1. Heart Disease in Men Dr. BhavaniBalaravi, MD, FACC Raleigh Cardiology September 21, 2011

2. A Case in the ER 57 year-old white male with chest pain at the mid sternal region.

4. Chest pain

5. Back pain

6. Shortness of breath

7. Sweating

8. Nausea

9. Dizziness

11. Chest pain

12. Back pain

13. Shortness of breath

14. Sweating

15. Nausea

16. Dizziness

21. Negative Stress test ~ 8 years ago

25. 57 Year-Old Male with Chest Pain Went to Urgent Care, first, and subsequently sent to ER: EKG: normal Chest X-ray: normal Blood work: normal

26. 57 Year-Old Male with Chest Pain Chest pain got worse in the ER

28. 2. Cancer

29. 3. Accidents

30. 4. Chronic Lower Respiratory Disease

31. 5. Stroke

32. 6. Type 2 Diabetes Mellitus

34. Cardiovascular Disease Includes: Coronary artery Disease (Heart attack) Heart Failure Heart Valve Disease Heart Muscle Disease ( Cardiomyopathy) Abnormal Heart Rhythms (Arrhythmias) Pericardial disease Aortic Disease Vascular disease (blood vessel)

36. Obesity

37. Smoking

39. Obesity

40. Smoking

42. 57 Year-Old Male with Chest Pain Major Risk Factors for CAD: Age Sex Family History Hypertension High Cholesterol Current Smoking Diabetes Obesity Inactivity Stress

46. But, after menopause women catch up.

48. Hypertension

50. Can You Reverse Heart Disease? Is much more controversial Slow the process down Life-long effort Significant life-style changes It is a preventable condition

51. How to Wreck Your Heart Keep Smoking

52. How to Wreck Your Heart Eat with unhealthy food with abandon

53. How to Wreck Your Heart Be a couch potato

54. How to Wreck Your Heart Let you blood pressure run high

55. How to Wreck Your Heart Forget your growing waistline

56. How to Wreck Your Heart Stop taking your medication

57. How to Wreck Your Heart Skip your medical checkup

58. How to Wreck Your Heart Ignore the chest pain

59. Strategies to Help to Prevent Heart Disease Don’t smoke or use tobacco

60. Strategies to Help to Prevent Heart Disease Exercise for at least 30 min most days of the week.

61. Strategies to Help to Prevent Heart Disease Eat a Heart-healthy diet.

62. Strategies to Help to Prevent Heart Disease Maintain Healthy Weight.

63. Strategies to Help to Prevent Heart Disease Get Regular Health Screenings Blood pressure Cholesterol levels Diabetes Screening

64. Strategies to Help to Prevent Heart Disease Limit Unhealthy Diet and Cholesterol

65. Strategies to Help to Prevent Heart Disease Choose low-fat high-protein sources

66. Strategies to Help to Prevent Heart Disease Eat more Vegetable and Fruits

67. Strategies to Help to Prevent Heart Disease Select Whole Grains

68. Strategies to Help to Prevent Heart Disease Reduce Salt in your diet

69. Strategies to Help to Prevent Heart Disease Control your portion size

71. Take vitamin E supplements

72. Take folic acid supplements

74. Taking vitamin E supplements

75. Taking folic acid supplements

77. 57 Year-Old Male with Chest Pain

78. THANK YOU

79. Raleigh Cardiology - Cary Office200 Ashville Avenue, Suite 10Cary, NC 27511Appointments: (919) 350-2580