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Heart Diseases

Heart diseases are disorders that prevent the heart from functioning normally. The most common cause of heart disease is coronary artery disease. Other causes include congenital heart disease; hypertension; heart valve and rhythm abnormalities; and infections.

July 31st, 2010

FDA Approves First Generic Version of Lovenox (Blood Thinner)

The FDA has just approved the first generic version of Lovenox, a popular blood thinner. The drug’s entry into the market could mean hundreds of dollars in savings for someone who depends on the drug for stroke/heart disease treatment.

Photo by: Svadilfari, Flikr, Creative Commons

Lovenox is used to treat and prevent deep vein thrombosis, a condition that, if left unchecked, can cause stroke or pulmonary embolism (blood clots in the lung).

Momenta, the company whose technology was used to produce the new generic (M-Enoxaparin), has been awaiting approval for five years. They’ve spent the last half-decade battling Sanofi-Aventis, makers of Lovenox, over the drug’s efficacy.

According to Sanofi-Aventis, the biologically derived drug is complex and difficult to reproduce, and that it could fail with even the slightest error. They argue that the new generic may not be safe for consumers. The U.S. District Court in Washington, D.C. is considering the company’s case, but for now Sandoz/Momenta’s M-Enoxaparin is legal and available for use.

“The approval of M-Enoxaparin marks a key milestone for Momenta, and we are extremely pleased,” said Momenta president and CEO Craig Wheeler in a press release. “This is the first product based on Momenta’s technology platform to be approved, and demonstrates our ability to characterize and develop a complex mixture drug like Lovenox.”

Read the original article in the New York Times, or read Momenta’s press release for more details.

July 10th, 2010

Staying Informed Can Help Women Avoid Misdiagnosis

Ladies, stand up for yourselves in the doctor's office. Millions of people are misdiagnosed each year, and many of these cases are women. Women who are less likely to speak up may put themselves at risk in an already overwhelmed clinic.

If there’s a bug going around the office and you wake up with some of the same symptoms, you’ll likely assume you’ve got it, too. Most doctors think the same way. If he or she sees three people with colds in one day, it would be an easy guess that the next person with a stuffy nose and fever has the same thing.

Photo 
by: HCHMD, Flikr, Creative CommonsThe problem is that a lot of conditions share symptoms, and it can be misleading if not all the symptoms show up. This makes it easy to make a misdiagnosis—as many as one in five diagnoses are incorrect or go undiagnosed.

For women, the most commonly misdiagnosed conditions include ovarian cancer, autoimmune disease and hormonal imbalances. Heart disease, for example, is more common in men. When women experience the same symptoms, especially young women, a doctor may consider stress to be the cause instead.

The best way to avoid a misdiagnosis is to share all of your symptoms. Seeing the same doctor doesn’t hurt, either. When you and your doctor know your history and get the full story, it’s harder to miss the little details that make a big difference. Finally, don’t be afraid to do some research before your appointment and don’t be afraid to ask questions.

If you don’t stand up for your health, no one will. Get the full scoop from MSNBC.

June 17th, 2010

Could Your Dental Habits Be Affecting Your Heart Health?

What do your teeth and your heart have in common? Plaque. A new study says that your care of one could affect the other. In a recent study, cardiovascular problems occurred more often for people who brushed their teeth less than once a day.

Photo by: The Prodigal Untitled13, Flikr, Creative CommonsResearchers from the University College London recruited nearly 12,000 for the study. They followed participants for an average of eight years and reported a total of 555 cardiovascular disease “events”, including heart attacks and bypass surgeries.

Participants who brushed their teeth less than once daily were 70 percent more likely to experience such an event. This study also linked less frequent brushing to a higher incidence of C-reactive protein, an inflammatory marker found in the blood that’s associated with heart disease.

This isn’t the first study to associate poor dental health with poor heart health, either. Previous studies have linked heart disease to periodontal (gum) disease.

“We were surprised to find a relationship between tooth brushing frequency and both cardiovascular disease and inflammatory markers in the blood," study co-author Professor Richard Watt of University College London told Business Week. “More research is needed to test if improving patients’ oral hygiene to reduce their gum inflammation has an effect on cardiovascular disease risk.”

Visit Business Week to read more about the study, or see Watt’s research in British Medical Journal.

June 12th, 2010

More Action Needed to Prevent Maternal Death, Gates Says

Melinda Gates, wife of Microsoft chairman Bill Gates and co-chair of the Gates Foundation, has generously pledged $1.5 billion to help stop maternal death, or death after childbirth. Although rates are decreasing, Gates says it's time for the world to come together to save women's and children's lives.

Photo by: Raul A., Flikr, Creative Commons
“It’s not that the world doesn’t know how to save the 350,000 mothers and 3 million newborns that die every year,” she told The Seattle Times.
“It is that we haven’t tried hard enough.”

These numbers have dropped by about 30 percent since 1980, but according to this year’s Countdown to 2015 report by the World Health Organization nearly 2 million deaths occur each year as a result of childbirth and labor complications alone. For many countries, maternal and infant mortality rates remain unchanged.

Hemorrhage and hypertension top the list of causes for maternal death, followed shortly by HIV/AIDS, malaria, and heart disease. Infection after childbirth also presents a threat to mothers, while pneumonia, malaria and diarrhea pose the greatest threats to newborns.

Women Deliver, the advocacy group that received the donation, has set goals to help increase maternal survival. Methods include greater access to family planning tools, prenatal care and access to better healthcare. They also hope to change attitudes about maternal death.

"In many countries the belief that death is inevitable, and therefore acceptable, hasn't yet changed," Gates told MSNBC. "We don't have to tolerate fatalism.”

Read more from MSNBC and The Seattle Times, or learn how you can help by visiting Women Deliver online.

June 6th, 2010

You Could Make Money to Lose Weight

Instead of putting in overtime hours at the office, consider doing double time at the gym. Some employers are planning to offer financial incentives for employees to lose weight.

Photo by: Faungg, Flikr, Creative CommonsAbout two thirds of Americans over age 20 are overweight or obese, and this fact translates into a plethora of health problems such as diabetes, high cholesterol and heart disease. A cheeseburger here and skipping a workout there, and before you know it your slacks are a little tighter than they were last year. Breaking these habits isn’t easy, either.

That’s where the Leonard Davis Institute’s Center for Health Incentives at the University Pennsylvania steps in. The center is dedicated to uncovering effective ways to push people toward good health.

Dr. Kevin Volpp, director of the program, says there’s been an explosion of interest in programs that encourage employees to live healthier lifestyles. According to an article by MSBC, about a third of U.S. companies are rewarding workers to enroll in get-healthy programs.

Enrollment has exploded, too. In workplaces like Ohio Health, almost half of the workforce in five hospitals is being rewarded to walk their way to fitness. Volpp says the key is finding an effective motivator.

“When trying to get people to lose weight, we’re basically asking them to do less of the things that on some level they enjoy,” he told Boston Magazine. And who doesn’t enjoy a little extra cash in the bank?

For now there have only been a handful of studies to investigate the effectiveness of these incentives. Results are mixed across the board. Some participants lose little or no weight, while others lose ten or more pounds in just a few months. As these programs grow and develop, Volpp believes attitudes will change and the programs will become more effective.

To read more, visit MSNBC or learn more about Volpp’s research at the Center for Health Incentives.

May 16th, 2010

Secondhand Smoke Exposure May Contribute to Sinus Problems

Do you suffer from recurring sinus problems? If so, a friend's cigarette could be to blame. Two out of five cases of chronic sinusitis may be due to exposure to secondhand smoke.

Photo by: Adi&Moni, Flikr, Creative CommonsSinusitis occurs when the sinuses become swollen or infected. According to Mayo Clinic, sinusitis is usually the result of a cold, allergies or other nasal problems, and can easily be treated with antibiotics, heat (to relieve sinus pressure) or a variety of over-the counter medications.

When the condition persists for more than eight weeks or recurs frequently, this is known as chronic sinusitis. Secondhand smoke contains over 50 known carcinogens; these chemicals can also cause heart problems, asthma attacks and nasal irritation.

Researchers from the Henry Ford Health System in Detroit, recruited 612 non-smokers to participate in a study investigating the relationship of secondhand smoke (SHS) and its source to chronic sinusitis. All had been exposed to SHS for five years prior to the study, and half had been diagnosed with chronic sinusitis (CRS).

Researchers focused on four locations where participants were primarily exposed—home, work, public places and social functions. All showed a marked relationship between secondhand smoke exposure and incidence of chronic sinusitis, especially at social functions (51 percent) and in public places (90 percent).

Although levels of exposure were significantly lower for nonsmokers who had not been diagnosed with chronic sinusitis, study co-author Amanda Holm, MPH, says even modest levels of exposure carry risk.

"The poisons found in secondhand smoke are quite an irritant to the sinus and nasal passages and are a major contributor to the development of rhinosinusitis," Holm said in a press release. “"Our findings reaffirm the health hazards of secondhand smoke."

Visit Mayo Clinic to learn more about chronic sinusitis, or learn more about Holm’s study in The Archives of Otolaryngology.

April 30th, 2010

Bad Habits Could Be Adding Years to Your Body

Smoking, heavy drinking, a poor diet, and too much time spent on the couch are bad for your health, but they may also be taking years off your life. These four bad habits could actually be causing your body to age up to 12 years, research suggests.

Photo by: ChrisK4U, Flikr, Creative CommonsNearly 4,900 men and women age 18 or older were randomly chosen to participate in a University of Oslo study examining the effects of certain habits—smoking, excessive alcohol consumption (3 or more drinks for men, and two or more for women), getting less than 2 hours of exercise per week, and not eating well (specifically, not enough fruits and vegetables).

The study began in 1985, and followed participants for 20 years, checking death certificates and doing follow-ups. Of the 314 participants who had all four habits, almost one-third died over the duration of the study, while less than 10 percent of the 387 people who had none passed away.

Heart disease and cancer topped the list for cause-of-death for people who had a combination of these habits, while the health of those still living was “equivalent to being 12 years older” than their healthier counterparts.

Lead researcher Elizabeth Kvaavik thinks these findings may be the extra incentive some people need to improve their lifestyles.

"You don't need to be extreme to be in the healthy category,” Kvaavik said in a news piece by MSNBC. "These (healthy) behaviors add up, so together it's quite good…It should be possible for most people to manage."

Kvaavik and her colleagues acknowledge that changing these habits may not be easy, but that they pay off.

“The combined effect of poor health behaviors on mortality was substantial, indicating that modest, but sustained, improvements to diet and lifestyle could have significant public health benefits,” authors of the study concluded.

Visit the Archives of Internal Medicine to read more on the study.

April 18th, 2010

America’s Bringing Home the Bacon, Doctors On Heart Watch

Despite the economic state of our nation, more Americans than ever are bringing home the bacon—to eat with eggs, on cheeseburgers, or sandwiched between two slabs of fried chicken. The new Double Down by KFC  has plenty of mouths watering, and plenty of nutritionists and cardiologists cringing and wondering what to do about the U.S. bacon infatuation.

Photo by: Wendalicious, Flikr, Creative CommonsOne pound of bacon (16-20 medium slices) can contain as much as 81 grams of fat, most of which (68 grams) is heart-clogging saturated fat. The Double Down is loaded with 540 calories and 32 grams of fat (10 g saturated). The recommended daily limit for saturated fat is 16 grams.

Bacon’s saturated fat is different from the mono- and poly-unsaturated fats found in fish, nuts and olive or soybean oils. While these fats can help lower cholesterol and reduce the risk of heart disease, too much saturated fat can clog arteries and increase the risk of heart attack. The high sodium levels (up to 10,487 mg per pound) can also cause a cholesterol spike.

The good news is you don’t have to choose between saving your heart and nurturing your soul. As with caffeine and sweets, the key to this affair of the heart (or the stomach) is moderation.

“As a flavoring and ingredient, [bacon is] wonderful,” dietitian Susan Moores of the American Dietetic Association told MSNBC. “As a diet mainstay, not so much.”

A few strips now and then won’t hurt you, and there are plenty of other options to help tide you over. Turkey bacon, for example, has about half the fat and sodium. Canadian bacon and reduced-sodium bacon are also healthier options. Traditional bacon isn’t completely off limits, either.

“It all boils down to: How much?,” Moores says.

For the full story on America’s most delicious love affair, visit MSNBC.

April 11th, 2010

Soy No Longer Recommended to Reduce Bad Cholesterol

Ten years ago, soy products were recommended to postmenopausal women to reduce LDL (bad) cholesterol levels. New research indicates that soy may not help as much as previously thought, and a re-evaluation by the FDA may challenge soy producers’ claims about their products as heart healthy.

http://www.flickr.com/photos/prettyinprint/2923678771/Many women experience sharp increases in LDL levels during menopause when their bodies no longer produce estrogen. More women also see a hardening of the arteries (atherosclerosis) and an increased risk of heart disease.

Soy products contain isoflavens, natural compounds that mimic estrogen.  These are supposed to increase estrogen levels, and thus improve cholesterol. Keeping cholesterol in check can help coronary artery disease, the leading cause of death in American women.

For the study, 62 women under age 65 with moderate-high cholesterol were asked to increase either soy or casein (milk protein), intake for one year. While HDL (good) cholesterol levels increased slightly for women consuming soy, they experienced little or no change in LDL levels.

“The aim of this study was to examine the effects of soy protein consumption on heart disease risk in postmenopausal women,” authors of the study wrote. “These findings, as well as those from other studies, lend credence to the decision of the Food and Drug Administration to reevaluate the soy protein health claim issued a decade ago.”

Learn more about heart health, or read the study's abstract in Menopause.

February 6th, 2010

Mental Health Stigma May Hinder Workers From Seeking Help

Worries over job security and the stigma attached to mental illness may be keeping workers from seeking professional help for mental and emotional disorders.

Photo by: Me and the Sysop, Flikr, Creative CommonsAn online survey conducted by the American Psychiatric Association reported three out of five workers expressed concern that mental health counseling would threaten professional status. More than 2,000 adults participated in the study; 1,129 were employed full- or part-time.

Although 40 percent of respondents said their employers were supportive of employee health treatment, others said their employers were less supportive of health services, more so for those concerning mental health.

Participants affected by drug addiction, alcoholism and depression were most concerned. People with diabetes and heart disease were shortly behind.

According to a report in Research Works, a publication of the Partnership for Workplace Mental Health (PWMH), there is a high prevalence of these conditions in the workplace.

“The majority (about two thirds) of people with symptoms of clinical criteria for having mental and substance use disorders do not receive any treatment at all for these conditions,” wrote report author Mark Attridge, PhD. In addition to job security and professional status, confidentiality was another concern for employees.

Researchers say that employee access to quality mental health and addiction services is needed. They suggest that the workplace promote promotion and intervention, and that employers make sure employees know how to access their benefits. They also encourage employers to be supportive and to reassure workers of confidentiality.

Dr. Alan Axelson, PWMH council chairman, stresses the importance of encouraging employees to take care of their mental and physical health, and explains that it can benefit employers as well.

“Research supports the fact that when people receive needed care, they are healthier and more productive,” he said in a press release, “Employers realize the return on their healthcare investment.”

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