- Men's Health, Women's Health, Uncategorized, Heart CareGeneral Page Tier 3BlogJust because you know your risk for a heart attack, doesn’t mean you know your risk for heart failure. Oftentimes people use the terms heart attack and cardiac arrest interchangeably, even though they are two distinct conditions. Heart Attack = Plumbing Issue You can think of a heart attack as a plumbing issue—when your pipes get clogged it’s going to cause some big problems. A blockage of the coronary arteries causes a heart attack. The blockage prevents oxygen-rich blood from reaching a part of the heart muscle and, if not quickly resolved, can cause parts of the heart muscle to begin to die. With a heart attack your heart generally continues to beat, despite the blockage. Cardiac Arrest = Electrical Issue On the other hand, a cardiac arrest is an electrical problem. The electrical circuit to your heart goes out–it’s like a black out. It starts when the electrical signals that control the timing and the organization of the heartbeat become chaotic and then the heart suddenly stops pumping. Without blood pumping to the brain, loss of consciousness and death occurs. Sometimes cardiac arrest can be triggered by another traumatic event, like drowning, electrocution, drug abuse, and even a heart attack. You are at higher risk if you have coronary heart disease, weakened heart (cardiomyopathy), or if you or a family member have history of certain heart conditions like arrhythmias, cardiac genetic disorders, or thickened heart muscle. Warning Signs There are varying warning signs you may experience before a heart attack—including chest pain, shortness of breath, weakness, dizziness, palpitations, and nausea—but the warning signs for cardiac arrest are pretty clear: Loss of consciousness No breathing No pulse Death will occur if treatment is not provided in the first few minutes. What You Can Do So what should you do if you’re with someone who goes into cardiac arrest? First, you should dial 911 to get help on the way. You should immediately begin CPR. If an automated external defibrillator (AED) is nearby, use it. These are becoming more common in public places like malls, airports and community swimming pools. Prepare yourself now by signing up to learn CPR and how to use an AED through community classes, like Anne Arundel Medical Center’s Heartsavers Class. Nearly 400,000 out-of-hospital deaths occur from cardiac arrest each year. Acting fast and knowing what to do can save lives. Learn CPR and how to use an AED at one our upcoming Heartsavers classes. Plus, find out your “heart age” and risk of heart disease by taking our quick, free heart profiler at www.AAMCYoungAtHeart.org. Author By Baran Kilical, MD, a board-certified cardiologist and cardiac electrophysiologist with Anne Arundel Medical Center. To reach his office, call 410-897–0822.
- Community, News & Press Releases, Heart CareGeneral Page Tier 3BlogAt Anne Arundel Medical Center we know that small acts make a big difference in the lives of our employees…and especially our patients. So, this Heart Month we’ve asked our employees to take the lead on committing random acts of kindness (RAKs) throughout the hospital in order to show their Heart@Work. We’ve even equipped our employees with special Heart@Work cards they can hand out to fellow employees, visitors and patients when they’ve been “RAKed.” Plus, there are displays around the hospital where you can pick up cards. We hope you’ll get in on the action and share your story with us here on our blog, our Facebook page, or Twitter. A cup of tea, flowers out of the blue, an encouraging note – it’s amazing how a simple act of kindness can turn around someone’s day. Need some ideas to get started: Place an encouraging Post-It note on a co-worker’s computer. If you have long hair, cut it and donate it to a charity that provides wigs for those in need. Invite someone new over for dinner or prepare a meal for someone. Buy a coloring book and crayons. Keep a few sheets and crayons in your bag to help a parent with a restless child. Buy a cup of coffee for the person behind you in line. Leave a generous tip.
- Community, Men's Health, Heart Care, Patient StoriesGeneral Page Tier 3BlogJeff Shields had been thinking and worrying about his heart for a long time. He knew he was a prime candidate for a heart attack. After all, he’s a type 2 diabetic, and his own father had died at 53 of a heart attack. “I’ve been trying to do the right things ever since I was 50 and I’m 62 now,” Jeff says. Still, despite his vigilance, when the heart attack arrived, Jeff barely recognized it. It was the first day of summer, and Jeff had come inside to rest after working outdoors. Heart Attack Symptoms Aren’t Always What You Think “I had an odd feeling, like a baby bib was under my neck. I had just a little tingling in my right arm, but not painfully, and I had this tightness in the back of my upper jaw.” These weren’t the symptoms for which Jeff had been on the lookout. They weren’t the symptoms he associated with a heart attack like arm and chest pain. Luckily, he’s married to a retired nurse who’d worked at AAMC for 25 years. “It was just so odd, so vague,” remembers Cathy Shields. “A lot of people would have ignored Jeff’s symptoms, and I could’ve maybe ignored them too, but because I’d been a nurse and well, the jaw pain, that was the deal breaker for me.” Cathy called 911. It was a life-saving decision. The ambulance paramedic confirmed that Jeff was having a heart attack and raced him to the emergency room at Anne Arundel Medical Center. Moments later, Jeff went into cardiac arrest. He received immediate defibrillation. Then he was rushed to the catheterization lab for an angioplasty. Marco Mejia, MD, an interventional cardiologist, used a balloon-tipped tube and wire-mesh stents to open Jeff’s blocked arteries. “Dr. Mejia literally saved my life,” says Jeff. “I’m pretty grateful to him and the whole team as well.” A Decade of Saving Lives Dr. Mejia helped create AAMC’s Emergency Heart Attack Program more than a decade ago. He’s immensely proud of what they’ve achieved. “Everyone knows their job, our team is set up and ready 24 hours a day, seven days a week. This program at AAMC is truly one of the best programs around.” In addition to saving more than a thousand lives, the program has dramatically reduced coronary intervention response time, even beyond national guidelines. The American Heart Association recommends that it take no more than 90 minutes from the time a heart attack patient arrives at a hospital until a blocked artery is opened. At AAMC, 90% of all patients have their arteries opened in less than 60 minutes. “The process is very refined now,” says Dr. Mejia. Jeff Shields considers himself incredibly lucky for the life-saving care he received at AAMC and for having a wife that recognized his vague symptoms as those of a heart attack. Dr. Mejia says it’s a story worth heeding. “We always want the community to know when you suspect heart attack you need to call ambulance right away.” Cardiac Rehab Helps with Lifestyle Changes As for Jeff Shields, his partnership with AAMC is still going strong. Following his emergency angioplasty, Jeff underwent successful quadruple bypass surgery. Once home, he enrolled in AAMC’s Cardiac Rehabilitation Program. It provides medically-supervised exercise, nutritional and behavioral counseling. Jeff also continues to see Dr. Mejia. “He’s very stern, he tells me exactly what I’ve got to do. I just love him.” As for Cathy, she offers this advice: “Pay attention to the vague stuff, don’t overlook it, and be alert.”
- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogWhat Susan Dennis says is most extraordinary about her life now is that it is so ordinary. In the last few months, she’s taken many long walks, gone to a baseball game, flown to Florida on vacation, and walked down the beach in a swimsuit. Nothing that unusual for a 40-year-old woman, except if you are Susan Dennis. Flash back a year, and Susan says you wouldn’t recognize her. She weighed over 300 pounds and had full-blown diabetes, high blood pressure and a host of other serious health issues. “I didn’t go out, I didn’t like seeing friends, walking was a chore,” Susan says. “I felt weighed down by myself, by everything. It wasn’t a happy existence.” A Lifelong Struggle Susan has struggled with her weight since she was 16. Over the years she tried fad diets, weight loss groups, even medically supervised prescription diets. But nothing worked. Finally, with her health in steep decline, her endocrinologist suggested bariatric surgery. At first, Susan balked at the idea. “I told her no. I thought it might be the easy way out and that I could do it on my own.” But as her health worsened, Susan finally realized she needed help. The Right Decision Susan decided to have gastric bypass surgery with Alex Gandsas, MD, who leads AAMC’s Weight Loss and Metabolic Surgery program. Susan says she liked that the care felt “very personalized.” Dr. Gandsas says it’s essential to have a rigorous bariatric surgery program that addresses the whole person. “We are helping our patients engage in a different life,” Dr. Gandsas says. “The surgery helps them change course and shed weight, but it’s only one component. We want them to have all the tools they need to permanently succeed.” Intensive Help Before, and After At AAMC, weight loss patients begin preparing for surgery six months in advance with medical testing, diet, exercise, and nutrition counseling. And it doesn’t end there. After surgery, patients continue to receive careful monitoring and meal plans. Just 4½ months after her surgery, Susan was doing great. In addition to having lost 83 pounds, her blood pressure was down and her diabetes was fully controlled. What’s more, Susan says she’s happy all the time. “I just feel wonderful, I feel like I can take over the world.” But for now she’s content trying to live her extraordinarily ordinary life. Next on the list: yoga classes. To learn more about bariatric surgery at Anne Arundel Medical Center, please visit www.AskAAMC.org/WeightLoss.
- Men's Health, Women's Health, Wellness, Patient StoriesGeneral Page Tier 3BlogIn 2012, Tammy Smith weighed 340 pounds. She attended a weight loss surgery seminar and decided to have gastric sleeve bypass. Her journey to new health habits began several months prior to her surgery, leading to a nearly 200-pound weight loss. Here’s Tammy’s story in her own words: Two years ago, I was very scared and nervous about the idea of bariatric surgery. I went to a seminar and met Bariatric Surgeon Dr. Alex Gandsas and he was amazing. After speaking with him, I decided to go through with the surgery to have the gastric sleeve bypass. The easiest part of the journey has been the surgery itself. There was very little pain. The hardest has been adjusting to a new way of thinking about food and establishing an exercise routine. But the program is set up for success by helping you adjust to new habits before surgery. Three months leading up to surgery, I met with the nutritionist in Dr. Gandsas office who guided me in the right direction. It was a lifestyle change that needed to take place in order to be successful. Each month, I picked two or three of the changes that needed to happen. I worked on making these changes every month until they became habits. As weeks went by the challenge was to make good choices and exercise regularly. I have lost 191 pounds. I started at 340 pounds and size 24. Now I am in a size 4. My journey has changed me. I love the new me. I never knew this life I now know could have existed. This surgery is not a quick fix or a magic procedure. It is about changing your way of life, not just a diet. Bariatric surgery is a tool in your tool box. Learning good eating habits and educating yourself about nutrition is key. For those who choose not to work out, the results will not be as great. The true test for maintaining and continuing my weight loss came after I lost my husband. Getting through the last six months has been a huge test to old eating habits. But I have stayed the course, and I know I will continue with my new lifestyle. I am so thankful for this program at AAMC. If you make the changes and do the hard work you will be successful! Learn more about bariatric surgery at www.AskAAMC.org/WeightLoss.
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