Two shots are required 3 weeks apart. Scientists believe that the mRNA can’t get into the placenta or the breast milk. The same kind of technology made vaccine against Ebola disease.  It has been given to pregnant and breastfeeding women.  No problems for mom or baby were found from this vaccine.
  • The vaccine does not cause birth defects or infertility. While the spike proteins on the virus and those found on the cells of the placenta are similar, they do not share enough amino acid sequences for the immune system to become confused.
  • The vaccine should also be offered to those who are breastfeeding/lactating. Like pregnant individuals, those who were breastfeeding were not included in the clinical trials for the vaccine. According to the Society for Maternal Fetal Medicine, the benefits of vaccination outweigh the very small safety concerns, and you do not have to stop breastfeeding because you get the vaccine.

Experts trusted by your providers recommend strongly that pregnant women be encouraged to get the vaccine.  We can’t tell you whether to get the shot, but we trust that you will make the right decision for you and your baby. Here are some points to consider as you decide:

  • How many people are getting sick with COVID-19 in your community?
  • What is your personal risk of getting COVID-19 based on your job or other exposures?
  • What is your risk of getting very sick with COVID-19, and what is the possible harm to your baby? What other medical conditions could increase this risk? Diabetes, being overweight, having lung, kidney, heart or immune illnesses or taking medicine that depresses immune function ( like chemotherapy, methotrexate, prednisone). 
  • Consider how well the vaccine is reported to work. These vaccines work exceedingly well!
  • What are the risks to other people in your household if you get sick, especially if you are living with people at risk for serious illness, like the elderly.
  • How do you feel about the lack of scientific evidence about the vaccine’s safety and effectiveness for pregnant women?
  • How do you feel you would manage the reported side effects of the vaccine?

If you do get the vaccine:

  • Pregnant women who experience fever, either as a result of COVID-19 infector or following vaccination, should take acetaminophen (Tylenol) to treat fever, since a very high fever can harm a baby. A fever is far more likely as a result of COVID-19 infection than it is from vaccination.
  • Your health professional will give you information about enrolling in the V-Safe After Vaccination Health Checker. You can provide feedback on how the vaccine experience went for up to a week following your vaccination and get help with any concerns that may arise.

If you have questions, please ask your OB/GYN.

Whatever you choose, be sure to continue with the important prevention steps like avoiding visits with those outside your household, masking and distancing when in public, and washing your hands frequently.

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