Heart Health SUNDAY, FEBRUARY 23, 2014
A Special Advertising Publication of The State Media Advertising Department and Lexington Medical Center
1 Eat Right 2 Chill Out 3 Get Moving 4 Call 9-1-1 5 Learn CPR FIVE WAYS TO
TAKE 5
for Heart Health
Eat every 3 to 5 hours during the day to avoid overeating at mealtimes.
“Take 5” with Lexington Medical Center this month! The hospital created its Take 5 for Heart Health program as part of American Heart Month in February. Take 5 for Heart Health encourages community members to take time for their heart health with five key elements: Eat Right; Chill Out; Get Moving; Call 9-1-1; and Learn CPR. As part of the innovative program, Lexington Medical Center is partnering with Midlands businesses to provide free heart-health events, including exercise classes and stress-relief activities throughout the month of February. Participants have been enjoying free dance fitness classes, bowling at Anchor Lanes, ceramic painting at The Pitter Platter,
canvas painting at Palmetto Paint & Pour, volunteering at Pawmetto Lifeline and Harvest Hope Food Bank, golfing at Rawls Creek Golf, tours of the West Columbia Riverwalk with Palmetto Outdoors, ice skating and roller skating at Plex Indoor Sports, a grocery store tour to learn how to shop for healthy foods, and Lunch and Learn events. There have also been free tickets to University of South Carolina basketball games. “We’re thrilled with the response we’ve had from our business partners to provide important heart-health education
For a full list of Take 5 for Heart Health activities, visit
LexMed.com/Take5
to our community,” said Barbara Willm, vice president of Community Relations at Lexington Medical Center. The idea is to educate the community about heart health and encourage people to lead heart-healthy lives through exercise, education and stress management. Heart disease is an epidemic in South Carolina. One out of every three deaths in the state is related to cardiovascular disease. Lexington Medical Center is dedicated to treating heart disease with comprehensive cardiovascular care. Businesses can sign up to offer free classes or activities and people can register to participate at LexMed.com/Take5. Each participant must sign up in advance. Events will close when they reach capacity, but new activities will be added throughout the month of February.
Use simple breathing techniques to lower your heart rate and blood pressure.
Strive for 30 minutes or more of moderate physical activity on most days of the week.
9-1-1 When it comes to heart attack and stroke, call 9-1-1 instead of driving yourself or a loved one to an emergency department.
If someone needs CPR, push hard and push fast.
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Heart Health
SUNDAY, FEBRUARY 23, 2014
Lexington Medical Center’s cardiac surgery team during open heart surgery
Lexington Medical Center Celebrates Heart Program’s Second Anniversary Next month, Lexington Medical Center will celebrate the second anniversary of its complete cardiac care program. Over the past two years, the hospital has performed more than 400 open heart surgeries and saved the lives of friends, neighbors and loved ones. Jeffrey Travis, MD, the hospital’s first cardiovascular surgeon, and a highly specialized cardiac surgical team performed the first open heart surgery at Lexington Medical Center on March 28, 2012. The hospital expected to perform about 100 open heart surgeries each year. As the program developed, however, the numbers exceeded expectations, which led Lexington Medical Center to add a second heart surgeon, Steven Marra, MD, FACS. By January 30, 2014, the hospital had performed 402 open heart surgical procedures. The cardiovascular program has also grown in other ways. Lexington Medical Center began offering catheter ablation, which is a non-surgical, electrophysiology (EP) procedure to treat cardiac arrhythmias, when William Brabham, MD, an EP-trained cardiologist who specializes in atrial fibrillation and other
arrhythmias, joined Lexington Cardiology, a Lexington Medical Center physician practice, in March of last year. Soon, the hospital will begin offering transcatheter aortic valve replacement (TAVR) with a cardiac care team that includes Dr. Robert Leonardi of Lexington Cardiology. He joined the hospital’s network of care in January of this year. The hospital continues to perform diagnostic cardiac catheterizations as well as non-emergent and emergent coronary interventions. Lexington Medical Center also has two American Academy of Cardiovascular and Pulmonary Rehabilitationaccredited cardiac rehabilitation facilities. In the future, Lexington Medical Center will continue to focus on developing the program’s technology and services with the latest techniques and state-of-the-art equipment. This work extends into the community with a comprehensive education program that actively promotes heart-healthy lifestyles. The goal is to deliver complete cardiovascular care focused on unparalleled efficiency and excellent outcomes.
In South Carolina, heart disease is an epidemic.
1 OUT OF EVERY
3 DEATHS is related to
cardiovascular disease. When a cardiac event occurs,
every second counts.
By the Numbers at Lexington Medical Center MARCH 28, 2012 TO JANUARY 30, 2014
Total Number of Open Heart Surgeries
402
MOST COMMON PROCEDURES Coronary Artery Bypass
308
Aortic Valve Replacement
26
Coronary Artery Bypass and Aortic Valve Replacement
20
Mitral Valve Replacement
11
Ascending Aneurysm Repair
8
Heart Health
A Special Advertising Publication of The State Media Advertising Department and Lexington Medical Center
3
LMC to Offer Transcatheter Aortic Valve Replacement This year, Lexington Medical Heart Center will begin offering transcatheter aortic valve replacement, known as TAVR. This stateof-the-art cardiovascular technology allows doctors to replace the aortic valve without open heart surgery. “TAVR is the single most important advance in interventional cardiology since coronary angioplasty,” said Dr. Robert Leonardi of Lexington Cardiology, a Lexington Medical Center physician practice. He will perform TAVR procedures as part of a highly skilled cardiac care team that includes Dr. Robert Malanuk of Lexington Cardiology and Dr. Jeffrey Travis of Lexington Cardiovascular Surgery, as well as nurses, technicians and a cardiovascular anesthesiologist. Currently, TAVR is for patients with severe aortic stenosis who are not candidates for open heart surgery because of their age, history of heart disease or other health issues. Patients with severe aortic stenosis have a narrowed aortic valve that does not allow blood to flow efficiently. As the heart works harder to pump enough blood through the smaller opening in the valve, the heart eventually becomes weak. Over time, that can lead to life-threatening heart problems.
TAVR offers a less-invasive option than open heart surgery. To replace the diseased aortic valve, the new aortic valve is compressed into a tube-like device called a delivery catheter that’s slightly wider than a pencil. Doctors insert the delivery catheter and the new aortic valve into an artery and thread the catheter through the body to the inside of the diseased aortic valve. Then, doctors deploy the new valve from the delivery catheter inside the diseased aortic valve, which becomes the anchor for the new valve. The new valve is functional immediately and normal blood flow is restored. Lexington Medical Heart Center will use the Edwards SAPIEN Transcatheter Heart Valve. It’s made of bovine tissue with a stainless steel frame. The TAVR procedure takes less than two hours. “The main benefit is that patients feel better and live longer,” Dr. Leonardi said. Studies show that TAVR reduces the mortality rate in patients by 20% in the first year after the procedure. “Patients often want to know if there’s something we can do to make them feel better,” he added. “TAVR allows that to happen.”
1 2 1. A delivery catheter is placed in the diseased aortic valve. 2. Doctors deploy the new aortic valve from the delivery catheter. 3. The new aortic valve functions immediately.
3
Illustrations courtesy of Edwards Lifesciences
For more information on Lexington Medical Center’s complete cardiac care program, visit
LexMed.com
Welcome, Robert A. Leonardi, MD Lexington Medical Center is pleased to welcome Robert A. Leonardi, MD, to its network of care. He joins the 10 board-certified cardiologists at Lexington Cardiology to deliver the highest quality care in the treatment of cardiovascular disease. Dr. Leonardi earned his medical degree from the Medical University of South Carolina in Charleston. He then completed an internal medicine residency at Duke University in Durham, N.C. Culminating his education with a cardiology fellowship at MUSC as well as interventional cardiology and structural interventional cardiology fellowships at Emory University in Atlanta, Dr. Leonardi’s procedural skill set includes transcatheter aortic valve replacement (TAVR).
He has a superior level of training to perform TAVR. With the addition of Dr. Leonardi, the hospital will use a collaborative cardiac care team approach to offer TAVR to its heart patients in the upcoming months. Dr. Leonardi is also trained in transradial and transfemoral coronary angiography and intervention, peripheral angiography and intervention, and percutaneous balloon aortic valvuloplasty. Additional skills include percutaneous atrial septal defect/patent foramen ovale closure, alcohol septal ablation for obstructive hypertrophic cardiomyopathy and nuclear cardiology. He is board certified in internal medicine, interventional cardiology and cardiovascular medicine. Before joining Lexington Cardiology, Dr. Leonardi served as a South Carolina Fellows-in-Training representative for the American College of Cardiology.
ROBERT A. LEONARDI, MD
Two convenient locations to serve patients in the Midlands. DOWNTOWN COLUMBIA 2601 Laurel Street Suite 260 (803) 744-4900
WEST COLUMBIA 131 Sunset Court (803) 744-4940
lmcLexingtonCardiology.com
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Heart Health
SUNDAY, FEBRUARY 23, 2014
1 Eat Right Are You What You Eat? Changing the way you eat is important to reduce your risk of heart disease. Eating a hearthealthy diet can give you more energy, lower high lipid levels, control high blood pressure, reduce inflammation in coronary arteries and result in weight loss. Whether you have years of unhealthy eating under your belt or you want to fine-tune your diet, making a few small changes to your eating habits can make a big difference in your health. “A heart-healthy diet has many benefits, including reducing your risk of having a stroke or heart attack,” said Donna Quirk, clinical nutrition manager at Lexington Medical Center. “Antioxidants in fruit, vegetables and whole grains also help to combat inflammation, which contributes to cardiovascular disease, cancer and other diseases
of the immune system. So eating a heart-healthy diet helps more than your heart.” A good way to start a hearthealthy diet is to eat more foods that contain whole grains. This includes plenty of vegetables and fruit as well as moderate portions of whole-grain products. “Most fruit and vegetables are high in fiber and low in calories and fat. The bulk from fiber helps to curb hunger by slowing down the rate that your body absorbs carbohydrates. Water is also absorbed by fiber, which helps you feel full,” said Quirk. In addition, a heart-healthy diet includes the healthy fats found in olive oil, canola, soybean oil, avocado and nuts. Choosing lowerfat proteins and reducing saturated fat, salt and sugar also contribute to a healthier you.
How much you eat is just as important as what you eat!
High Blood Glucose
Sunday • March 2 1:00–5:00 p.m. DoubleTree by Hilton 2100 Bush River Road • Columbia, SC 29210
Taste heart-healthy foods and learn how to prepare them at Lexington Medical Center’s FREE Heart Fair.
What sensible servings look like Deck of cards = 3 to 4 oz of meat
Checkbook = 3 oz fish
Pair of dice = 1 oz of cheese
High blood glucose levels put you at greater risk of developing type 2 diabetes, which can lead to heart disease and stroke.
Ping pong ball = 2 T of peanut butter
High Total Cholesterol The higher your blood cholesterol (which causes plaque to build up in the artery walls), the higher your risk for heart disease.
I Screen, You Screen, We All Need to be Screened The key to preventing cardiovascular disease is managing your risk factors, such as high blood pressure, high total cholesterol and high blood glucose. But how do you know which risk factors you have? The best way is through an annual health screening. Lexington Medical Center offers a variety of assessments throughout the year to area businesses, churches, schools and other organizations as a free service to the community. The results of these screenings are mailed confidentially, along with instructions for understanding them.
When needed, clinicians provide follow-up recommendations to ensure that anyone with a health concern is offered resources for prevention or further diagnosis and treatment. Often, risk factors for cardiovascular disease can be managed with lifestyle changes.
Heart-health screenings include: Blood pressure
assessment
High Blood Pressure Having high blood pressure makes your heart work harder and raises the risk of heart disease.
To schedule free health screenings for your organization, call Lexington Medical Center Community Outreach at (803) 936-8850.
Lipid profile
(total cholesterol, HDL, LDL and triglycerides) for coronary heart disease risk Glucose (blood
level) screening for risk of developing diabetes
Heart Health
A Special Advertising Publication of The State Media Advertising Department and Lexington Medical Center
5
Barbara Brown inside Lexington Medical Center Cardiac Rehabilitation
“Heart” With a Little Help from Our Friends “Where’s your heart?” That’s what Barbara Brown’s grandchildren asked her after she had open heart surgery at Lexington Medical Center last summer. They were talking about the heart-shaped pillow that each heart surgery patient receives. Members of the patient’s care team sign it. And, sometimes, the surgeon draws on the pillow to explain the patient’s condition and how to fix it. “The heart was a lifesaver,” Brown said. “I’d hug it after surgery and it made me feel more secure.” The Lexington Medical Center Foundation provides the heart pillows, which are designed to support the chest when patients cough or sneeze after surgery and to help them remember not to use their arms when standing and walking. The pillows add some emotional comfort, too.
The retired Lexington County middle school math teacher’s heart troubles began early in 2013 when she experienced pain running down her arm while on a treadmill. She was also borderline diabetic, had high cholesterol and a history of heart disease in her family. The problems multiplied one day when she was walking at Riverbanks Botanical Garden in Columbia with a friend. “It felt like there was an elephant on my chest.” And her face was as pale as a ghost. A cardiac catheterization at Lexington Medical Center revealed two blocked arteries. Brown underwent open heart surgery at the hospital on July 18, 2013, two days before her 63rd birthday. After surgery, she began taking classes about nutrition and healthy eating, and working out on treadmills, bikes and elliptical machines in Lexington Medical Center’s nationally accredited Cardiac Rehabilitation facility. “The thing I liked most was knowing that I was being monitored,” Brown said. “I felt confident
knowing they were watching me.” Statistics show that cardiac rehabilitation participants experience a 34 to 46 percent reduction in mortality rates compared to non-participants. Benefits also include reduced symptoms, increased energy, quicker return to work and leisure activities, and improved quality of life. Cardiac rehabilitation is so important that the Lexington Medical Center Foundation offers scholarships to people in need who do not have the resources to pay for it. And the hospital’s Foundation provides a DVD library to educate cardiac rehabilitation patients, flat-screen televisions for the gym and waiting area, scales for patients to use at home and tuition for smoking cessation classes. These days, Brown eats healthy, keeps a food journal and exercises 30 minutes daily. She also takes care of two of her grandchildren two days a week. They like to play “hospital” in her house and hand her the heart pillow. “You need your heart,” they tell her.
MEET THE LEXINGTON MEDICAL CENTER
Cardiac Care Team
Dedicated to providing high-quality cardiovascular care to our community, these Lexington Medical Center physician practices combine clinical expertise and state-of-the-art technologies with compassionate care.
A Lexington Medical Center Physician Practice A Lexington Medical Center Physician Practice
A Lexington Medical Center Physician Practice
LexingtonCardiovascular.com
lmcLexingtonCardiology.com
SumterCardiology.com
2728 Sunset Blvd., Suite 101 West Columbia, SC 29169
2601 Laurel Street, Suite 260, Columbia, SC 29204 (803) 744-4900
540 Physicians Lane Sumter, SC 29150
(803) 936-7095
131 Sunset Court, West Columbia, SC 29169 (803) 744-4940
(803) 778-1941
Steven W. Marra, MD, FACS, and Jeffrey Travis, MD
Front Row (L–R): Richard E. Umbach, MD, FACC; Amy Rawl Epps, MD, FACC; S. Stanley Juk Jr., MD, FACC Second Row (L–R): Robert M. Malanuk, MD, FACC; Joseph J. Lawton III, MD, FACC, FSCAI; William D. Brearley Jr., MD, FACC; Stephen E. Van Horn Jr., MD, FACC; R. Taylor Williams, MD, FACC Third Row (L–R): Robert A. Leonardi, MD; Michael C. Roberts, MD, FACC; William W. Brabham, MD
C. West Jacocks IV, MD, FACC, and Mitchell W. Jacocks, MD
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Heart Health
SUNDAY, FEBRUARY 23, 2014
2 Chill Out
Chill Without a Pill Science is learning more about how stress affects your heart. Studies show that people who are stressed, depressed, anxious and angry are less likely to follow a heart-healthy lifestyle. More importantly, research suggests that these factors can also lead to plaque build-up in the arteries, angina and heart attack. “Stress, depression, anxiety and anger can directly affect your heart and the progression of heart disease,” said John Leech, Cardiac Rehabilitation manager at Lexington Medical Center.
That’s why it’s important to “chill out.” One component of Cardiac Rehabilitation at Lexington Medical Center is to teach patients relaxation training for stress management. It involves learning exercises that help you relax your mind and body, including deep breathing, meditation, guided imagery and progressive muscle relaxation. Patients learn techniques to lower their blood pressure and heart rate, and reduce the effects of stress. Without addressing stress, patients are more likely to suffer another cardiac incident.
Sunday • March 2 1:00–5:00 p.m. DoubleTree by Hilton 2100 Bush River Road • Columbia, SC 29210
See how relaxation training and massage therapy can benefit your heart at Lexington Medical Center’s FREE Heart Fair.
Lexington Medical Center Says “Relax”
Use this simple breathing technique to relax and lower your heart rate and blood pressure.
JOHN LEECH LMC CARDIAC REHABILITATION MANAGER
1. Find a quiet place and get comfortable.
In today’s multitasking culture, we are exposed to a never-ending stream of information from smartphones, tablets, emails, texts, tweets—the list goes on. It can be difficult to avoid distractions, focus on what’s most important or concentrate on the task at hand. This stress contributes to constant anxiety and an inability to relax, which can wreak havoc on our bodies and minds. It can even affect our hearts. Stress has been proven to increase inflammation in the body, including coronary arteries. Research has shown that using relaxation training can lower heart rate and blood pressure, relax tightened muscles, reduce stress and anxiety, improve sleep, strengthen the immune system, boost selfesteem and confidence, and improve focus. Cardiac Rehabilitation at Lexington Medical Center teaches patients relaxation training using breath work, guided imagery, progressive muscle relaxation and mindfulness meditation. These relaxation exercises help patients to quiet their minds, calm their thoughts, and release tension and stress.
One study showed that patients with confirmed heart disease who practiced meditation reduced their chances of having a heart attack, stroke or death by 48% over a five-year period when compared to a similar group who attended a standard health education class. Many groups use relaxation training, especially mindfulness meditation, to improve their health and the health of others, including Duke Medicine, Cleveland Clinic, U.S. Marine Corp and Navy SEALs, and Olympic athletes. For four years, Google has offered mindfulness meditation training to its employees and currently has 500 employees waiting to take the class. At General Mills, more than 450 employees have been trained in mindfulness meditation. We all know exercise is important to keep our bodies healthy. Now there’s evidence that proves the importance of training our minds to stay well. So, let’s all take a slow deep breath and exhale even slower.
2. Sit up straight and place one hand on your abdomen and the other in your lap or by your side. 3. Inhale through your nose into your belly (not your chest) with a slow, deep breath and count to four. 4. When you inhale, the hand on your abdomen should rise. 5. Exhale, using pursed lips (like whistling), even more slowly, while counting to eight. 6. When you exhale, your hand should go back down. 7. Briefly rest in the stillness at the end of your exhale. 8. Repeat 15 to 20 times. 9. If you begin to feel lightheaded, stop, rest a couple of minutes and start again, but breathe slower. 10. The goal is to slow your breathing to six complete breaths (inhalation and exhalation) per minute. That’s one breath every 10 seconds.
Heart Health
A Special Advertising Publication of The State Media Advertising Department and Lexington Medical Center
7
3 Get Moving Prescription for Fitness Regular cardiovascular exercise can decrease the risk of cardiac-related problems and issues related to chronic disease. It can also decrease the likelihood of a second event or intervention for those with a previous cardiac history. In fact, if exercise could be packed in a pill, it would be the most widely prescribed and beneficial medicine in the country. “Regular exercise has similar effects as taking medications when it comes to reducing the risk of cardiac-related health problems and other chronic diseases,” said Amanda Castles, MPH, health promotion consultant at Health Directions, Lexington Medical Center’s
health and wellness facility. “Your activity level is one risk factor that you can control.” Strive for 30 minutes or more of moderate-intensity physical activity on most days of the week. Examples include brisk walking, jogging, cycling or other aerobic activity. For those with joint pain, choose low-impact exercises, such as swimming. And try including physical activities in your plans with friends and family. “It is important to choose types of exercise that you enjoy. When you enjoy your activity, it feels less like a chore and you’re more likely to stick to your routine,” said Castles.
Calorie-Counter Activity Guide Activity
Calories Used Per Hour*
Activity
Calories Used Per Hour*
Walking Slowly (2½ mph)
210–230
Basketball
480–625
Brisk Walking (4 mph)
250–345
Aerobic Dancing
480–625
Jogging (6 mph)
315–480
Swimming
480–625
Cycling (9 mph)
315–480
Cross-country Skiing
480–625
Gardening (heavy)
450–525
*Expenditures in calories by a 150-pound person
Get Motivated. Get Moving. Get Healthy. And We Can Help. We’re Health Directions — the fitness and wellness division of Lexington Medical Center. We promote healthy lifestyles through our programs and services that range from fitness classes and personal training to annual health screenings and monthly nutritionist visits. Our team is educated and experienced. Our atmosphere is low-key and welcoming. And our goal is to improve the overall health and wellness of the community.
Sunday • March 2 1:00–5:00 p.m. DoubleTree by Hilton 2100 Bush River Road • Columbia, SC 29210
Participate in free and fun exercise sessions at Lexington Medical Center’s FREE Heart Fair.
West Columbia: 3239 Sunset Boulevard (803) 791-2113 • lmcHealthDirections.com
The Shock of a Lifetime Heart Vest Saves Man’s Life WILLIAM BREARLEY JR., MD, FACC LEXINGTON CARDIOLOGY
Richard Daniels
“Wham! I came out of that bed like I was on fire.” That’s how Richard Daniels describes what happened the night that cardiovascular technology prescribed to him by doctors at Lexington Medical Center saved his life. His story begins right after Christmas. The 52-year-old machinist from Sandy Run couldn’t catch his breath and could barely breathe. He called 9-1-1 and paramedics took him to Lexington Medical Center’s Emergency department. Tests revealed Daniels had suffered a massive heart attack. Doctors treated multiple blocked arteries with coronary stents to open the vessels. But they remained concerned about the strength of Daniels’ heart.
“After a heart attack, your heart muscle is weakened and you may be at risk for sudden cardiac arrest from a deadly heart rhythm,” said Daniels’ physician, Dr. William Brearley Jr. of Lexington Cardiology, a Lexington Medical LifeVest by ZOLL illustration Center physician practice. So Dr. Brearley prescribed a device called LifeVest®. Manufactured by ZOLL®, the vest is a defibrillator worn outside the body. It continuously monitors the patient’s heart and, if a lifethreatening rhythm is detected, the device delivers a treatment shock to restore normal heart rhythm. The day after Daniels came home from the hospital, the vest was put to work. Daniels fell asleep watching a movie and suffered sudden cardiac arrest. His heart went into a dangerous rhythm called ventricular fibrillation. The condition is fatal if not treated promptly.
The LifeVest detected the life-threatening arrhythmia and quickly delivered a treatment shock to restore Daniels’ normal heart rhythm. Daniels regained consciousness immediately after the treatment shock. “Then the vest started talking to me. It said that treatment had been given and I should call my doctor,” he said. A neighbor drove Daniels to Lexington Medical Center. “The vest saved Mr. Daniels’ life,” said Dr. Brearley. “He would most likely have died if he didn’t have it.” Since then, Daniels has had an internal defibrillator placed, but the entire experience has taken him by surprise. Daniels maintained a healthy weight and diet, but he was also a smoker and experienced stress from long hours at work. Since the heart attack, he’s given up smoking. “I never thought I’d have a heart attack. Dr. Brearley saved my life,” Daniels said. “I’m glad he made me wear that vest.” Daniels looks forward to many years ahead thanks to the care he received at Lexington Medical Center. He plans to take things easy for a while before getting back to a normal routine.
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Heart Health
SUNDAY, FEBRUARY 23, 2014
4 Call 9-1-1 Who You Gonna’ Call? Imagine you’re out in public or at home when someone has a heart attack. Would you know what to do? Dr. Todd Crump, an Emergency department physician at Lexington Medical Center, offers advice on why you should call 9-1-1 instead of driving the person to the hospital yourself. “Unlike your car, the ambulance has an EKG machine in it. Paramedics can do an EKG inside the ambulance and send the results directly to the emergency department at the hospital,” Dr. Crump said. “Then physicians in the ER can notify the on-call cardiologist and catheterization lab team or surgeon to send the patient
straight into treatment upon arrival. Every minute counts.” The ambulance also has a cardiac monitor that can tell if the patient has any arrhythmias. When you call 9-1-1, the dispatcher can provide pre-arrival instructions, such as give the patient an aspirin, write a medication history or start CPR. When someone suffers a heart attack, there is only a short period of time before the patient suffers long-lasting damage to the muscle of the heart. And statistics show that patients with chest pain symptoms who call an ambulance receive treatment quicker and have better survival rates.
EVERY SECOND COUNTS.
DON’T DRIVE
CALL 9 1 1 WHEN IT COMES TO HEART ATTACKS AND STROKES.
Sunday • March 2 1:00–5:00 p.m. DoubleTree by Hilton 2100 Bush River Road • Columbia, SC 29210
Check out life-saving Emergency Medical Services equipment and learn the importance of calling 9-1-1 at Lexington Medical Center’s FREE Heart Fair.
VASCULAR DISEASE:
The Silent Killer
Detecting a Silent Killer WILLIAM M. MOORE JR., MD, FACS SOUTHERN SURGICAL GROUP AT LEXINGTON MEDICAL CENTER
Do you have high cholesterol or blood pressure? Do you smoke? Do you have diabetes or a family history of stroke, heart attack or aneurysm? If you are older than 50 and answered yes to any of these questions, you are at a higher risk for peripheral vascular disease.
Are You At Risk? Southern Surgical Group offers accurate and affordable vascular screening exams for carotid artery disease, abdominal aortic aneurysm and ankle-brachial index (ABI). Performed by registered sonographers in a nationally accredited lab, all screening results are read by the experienced vascular surgeons at Southern Surgical Group.
Call (803) 936-8901 to schedule your appointment.
A Lexington Medical Center Physician Practice
What is peripheral vascular disease?
Why is PVD called “The Silent Killer?”
Peripheral vascular disease (PVD) describes diseases of the blood vessels. Blood vessels consist of arteries, which carry oxygen-rich blood to all of the body, and veins, which return blood back to the heart. PVD commonly appears as carotid artery disease, peripheral artery disease (PAD), and abdominal or thoracic aortic aneurysms (AAA).
People may not be aware of potentially threatening vascular disease because warning symptoms have not yet developed. PVD conditions can lead to stroke, pain and poor quality of life, loss of a limb and even death. When identified early, however, many of these conditions can be treated. An easy way to detect PVD is through a vascular screening.
What is a vascular screening? A vascular screening is a short, painless, noninvasive ultrasound exam that can detect the presence of potentially serious vascular disease in patients with risk factors. During the exam, sonographers obtain an ultrasound of an area of the body and measure the patient’s blood pressure. Images of the patient’s anatomy as well as blood pressure readings are reviewed for evidence of disease.
What happens if my screening shows vascular disease? At Southern Surgical Group, if significant disease or symptoms are detected, you will be offered a complete ultrasound to determine the extent and severity of the condition. One of our board-certified vascular surgeons will also be available to coordinate your care with your primary care provider. He or she may recommend a follow-up visit based on your results. Depending on the severity of disease, surgical intervention may be necessary.
According to the Centers for Disease Control and Prevention, cardiovascular disease accounts for more than 1/3 of all deaths in the U.S.
For more information on vascular screenings, visit SouthernSurgical.com 146 North Hospital Drive, Suite 310 West Columbia, SC 29169
(803) 936-8901
Heart Health
A Special Advertising Publication of The State Media Advertising Department and Lexington Medical Center
Get Social for
9
Health
Connect with Lexington Medical Center on social media for the latest in heart-health information.
“Like” Lexington Medical Center on Facebook to get daily health tips, find out about special events, and browse hospital photos and videos. You’ll also find featured job postings and hospital announcements.
If you prefer quick snippets of information, follow @LexMedCtr on Twitter for trending health news, real-time updates about hospital events and tips for healthier lifestyles.
Things can get “pinteresting” with Lexington Medical Center. Be inspired with heart-healthy recipes, fine-tune your fitness routine and much more by following Lexington Medical Center on Pinterest.
Facebook.com/LexingtonMedical
Twitter.com/LexMedCtr
Pinterest.com/LexMedCtr
YouTube
Blogs
Subscribe to the hospital’s YouTube channel to watch patient testimonials, interviews with physicians and recent Lexington Medical Center commercials and videos. And watch the new heart commercial, “I Am A Heart Attack 2014.”
Learn about advances in technology and services, read articles on nutrition and watch clinicians in action on the hospital’s blog.
Visit the Every Woman Blog to read inspiring stories from women around the Midlands.
EveryWomanBlog.com
Blog.LexMed.com
YouTube.com/LexingtonMedical
KNOW YOUR NUMBERS Blood Pressure: LESS THAN
120/80 Total Cholesterol: LESS THAN
180
LDL Cholesterol: LESS THAN
130 or LESS THAN
100 if you have other risk factors
HDL Cholesterol: MORE THAN
60 Optimal
———— LESS THAN
50 is a risk for women ———— LESS THAN
40
is a risk for men
Someone You Won’t Want to Meet
“I Am A Heart Attack 2014” What do neck, shoulder, upper back or abdominal discomfort, shortness of breath, sweating and lightheadedness have in common? They’re all heart attack symptoms that women are more likely to experience than men. These symptoms are also the focus of Lexington Medical Center’s new heart commercial, “I Am A Heart Attack 2014.” In the commercial, which was produced in-house by Lexington Medical Center, a heart attack has been given a face and a voice to describe common heart attack symptoms in women as they happen.
Knowing the symptoms of a heart attack is especially important in S.C. One out of every 3 deaths in the state is related to cardiovascular disease. And although heart disease
CHECK OUT “I Am A Heart Attack 2014”
YouTube.com/ LexingtonMedical
is sometimes thought of as a “man’s disease,” nearly the same number of women and men die from it each year. “Heart attack symptoms in women are more subtle than the obvious crushing chest pain often associated with heart attacks. We hope this commercial motivates women to take the necessary steps to understand their unique symptoms and reduce their risk for heart disease,” said Mark Shelley, vice president of Marketing and Communications at Lexington Medical Center.
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Heart Health
SUNDAY, FEBRUARY 23, 2014
5 Learn CPR You’ve Got to Push It Most of the time, we try to keep songs out of our heads, but there’s at least one good reason to remember the beat of the Bee Gees’ song “Stayin’ Alive.” It could save someone’s life. The tune has nearly 100 beats per minute, the perfect number for performing cardiopulmonary resuscitation, or CPR. “It is very important to push fast and push hard in the center of the chest,” said Donna Wagner, RN, MSN, BC, a clinical educator for Lexington Medical Center’s Center for Best Practice. “This will keep a person’s blood flowing through his or her body until help can arrive.”
Cardiac arrest often occurs suddenly and without warning. With the heart’s pumping action disrupted, it cannot push blood to the brain, lungs and other organs. As a result, a person quickly becomes unresponsive and stops breathing. CPR can double, or even triple, the chance of survival when performed in the first minutes after someone’s heart has stopped. If an adult is unresponsive and has stopped breathing, call 9-1-1 and start CPR immediately. “An emergency can happen anywhere and you never know when your knowledge of CPR could save a person’s life,” said Wagner.
FOLLOW THESE STEPS TO PERFORM CPR
Put the heel of one hand on the lower half of the breastbone.
1. Make sure the person is lying on his/her back on a firm, flat surface. 2. Move clothes out of the way. 3. Put the heel of one hand on the lower half of the breastbone. Put the heel of your other hand on top of the first hand.
Put the other hand on top of the first hand.
4. Push straight down at least 2 inches at a rate of at least 100 pushes a minute. 5. After each push, let the chest come back up to its normal position.
Sunday • March 2 1:00–5:00 p.m. DoubleTree by Hilton 2100 Bush River Road • Columbia, SC 29210
Interested in learning CPR? Attend Lexington Medical Center’s FREE Heart Fair. Instructors will be there to teach citizen CPR.
Cardiovascular Crossword
LEXINGTON MEDICAL CENTER F O U N D AT I O N
Complete Lexington Medical Center’s Cardiovascular Crossword for the chance to WIN a free Fitbit®! Entries must be received by February 28, 2014. Only one entry per household.
ACROSS
DOWN
4.
Lexington Medical Center heart-health initiative for February
1.
New cardiologist at Lexington Cardiology
2.
Shocking cardiovascular technology
6.
Leads to plaque build-up in arteries
3.
Helps you feel full
9.
Great way to monitor heart disease risk factors
5.
Good way to start a heart-healthy diet
11. Lexington Medical Center event on March 2
7.
Location of new Patient Education Series
12. Strive for 30 minutes of _____________ physical activity
8.
Push hard and fast
13. Reduces cardiac death rates by 34 to 46 percent 14. Anniversary of Lexington Medical Heart Center 17. Irregular heartbeat 19. Transcatheter aortic valve replacement 20. Low-impact exercise
10. Non-surgical, electrophysiology procedure to treat cardiac arrhythmia
Our Services Touch the Heart of the Community
15. Machine in an ambulance 16. Provided to heart patients by the Lexington Medical Center Foundation 18. Material for Edwards SAPIEN Transcatheter Heart Valve
21. Tune for CPR
Submit to: Lexington Medical Center Attn: Cardiovascular Crossword 107 West Hospital Drive West Columbia, SC 29169
NAME
Visit lmcFoundation.com to learn more.
ADDRESS
Giving to the Lexington Medical Center Foundation can do your heart and the hearts of others extraordinary good. With your support, the Lexington Medical Center Foundation is able to provide cardiac rehabilitation scholarships for patients in need, comfort care items and patient education materials.
TELEPHONE
Heart Health
A Special Advertising Publication of The State Media Advertising Department and Lexington Medical Center
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Tina Moak, RN, at Wild Wing Cafe in Columbia's Vista
“I remember feeling hot and nauseated—I thought I was having a hot flash. My daughter was sitting right next to me,” Cox said. Moak continued CPR compressions for nearly 15 minutes until paramedics arrived— an exhausting task. Cox’s heart had gone into ventricular fibrillation, a deadly heart rhythm if untreated. Paramedics shocked her heart with a defibrillator. Moak continued CPR compressions and felt a weak pulse as paramedics lifted Cox onto a stretcher. As a Lexington Medical Center nurse, Cox’s doctors and Moak agree about one Tina Moak is trained in CPR in case she important thing. “The only reason she’s alive is ever needs to use it at the hospital’s urgent because of CPR,” Moak said. In Cox’s situation, care center in Irmo. But she never imagined there is only a small chance of survival without prompt attention, including CPR. using it at Wild Wing Cafe® in Columbia’s When Cox left the intensive care unit at the hospital and moved to a regular room, she learned Vista one Saturday last November. about Moak performing CPR and wanted to meet her. Later that week, she called Moak. “She said, ‘Tina, this is Greta. Can you come Moak and her husband were out for a bite to eat see me? Can you come see me right now?’” after the University of South Carolina football game Both women immediately started crying on the against Mississippi State when a woman sitting phone. When Moak went to the hospital, the women three tables away fell on the floor, unconscious. hugged for what seemed like forever and cried. Moak ran over to help. The woman had no “I don’t think it was an accident that Tina was pulse, so she yelled for someone to call 9-1-1 and at the restaurant that day,” Cox said. started CPR compressions. Moak wasn’t supposed to be at Wild Wing The woman was Greta Cox of Charleston, who Cafe that afternoon. She and her husband planned was in Columbia to attend her daughter’s high to go to a post-game tailgate, but decided to have school cheerleading competition. an early supper instead.
An Unexpected Hero
LMC Nurse Saves Life with CPR
Patient Education Series Begins in Sumter Lexington Medical Center is excited to bring a patient education series to Sumter that features medical topics important to the community. Hosted by Sumter Cardiology, a Lexington Medical Center physician practice, the quarterly series takes place at 540 Physicians Lane in Sumter and begins at 6:00 p.m. Light refreshments are served and attendees have the opportunity to ask questions.
Business Partners
SAVE THE DATE TUESDAY August 5, 2014 TUESDAY November 4, 2014
Be sure to check out the next Sumter Patient Education Series lecture! Tuesday, May 6, 2014 How to Live a Heart-Healthy Lifestyle MITCHELL W. JACOCKS, MD For more information on the Patient Education Series in Sumter, visit
SumterCardiology.com
“She saved me. I owe Tina my life forever,” Cox said. Today, they talk every week or two and are friends on Facebook. And the women have a lot in common. Cox is a mother of twins. Around the time of Cox’s cardiac event, Moak learned that she was pregnant with twins due this summer. “Tina is a selfless, phenomenal person,” Cox said. “She has a genuine compassion for helping others and I think that should be a requirement in health care.” Cox’s heart issue remains somewhat a mystery. Doctors think she may have had a blood clot, but they’re not sure. They also noticed some anomalies on her EKG that day. That surprised Cox because she eats right and exercises. She may have a genetic predisposition to heart disease. Cox now has a heart defibrillator implanted in her chest to regulate her heart rhythm. When it comes to heart disease in women, Cox has advice. “Be aware of what’s going on in your body. Women often have different symptoms than men,” she said. “I now have a second chance at life. And I am so grateful.” And Moak has an important message about CPR. “Everyone should learn CPR. And when you do, make sure you push hard and fast. You can save a life.”
Alive Again Anchor Lanes Broadway in Columbia Charleston Cooks! The Classy Cruet Olive Oils & Vinegars Columbia Museum of Art Grass Roots Yoga Harvest Hope Food Bank Health Directions
IMG Gamecock Sports Marketing Lexington Interfaith Community Services Lexington Medical Center Nutrition Services M Grille New Balance Palmetto Outdoor Palmetto Paint & Pour Pawmetto Lifeline PLEX Indoor Sports Ice, Irmo
PLEX Indoor Sports Sandhills Rawls Creek Golf Riverbanks Zoo & Garden SKA Fitness The Pitter Platter Train Right Fitness University of South Carolina Symphony Orchestra Vista Ballroom WIS -TV
Thank You!
12
Heart Health
SUNDAY, FEBRUARY 23, 2014
LEARN HOW TO REDUCE YOUR RISK OF DEVELOPING HEART DISEASE.
Sunday • March 2 1:00–5:00 p.m. DoubleTree by Hilton 2100 Bush River Road • Columbia, SC 29210
PARTICIPATE DISCOVER THE LATEST HEART-HEALTH INFORMATION: IN FREE • Advanced technologies for • Stroke prevention ACTIVITIES: diagnostic, interventional & • Emergency Medical • Exercise sessions surgical procedures Services & 9-1-1 • Massage therapy • Mini-lectures from physicians • Relaxation training & clinicians • Citizen CPR lessons • Blood pressure screenings • Healthy food demonstrations & tastings
LexMed.com
Have a Change of Heart at Heart Fair Participating Organizations Abbott Vascular American Red Cross The Balance Institute Edwards Lifesciences St. Jude Medical Walter P. Rawl & Sons LEXINGTON MEDICAL CENTER Cardiovascular Rehab Cardiovascular Surgery Center for Best Practice Child Development Center Community Medical Centers Community Outreach Health Directions Lexington Cardiology Lexington Cardiovascular Surgery Sumter Cardiology
When was the last time you had your blood pressure checked? Did you know that relaxation exercises can help your heart? What’s the proper way to perform CPR? Come to Lexington Medical Center’s interactive Heart Fair on Sunday, March 2 from 1:00–5:00 p.m. at the DoubleTree by Hilton at 2100 Bush River Road in Columbia to learn about your heart health. The event is free and open to the public. Find out how to reduce your risk of developing cardiovascular disease by participating in free activities, such as massage therapy, healthy food tastings, blood pressure screenings and relaxation training. You’ll discover the latest cardiovascular technologies used in diagnostic, interventional and surgical procedures. You can also hear from Lexington Medical Center physicians and clinicians as they discuss heart-
Heart Fair is part of Lexington Medical Center’s Take 5 for Heart Health program for American Heart Month.
For more information on heart health, visit
LexMed.com health topics, including nutrition, heart attacks and stroke. Don’t miss the Lexington Medical Center Heart Fair on Sunday, March 2! You may have a change of heart.