PAD, Star Wars and Heart Attacks in the Leg!
Peripheral artery disease (PAD)the hardening or narrowing
of leg arteriesis like having a slow, continuous,
painful heart attack in the leg. It happens when plaque
accumulates in the leg arteries, blocking blood flow.
This can lead to ulcers (wounds that dont heal), gangrene
(tissue death)even loss of the leg. People with
diabetes or hypertension, smokers and those who are
obese are at high risk for PAD.
Bridgeport Hospital has a new tool for treating PAD
and while its not quite like the weapons in Star Wars,
it is quite amazing. The Spectranetic CVX-300 Excimer
Laser System uses Cool Laser Revascularization for
peripheral artery therapy. Heres how it works: A flexible
fiberoptic laser, inserted into the artery through a
catheter, is threaded to the blockage site. Transmitting
short bursts of cool ultraviolet energy, the laser moves
slowly through the blockage at a rate of one millimeter
per second, vaporizing the plaque and the blood clot as
it goes. Once the blockage is cleared, the fiberoptic laser
is withdrawn and X-ray contrast dye is injected through
the catheter into the blood vessel, giving the physician
a good image of the results of the procedure.
So for those who suffer from peripheral artery disease
at Bridgeport Hospital, the force may be with you!
Blood Pressure and Stroke ScreeningFriday, May 18
The Stroke Center at Bridgeport Hospital will offer
free blood pressure screenings and stroke risk assessments
in the hospital lobby on May 18 from
10:00 a.m. to 3:00 p.m. Stop by and learn
how to recognize the symptoms of a stroke
what to do when you feel these symptoms
or see them in someone else
and much more!
New American Heart Association
Guidelines for Women
The 2007 Guidelines for Preventing Cardiovascular
Disease in Women were announced in the March 20
issue of the American Heart Association journal
Circulation. The recommendations focus on a womans
lifetime risk for heart disease and stroke. They emphasize
the importance of aggressively changing lifestyles
to reduce the overall risk of a cardiac event. There are
new recommendations on aspirin, hormone replacement
therapy, vitamin supplements, diet and exercise.
Highlights of the New
Recommendations for Women
Know if you are at risk. Talk to your doctor about
your heart disease risk. Seek aggressive treatment if you
have risk factors that can be modified, such as high
cholesterol, high blood pressure or smoking. Lifestyle
changes and medication may be needed. Develop strategies
and work closely with your physician to combat these
modifiable risk factors.
Aspirin. If you do not have established heart disease,
you should not take aspirin for the sole purpose of
preventing heart disease or stroke, unless your physician
specifically recommends that you do so.
If you do have established heart disease, or are over age
65, your physician will routinely prescribe preventive
daily aspirin (unless you are allergic to it).
Exercise. Exercise at a moderate to vigorous pace for
30 minutes a day on most days of the weekand up
to 90 minutes a day if you need to lose weight. Most
women dont get anywhere near this amount of exercise
yet exercise is key to preventing heart disease
and controlling your weight.
Vitamins and supplements. Women with heart disease
should take daily doses (8501000mg) of two important
fatty acids: omega3 (Eicosapentaenoic Acid, or EPA) and
omega6 (Docosahexaenoic Acid, or DHA). All women
should eat 1012 ounces of oily fish each week to obtain
a natural source of omega3 and omega6.
Although antioxidant supplements such as vitamins E,
C and betacarotene can be beneficial to your overall
health, do not take them solely to prevent a cardiac
event. Also, folic acid has not been shown to prevent
heart attacks and should not be taken in doses larger
than the 400mcg per day found in most multivitamins.
Hormone replacement therapy (HRT). HRT and
selective estrogen receptor modulators (SERMS) are
not recommended to prevent heart disease in women.
Depression. All women with established heart disease are
urged to be screened for depression, and to be treated if
depression is diagnosed. Depression is treatable!
Diet. Most of the 2007 recommendations are familiar,
but there is one change.
- Fruits, vegetables, whole grains and oily fish
(1012 ounces every week) should make up the
biggest portion of a womans diet. (You knew that.)
- Keep salt down to a total of one teaspoon a day,
which is about 20004000 grams of sodium.
(You knew that, too.)
- Trans fats (partially hydrogenated fats) are typically
found in baked products, snack foods and many
processed foods, and should be totally eliminated
from the diet. (Also no surprise.) Trans fats are now
included on nutritional labels.
- Saturated fat intake has been reduced to no more than
seven percent of your total calories. This is new. The
previous recommendation was no more than ten
percent of total caloric intake. The new level requires
constant vigilance to reduce the frequency and amount
of saturated fat in your diet. Saturated fat is the
type found in pork, beef, lamb and chicken; dairy
products; and coconut, palm and palm kernel oils.
These new recommendations for women require aggressive
lifestyle changes. Women are becoming increasingly aware
of the risks of heart disease. It is now time to turn that
knowledge into action by making changes before you are
stricken with heart disease or a stroke.
Basic Broiled Shad
- 2 lbs. boned shad fillets
- 1/4 cup extra virgin olive oil
- 2 tsp. lemon juice
- 1 tsp. grated onion
- 1 1/2 tsp. salt
- 1 tsp. paprika
- 1/4 tsp. crushed thyme
- dash pepper
- chopped parsley
- lemon wedges
Instructions: Cut fillets into 4 serving-size portions.
Combine remaining ingredients, except parsley and
lemon wedges, to make a sauce. Place fish, skin side up
on a greased broiler pan. Brush fillets with the sauce.
Broil for 5 minutes, about 3 inches from the heat. Turn
carefully, brush other side with the sauce. Broil 5 to 7
minutes longer or until fish is browned and flakes easily
with a fork. Sprinkle with parsley and garnish with
lemon wedges. Makes 6 servings.
Nutritional Information: (per serving) 379 calories,
25.6 grams protein, 0.4 grams carbohydrate, 30.0
grams fat, 0 grams cholesterol, 1.3 grams saturated fat,
433 milligrams sodium
Nutrition nibblet: Shad are hatched in fresh water,
migrate out to sea and eventually return to spawn.
The shad is three to five years old when it returns
to its spawning ground in April and May. By
this time the shad have traveled thousand of miles
migrating seasonally between the Gulf of Maine and
Cape Hatteras. They do not eat in freshwater