Lynne Braun, PhD, CNP
By Lynne Braun, PhD, CNP
May is American Stroke Month, and volunteers from the American Heart/American Stroke Association gathered at the state capital to recognize Sen. Heather Steans, Rep. Robyn Gabel, and former Rep. Bob Biggins for their work to improve outcomes for stroke patients over the last five years. Stroke is the nation’s No. 4 killer and the No. 1 cause of severe disability.
Five years ago, Sen. Steans and Rep. Biggins, a stroke survivor, championed the groundbreaking Illinois Primary Stroke Center law of 2009. Since that time, 39 hospitals have been designated as Primary Stroke Centers, and five hospitals have been designated as Emergent Stroke Ready Hospitals, with many more waiting approval. These specifically designated stroke hospitals offer higher levels of stroke care, with strict national and/or state certification processes. EMS providers are directed to take stroke patients directly to these designated stroke centers, bypassing hospitals less able to provide high quality stroke care.
Sen. Steans and Rep. Gabel took the next step by introducing House Bill 5742, legislation that will keep stroke care moving in Illinois. This crucial legislation will allow Illinois to take full advantage of advances in technology, techniques, and standards of stroke care which have been developed since 2009, including:
- Allowing the Illinois Department of Public Health to designate Comprehensive Stroke Centers, the highest level of stroke care available;
- Align Emergent Stroke Ready Hospitals with National Acute Stroke Ready standards;
- Facilitate the creation of an Illinois stroke data registry, a critical tool for continuing quality improvement.
In a press conference on May 22, as chair of the Illinois Advocacy Committee, I had the privilege of presenting Sen. Steans, Rep. Biggins and Rep. Gabel with Stroke Hero Awards. Shortly thereafter, I witnessed the almost unanimous approval of HB 5742 in the Senate. The bill now awaits the governor’s signature.
The Stroke Program at Rush has met the highest level certification standards by the American Stroke Association and the Joint Commission as a Comprehensive Stroke Center. Recently, Rush was awarded the Gold Plus Performance Achievement by the American Stroke Association.
Ciara McGrath was lying on the bed reading a book when the room went — as she puts it — “spinny crazy like you can’t even imagine.”
“I could barely walk. I was falling over,” she recalls.
After passing out and being resuscitated in an ER, she was referred to Rush University Medical Center, where she was diagnosed with a heart condition called Wolff-Parkinson-White syndrome. First she underwent an ablation procedure, then electrophysiologist Richard Trohman, MD, implanted a cardiac device “to make sure I don’t have any episodes like that again.”
“I know that I’m safe now, and I’m more active than I’ve ever been in my entire life,” she says. “Dr. Trohman, the nurses, the entire staff here in the EP department, they’re like family. They took such good care of me, I can’t imagine not coming to see them at least once a year to have things checked out.”
By Annabelle Volgman, MD
In 1984, there were more women who died of cardiovascular disease than men. Cardiovascular disease has been the number one killer of American women, more than all cancers put together. Women were being treated differently than men, including hormone replacement therapy for high cholesterol instead of the more effective cholesterol-lowering medications called statins. This resulted in thousands more women dying from cardiovascular disease.
In 2001, the American Heart Association started a campaign to increase awareness about heart disease in women. This campaign was named the Go Red for Women campaign in 2003. Lynne Braun PhD, ANP, and I were involved with the inception of the awareness campaign, and we both continue to be involved with Go Red for Women.
In 2003, the Rush Heart Center for Women opened its doors to prevent and treat heart disease in women. In addition to our services, we also offered complimentary nutrition counseling, which we were able to offer through funding from grateful donors. We wanted to give comprehensive evaluation and compassionate care to prevent devastating cardiac events.
By Lynne T. Braun, PhD, CNP
Many people who own pets treat them like family members. Pets are thought to provide joy, comfort and stress relief, alleviate sadness, and give their owners unconditional love. Some hospitals, including Rush University Medical Center, allow family pets to visit their hospitalized owners if certain requirements are met.
Teams of specially trained “comfort dogs” visited and provided comfort to the survivors of the Oklahoma tornadoes, Boston marathon bombings and Sandy Hill school shootings. But what do we know about pets and the health of their owners? In particular, does pet ownership promote heart health?
The answer is probably yes. The American Heart Association recently published a scientific statement on pet ownership and risk for cardiovascular disease. This statement reviewed the results of research on pet ownership and high blood pressure, cholesterol, physical activity, obesity and even survival. Although some studies are conflicting, most show the following:
By Damien Kenny, MD
Some of the simplest things we are asked to do often prove to be the hardest. Finding a good analogy for an “innocent” murmur to contextualize for parents is a challenge. A heart murmur is simply an extra heart sound, and at least 30 percent of children will have a murmur at some stage during their childhood. Less than 1 percent of children will actually have something wrong with their heart. However, the word still strikes fear in parent’s minds.
Often good clinical examination is enough to root out the worrisome murmurs from the “innocent” ones, but further testing with an ultrasound of the heart, termed an echocardiogram, can offer further reassurance to patients and their family.
So when I see children and their families and break the good news that thankfully their heart is normal, as it is in the majority of cases, sometimes I am posed with the very natural question of, “Well, what is causing the murmur then?” Most often it is due to rapid blood flow through a growing heart making a “whoosh-like” sound as the blood is pumped across heart valves into the lungs or out into the body.
By Melissa Tracy, MD
Women tend to not only take on their own stress, but also that of their families. This compounds the potential health hazards that include both psychological and physical issues.
Women tend to use food to suppress the impact of stress, resulting in increased weight and decreased exercise. When our weight increases and we have decreased exercise tolerance, the health-related heart risk factors can develop or worsen: Our blood pressure increases, cholesterol increases and the risk of developing diabetes increases.
Obesity, high blood pressure, high cholesterol and diabetes are the leading risk factors for developing heart and cerebral vascular disease, such as a heart attack and stroke. Women of all ages are at risk, even those who still have not undergone menopause. If a woman is postmenopausal, then her risk is greater.
By Craig Falkenthal
Knowing my family history with heart disease allowed me to take control of my health. At my annual physical two years ago, I told my doctor about my 81-year-old mother’s recent aortic valve replacement. I explained that she had a congenital aortic bicuspid valve, and I have aunts and uncles who had mitral valve prolapse issues. I already knew I had a heart murmur, but my doctor suggested that I see a cardiologist to rule out any additional issues, given my family history.
I am an extremely healthy guy with a lot of energy. I had worked for the same employer for 23 years and never took a sick day. So I wasn’t too worried about getting checked out.
However, an echocardiogram showed that I had a congenital bicuspid aortic valve, just like my mother. It was a complete shock, especially because I felt terrific. My local cardiologist said that mine had progressed into aortic stenosis, where my aortic valve was not fully opening and was decreasing blood flow from my heart. She told me that open heart surgery was a matter of when not if.
By Jeffrey Snell, MD
Many patients leave a lasting impression on me, but there are two patients in particular who really inspire me. It’s a husband and wife: He’s 91 years old, and she’s 89.
Even though they’re at an age when a lot of people are unable to live independently, they’re still living at home. They basically take care of themselves. They’re still mentally sound, and even though they need walkers, they’re able to get out and get around. They go grocery shopping together. She still cooks dinner every night, and he does the dishes.
It’s something you don’t see very often. Thanks to modern medicine, people are living longer, but a great many of my older patients are in nursing homes or are dependent on their children because their age or illnesses have left them unable to fully care for themselves.