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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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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