Published on February 28, 2014
Show Your Heart Some Love 1
Maria Cristina Castillo-Catoni, MD INOVA MEDICAL GROUP PRIMARY CARE 2
What is Cardiovascular Disease? • Ischemic disease • Congestive heart failure • Arrhythmia • Heart valve problems 3
Ischemic Disease • Atherosclerosis • Heart attack • Ischemic Stroke 4
How do I know if I have ischemic heart disease? • Discomfort in center of chest (uncomfortable pressure, squeezing, fullness or pain) that lasts more than a few minutes, or goes away and comes back • Pain/discomfort in one or both arms, the back, neck, jaw or stomach • Shortness of breath • Nausea/vomiting or cold sweats 5
How do I know if I have an arrhythmia ? • Regular checkups with PCP • Go for medical evaluation if symptoms • "heart fluttering" sensation of skipping a beat • If going on for long enough, can have dizziness, fatigue, lightheadedness, fainting, • shortness of breath, chest pain 6
How do I know if I have heart failure? • Look for symptoms and go for medical evaluation • Shortness of breath with exertion • Swelling of the legs • Waking up short of breath during the night • Feeling less short of breath during the night if you use several pillows to raise your head 7
What are risk factors for heart disease? • Family history • Overweight/obesity (BMI>24) • Smoking • High blood pressure • High cholesterol • Sedentary lifestyle • Illicit drug use (cocaine, etc.) 8
How can I prevent heart disease? • Keep your BP under 120/80mmHg. • If you already have a diagnosis of high blood pressure, keep BP under 130/80mmHg. • Exercise regularly • Follow a low-salt diet • Go for regular visits with your PCP for BP and cholesterol checks 9
How can we diagnose and treat heart disease? WHAT IS CARDIOVASCULAR DISEASE? 10
Nicholas R. Balaji, MD, FACC INOVA MEDICAL GROUP CARDIOLOGY 11
Arrhythmias Diagnosis • EKG • Holter • Event Monitor • EP study and Invasive Testing Treatment • Reflex mechanisms • Vagal maneuvers • Medications • Rhythm vs Rate Control • Cardiac Ablations • Pacemakers/ICDs 12
Ischemic Heart Disease (Non-invasive) Stress • Exercise • Treadmill • Bicycle • Pharmacologic • Inotrope • Vasodilator Imaging • EKG (ETT) • Echocardiogram • Nuclear Perfusion Imaging • CT Angiogram • Cardiac MRI 13
Ischemic Heart Disease (Invasive) Diagnosis • Cardiac Catheterization • Fractional Flow Reserve • Intravascular Ultrasound Treatment • Percutaneous Coronary Intervention • Angioplasty • Stenting • Atherectomy • Surgery • CABG • Medical Management 14
Valvular Heart Disease Diagnosis • Ultrasound • Transthoracic Echo • Transesophageal Echo • MRI Treatment • Medications • Surgery • Valve Repair • Valve Replacement • Percutaneous • Valve Replacement 15
Heart Failure Diagnosis • Clinical • Swelling, Orthopnea, PND • Echocardiogram • Stress Testing or Cardiac Catheterization Treatment • Medications • Revascularization • ICDs • LVADs • Heart Transplant 16
• Thank you for coming • For more information or to schedule an appointment, visit: Inovamedicalgroup.org or call: • Dr. Maria Cristina-Castillo-Catoni 703.933.8111 • Dr. Nicholas Balaji 703.204.9301 17
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