2. Heart Disease Disease or blockage of the blood vessels supplying oxygen to heart Heart DiseaseAtherosclerosisCoronary Artery Disease Blockages lead to Angina (Chest pain) Myocardial Infarction(Heart Attack)

3. Prevalence of Heart Disease Heart disease starts from a very young age Cardiovascular disease 80 million people (36% of the population) (2006) 864,000 deaths per year (35% of total deaths) (2005)

4. Blockages in arteries

5. Cholesterol forming hard deposits called plaque

6. Atherosclerosis starts early

7. Common Symptoms of Coronary Artery Disease Chest pain Pain in upper body, left shoulder, back, neck, jaw, stomach Irregular Heartbeat Shortness of Breath Fatigue Sweating Heartburn Nausea/Vomiting Lightheadedness/Dizziness

8. Embolization Pieces of plaque can break off (Embolization) Blood clots can form at fissures in plaque (Thrombus)

9. What predisposes people to blockages in their coronary arteries ? Hypertension (High Blood Pressure) Diabetes Heavy alcohol use High cholesterol / High fat diet Increasing age Obesity Personal or family history of heart disease Tobacco use

10. Screening Screening allows you to measure your risk, discuss your risk with your doctor, Take steps to control or decrease risk Proceed to further testing. Screening tests Cholesterol Fasting blood sugar Body mass index Blood Pressure

11. Screening Values Cholesterol Total Cholesterol (<200) HDL (Good Cholesterol) >40 LDL (Bad Cholesterol) < 130-160 Triglycerides < 150 Fasting Glucose < 100 Body Mass Index < 25 Blood Pressure 120/70

12. Preventing Diabetes Aerobic exercise > 30 minutes / day Decrease calories Coffee / Cinnamon / Alcohol (in moderation) Weight reduction Dietary Fiber (15 g/1000 calories) Cardiac Risk Management

13. Diagnostic Procedures Electrocardiogram (EKG)

14. Diagnostic Procedures Echocardiogram / Stress Echo

15. Diagnostic Procedures Nuclear Stress Test

16. Diagnostic Procedures Cardiac Catherization

17. Tips for Prevention Don't smoke Get active Eat a healthy diet Low saturated fat (meats, dairy, deep-fried, snack foods) 5-10 servings of fruit and vegetables per day Omega-3 fish oil (salmon, mackrel, flaxseed/walnut/soybean/conola oils) Moderate alcohol intake Avoid obesity Reduce stress Health screening

18. Thank you Richard Martinoff M.D. Boca Wellness Inc. boca-wellness.com

19. Thank you Richard Martinoff M.D. Boca Care 9th Avenue 1599 NW 9th Ave Boca Raton, FL 33486 (561)361-4075