Sept. 13--NORMAL -- The face of heart disease used to be your father. Now it's
your adult children.
"It's not an old man's disease anymore," said Dr. Siddharth Gandhi, an
interventional cardiologist at Advocate BroMenn Medical Center.
"Heart disease affects men and women and now, unfortunately, at younger ages,"
A generation ago, heart disease affected mostly men in their 50s and 60s. Now,
it's affecting more women and men in their 20s and 30s.
"In the past three to four years, I've done interventions for people as young as
28," Gandhi said. Heart disease in young adults "has become a significant
concern," he said.
One reason is because of growing obesity in young adults.
"That provides the fertilizer for developing diabetes, high blood pressure and
high cholesterol," he said. Those diseases -- along with smoking -- greatly
increase the risk of developing heart disease, he said.
"These processes used to affect people in their 60s but now it's affecting
people at a younger age," he said.
Adding to the danger is that most young adults don't realize they're at risk of
a heart attack.
Nine out of 10 Americans ages 18 to 24 believe they're living healthy lifestyles
but most of them eat too much fast food, drink too much alcohol and sugary
beverages and engage in other risky behaviors, according to a 2011 American
Heart Association/American Stroke Association survey.
The disconnect means that most young adults do little to nothing to improve
"They think they're invincible," Gandhi said.
What sometimes happens is that fatty substances, cholesterol and other products
build up in the inner lining of an artery. That buildup -- plaque -- results in
arteriosclerosis, a thickening of arteries.
When the plaque blocks blood flow through an artery, a heart attack may occur. A
heart attack happens when blood flow that brings oxygen to the heart is cut off
or severely reduced. When the heart is starved for oxygen and nutrients, the
heart begins to die.
Sometimes, however, a heart attack isn't because of a poor lifestyle.
One example is a spontaneous coronary artery dissection, which is a tearing in
the coronary artery wall.
The artery wall has three layers. When a tear occurs, blood passes through the
innermost layer and becomes trapped, bulging inward and narrowing or blocking
the artery. Because blood can't reach the heart, a heart attack occurs.
Spontaneous coronary artery dissection (SCAD) is rare. Patients are frequently
otherwise healthy women who are pregnant, just had a baby or are
peri-menopausal, Gandhi said.
"Because these events occur during an estrogen surge, we believe there is a
hormonal link," he said. The release of estrogen may cause the artery to tear,
"but why is still a mystery," Gandhi said.
Because SCAD happens in otherwise healthy younger women and has no warning signs
until a heart attack, it underscores the importance of being treated as soon as
you experience heart attack symptoms, he said.
Anyone who experiences pressure or tightness in the center of the chest and down
the left arm -- sometimes accompanied by nausea, vomiting, shortness of breath,
sweating and dizziness -- may be having a heart attack, he said.
If these symptoms occur at rest and last more than five minutes, call 911.
If they occur with exercise and then go away, see your doctor.
"When people in their 20s, 30s and 40s come in, they are scared to death,"
Gandhi said. "They thought this could only happen to elderly males. It was
something their grandfather had when he was in his 60s."
The good news is that doctors may be able to reopen the artery with a balloon
and a stent or surgeons may bypass the clogged artery. The sooner treatment
happens, the sooner blood flow can be restored, minimizing damage to the heart,
"When we can open their arteries quickly, this leads to better outcomes and
patient survival," he said.
Gandhi recommends that everyone -- especially people with a family history of
heart disease -- reduce their risk of a heart attack by monitoring and managing
their blood pressure, cholesterol and blood sugar; not smoking; eating a
heart-healthy diet that includes fresh fruits and vegetables; controlling weight
and stress; and getting at least 150 minutes of moderate to vigorous exercise
The tips also apply to people who want to reduce the odds of a second heart
"When patients develop a healthier, more active lifestyle, that helps," Gandhi
said. "Heart disease is not a death sentence."
McLean County Heart Walk & 5K Run
What: Walk, run, health screenings, nutrition information, fitness
demonstrations, kids' activities
When: Sept. 21, with 9 a.m. registration, 10 a.m. 5K run and walk immediately
Where: Outside the Chateau Hotel & Conference Center, 1601 Jumer Drive,
Bloomington. Walk and run will be on Constitution Trail.
Goals: 1,000 people raising $110,000 for American Heart Association research,
education and advocacy to decrease deaths by cardiovascular disease.
For more information or to register: Go to www.mcleancountyheartwalk.org.
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