Cindy Saltzman

CARDIOVASCULAR DISEASE
Afrmation: I open my heart to love, omm!nity and
onnetion"#$
Sel%&A""e""ment"
'hat i" yo!r pre"ent ri"( %or heart di"ea"e)

*y !rrent pre"ent ri"(" %or heart di"ea"e are+ ,ein- over.ei-ht, "mo(in-
and la( o% e/eri"e# All o% the"e ri"(" are preventa,le and need to ,e
improved to lo.er my ri"( %or heart di"ea"e#
'hat type A per"onality trait" do yo! e/hi,it)
Sometime" I -et an-ry and %r!"trated .hile drivin-, i% "omeone !t" me o0,
or i" drivin- too "lo. in %ront o% me, I -et .or(ed !p#
1# Cardiova"!lar Sy"tem 2 Dra. the heart and la,el: R and L Atri!m, A&V
valve", R and L Ventrile", Aorta, Aorti Valve, Vena Cava, 3!lmonary Artery,
3!lmonary Valve, 3!lmonary Vein, Coronary Arterie" Sho. the diretion o%
,lood 4o. .ith arro."#
553lea"e re%er to attahed do!ment55
6# Ri"( 7ator": Li"t "i/ ontrolla,le ri"( %ator" and di"!"" their role in the
development o% ardiova"!lar di"ea"e#
8he "i/ ontrolla,le ri"( %ator"
8o,ao U"e& 3eople .ho "mo(e, have t.ie the ri"( %or a heart atta(, than
non "mo(er"# Smo(in- dama-e" the linin- o% the arterie"# Smo(in- al"o
red!e" the 9DL :-ood hole"terol; and rai"e" the LDL" :,ad hole"terol;#
9i-h <lod 3re""!re & :9yperten"ion; an a!"e heart atta(" and "tro(e"# 9i-h
<lood pre""!re o!r" .hen there i" too m!h pre""!re a-ain"t the .all" o%
the arterie"#
9i-h Chole"terol & I" a .a/&li(e "!,"tane, that -oe" thro!-ho!t the
,lood"tream# It oat" the l!n-" and protet" the nerve"#
3hy"ial Inativity & 3hy"ial inativity i" a""oiated .ith hyperten"ion, hi-h
hole"terol level", in"!lin re"i"tane, dia,ete"# In order to (eep the ri"(" lo.,
daily e/eri"e alon- .ith healthy eatin- an lo.er the ri"(" %or CVD
dramatially#
Dia,ete" & Dia,ete" i" elevated -l!o"e level"# 3eople .ith dia,ete" have
inrea"ed ri"(" %or other CVD"# A healthy diet i" e""ential %or preventin- and
maintainin- dia,ete"#
I% yo! o!ld "elet only O=E o% the"e ri"( %ator" to modi%y, .hih .o!ld ,e
the *A>IC <ULLE8 ,ea!"e ,y red!in- it, yo! at!ally help red!e ALL the
other")
E/eri"e i" the lo"e"t thin- that .e have to a ?ma-i ,!llet?# It lo.er" the
CVD ri"( ,y derea"in- ,lood pre""!re, re"tin- heart rate, inrea"e 9DL
level", maintain de"ired .ei-ht, and prevent o% ontrol di"ea"e"#
'hih ri"( %ator" are !nontrolla,le) De@ne eah#
9eredity &>ene" ontri,!te to the development o% CVD#
A-in- & 8he older a per"on -et", the more the ri"(" there are %or CVD#
>ender & men %ae a lar-er ri"( o% a heart atta(, than .omen#
Ethniity & heart di"ea"e vary %rom eah ethni -ro!p#
A# Chole"terol:
=ame the t.o main %orm" o% hole"terol# De"ri,e their %!ntion and ho. to
improve their level"#
Lo. Den"ity Lipoprotein" & It move" hole"terol %rom the liver and or-an"
that reB!ire it# LDL i" (no. a" ?,ad? hole"terol, ,ea!"e i% there i" e/e"" in
the ,ody, it may ,e depo"ited into the ,lood ve""el"# Dietary han-e" an
improve the LDL" ,y inrea"in- @,er inta(e and e/eri"in- re-!larly I%
hole"terol i" lo.ered, it an red!e the ri"( %or a heart atta(# It i" important
to have level" he(ed ,y a phy"iian#
9i-h Den"ity Lipoprotein" & I" (no.n a" the ?-ood? hole"terol# It move" the
!n!"ed hole"terol ,a( to the liver %or reylin-#
C# 9yperten"ion:
De@ne "y"toli and dia"toli pre""!re# E/plain ho. to ta(e "omeoneD" ,lood
pre""!re orretly#
Sy"toli <lood 3re""!re & I" the 1"t the @r"t n!m,er# 7or a healthy ad!lt, the
n!m,er "ho!ld ,e aro!nd 16E#
Dia"toli <lood 3re""!re & I" the 6nd n!m,er# 7or a healthy ad!lt, the n!m,er
"ho!ld ,e aro!nd FE#
A dotor, or health are pro%e""ional !"e" a "tetho"ope and a
"phy-momanometer to ta(e a per"on" ,lood pre""!re# *onitorin- ,lood
pre""!re i" o% a ,i- importane in preventin- CVD#A per"on "ho!ld vi"it their
dotor re-!larly#
'hy i" hyperten"ion dan-ero!")
9yperten"ion i" dan-ero!", ,ea!"e that mean" that a per"on ha" hi-h ,lood
pre""!re# 8hi" i" a ri"( %ator %or CVD, .hih inl!de heart atta(" and "tro(e#
Li"t "everal treatment" %or lo.erin- ,lood pre""!re :U"e ,oth nat!ral and
pharmae!tial approahe"#;
8he nat!ral .ay" and treatment" %or lo.erin- ,lood pre""!re are li%e "tyle
han-e" .hih inl!de+ lo"in- .ei-ht, re-!lar e/eri"e, red!e "odi!m inta(e
and eat a healthy diet# 8he DAS9 diet i" reommended %or people .ith hi-h
,lood pre""!re#
8he pharmae!tial .ay" and treatment" %or lo.erin- ,lood pre""!re are to
vi"it dotor re-!larly to he( and monitor ,lood pre""!re# 8here are
mediation" to help "ta,ilize ,lood pre""!re -iven ,y a dotor#
G# Coronary Artery Di"ea"e:
'hat i" athero"lero"i")

I" a di"ea"e proe"" that a!"e" arterie" to ,eome lo--ed and narro.# It
al"o "ar", and harden" arterie", ma(in- them le"" ela"ti and inrea"e"
,lood pre""!re#
9o. do plaB!e" %orm, and .hy are they dan-ero!")
3laB!e ,!ild" !p in"ide o% the arterie"# 3laB!e on"i"t" o% %at, hole"terol,
ali!m, and other "!,"tane" %o!nd in the ,lood# 8hi" i" dan-ero!", ,ea!"e
it limit" the 4o. o% the ,lood that -o to the or-an", and other part" o% the
,ody# A" the depo"it" a!m!late on the artery .all, the arterie" lo"e their
ela"tiity and their a,ility to e/pand and ontrat, re"tritin- ,lood 4o.#
'hat are the three early "i-nal" o% a heart atta()
Che"t di"om%ort & di"om%ort in the he"t, .hih la"t" more than a %e.
min!te", or that -oe" a.ay and ome" ,a(#
Di"om%ort in other area" o% the !pper ,ody & pain or di"om%ort in ,oth arm",
the ,a(, ne(, Ha., or "tomah#
Shortne"" o% ,reath & It may o!r .ith or .itho!t he"t di"om%ort#
'hat i" an-ina petori")
'hen the need %or o/y-en e/eed" the "!pply, he"t pain may o!r# 8he
pain i" !"!ally %elt a" a ti-htne"" in the he"t and pre""!re ,ehind the ,rea"t
,one, or in the "ho!lder, ne(, arm, hand or ,a(#
'hat i" an arrhythmia and ho. doe" it relate to "!dden ardia death)

I% the eletrial ondition "y"tem o% a per"on" heart ,eat i" di"r!pted+ the
heart ,eat" too B!i(ly, too "lo., or at a irre-!lar rate a per"on may -o into
ardia arre"t# S!dden ardia death i" a!"ed ,y an arrhythmia alled a
ventri!lar @,rillation, .hih ma(e" it ine0etive to p!mp ,lood#
Li"t and de"ri,e t.o "!r-ial proed!re" to treat heart di"ea"e#
<alloon An-iopla"ty & I% te"t re"!lt" "ho. a pro,lem, "!h a" oronary heart
di"ea"e, it i" normally treated .ith <alloon An-iopla"ty# 8hi" i" a proed!re
that open" the ,lo(ed artery#
Coronary <ypa"" S!r-ery & In "erio!" a"e" a Coronary <ypa"" "!r-ery ta(e"
plae, .hen a vein %rom a patientI" le- i" -ra%ted %rom the aorta to one or
more oronary arterie" to ,ypa"" a ,lo(a-e#
J# Stro(e:
Li"t and de"ri,e t.o maHor type" o% "tro(e"#
I"hemi Stro(e & I" a!"ed ,y a ,lo(a-e in a ,lood ve""el and ao!nt" %or
FKL o% all "tro(e"# 8here are t.o type" o% i"hemi "tro(e"# A throm,!"
"tro(e& i" a!"ed ,y a throm,!", a ,lood lot that %orm" in the ere,al or
arotid that ha" ,een narro.ed or dama-ed ,y athero"lero"i"# An Em,oli
Stro(e & i" a!"e ,y an em,ol!", .hih i" a .anderin- ,lood lot that i"
arried in the ,lood"tream and may ,eome .ed-ed in a er,ral artery#
9emorrha-i Stro(e & O!r" .hen a ,lood ve""el in the ,rain ,!r"t", "pillin-
,lood into "!rro!ndin- ti""!e# Cell" that are normally no!ri"hed ,y the ve""el
are deprived o% ,lood and annot %!ntion#
Li"t three .arnin- "i-n" o% a "tro(e#
A tran"ient i"hemi atta( i" .hen a mini atta( "tart" day", .ee(" or
month" ,e%ore a %!ll ,lo.n "tro(e# 8he 8IA prod!e" temporary "tro(e li(e
"ymptom", "!h a", .ea(ne"" or n!m,ne"" in arm or le-, "peeh dif!lty, or
dizzine""#
K# =ame and de"ri,e three other type" o% heart di"ea"e#
Con-e"tional 9eart De%et" & A de%et or mal%!ntion o% the heart or a maHor
,lood ve""el# 8he mo"t ommon de%et are hole" in the .all that divide" the
ham,er" o% the heart and oartation o% the aorta, a on"trition o% the
aorta#
Rhe!nati 9eart Di"ea"e :Rhe!mati %ever; & Certain type" o% !ntreated
"treptooal throat in%etion"# It an permanently dama-e the heart m!"le
and heart valve"#
9eart Valve Di"order & 3revio!" heart atta(", a-e, on-ential de%et" and
ertain type" o% in%etion" an a!"e a,normalitie" in the valve", ,et.een the
ham,er" o% the heart#
CA=CER
Afrmation: Deep at the enter o% my ,ein-, there i" an in@nite
.ell o% love#$
Chapter A""e""ment: 'hat i" yo!r UV ri"()
*y UV ri"( .o!ld ,e not on"i"tently .earin- "!n"reen all o% the time#
1# 'hat i" Caner)
Caner i" the a,normal, !nontrolled m!ltipliation o% ell", .hih a!"e death
i% !ntreated#
=ame and Contra"t 8.o 8ype" o% 8!mor"
<eni-n 8!mor & Are non anero!"# 8hey are made !p o% ell", "imilar to the
"!rro!ndin- normal ell" and are inlo"ed in the mem,rane that prevent
them %rom penetratin- nei-h,orin- ti""!e"# A *ali-ent t!mor & i" B!ite
di0erent a" they are anero!"# *ali-nant t!mor" invade "!rro!ndin-
"tr!t!re" inl!din- ,lood ve""el"#
Li"t the 8op C Ri"( 7ator" 7or Caner
8he C ri"( %ator" %or aner are+ 8he role o% D=A, to,ao !"e, dietary %ator
and Inativity or o,e"ity#
6# Sta-e" o% 8!mor Development &.hat i" happenin- in eah "ta-e)
a# >enetially altered ell & a "in-le ell m!tate"
,# Caner & ell divi"ion, rapid -ro.th
# Cervial & ell" ,eome a,normal in "hape
and ,ehavior
d# *ali-nant 8!mor & a mali-nant, yet
loalized t!mor o% a,normal ell"
e# meta"ta"i" & ell" are "preadin- to other
re-ion" thro!-h lymphM,lood
%# Advaned aner & m!ltiple t!mor" appearin-
A# VI8AL S8A8IS8ICS: Li"t the top three ommon aner" in order#
*en 'omen
Inidene Death Rate Inidene Death Rate
1# L!n- FK,KGE 1# <rea"t AN,G1E
6# 3ro"tate 6F,1KE 6# L!n- K6,GNE
A# Colon 6J,CKE A# Colon 6G,66E
'hat are Saroma")
Saroma i" aner ari"in- %rom ,one, artila-e, or "traited m!"le#
'hat are CARCI=O*AS) 7ill in the attahed hart#
Carinoma i" aner that ori-inate" in the epithelial ti""!e# :"(in -land", and
linin- o% internal or-an";#
G# 3REVE=8IO= S8RA8E>IES 2 Li"t e/ample" o% eah#
3rimary "trate-ie" help yo! avoid -ettin- anerO :red!e ri"( %ator" and
ma(e healthy hoie";
Sel% monitorin- i" the @r"t line o% de%en"e a-ain"t aner, ro!tine phy"ial,
te"tin- %or aner"# *a(in- healthy dietary hoie", e/eri"e, non to,ao
!"e#
Seondary "trate-ie" improve yo!r hane" o% "!rvival one dia-no"ed#
:early detetion;
*onitorin- and detetin- aner an ,e done ,y *RI and C8 "an"# 7or many
aner", hemotherapy i" !"ed mo"t o%ten#
CARCI=O*AS
S!rvival Rate 'arnin- Si-n" Early Detetion Ri"( 7ator"
L!n- & 8o,ao "mo(e# Smo(in- om,ined .ith other poll!tant# It i" dif!lt
to detet an early "ta-e o% l!n- aner#
ColonMRetal &A-e i" a (ey %ator, and heredity play" a roll# I% identi@ed in an
early "ta-e, the aner an ,e removed#
<rea"t & *o"t ommon aner in .omen# Some ri"( %ator" are early on"et to
men"tratin, late on"et to menopa!"e and not havin- hildren ,e%ore the a-e
o% AE# A !re i" li(ely i% the aner i" deteted early# A mammo-ram "ho!od
,e done every year over the a-e o% CE#
3ro"tate & I" the mo"t ommon aner in men# A-e i" the "tron-e"t preditor
or ri"(# 'arnin- "i-n" inl!de+ !rinary han-e, plain%!l !rinination# I% the
aner i" "mall and "lo. -ro.in-, the aner an ,e treated#
Cervial & O!r" in .omen in 6EI" and AE"# It "tem" %rom the 93V# Sreenin-"
%or a te"t are alled 3A3#
Uterine &O%ten o!r" in GG year" ad older# inl!de prolon-ed e/po"!re to
e"tro-en and o,e"ity#
Ovarian & 8here are no .arnin- "i-n"# Ri"( %ator" inl!de, inrea"in- a-e,
never have ,een pre-nant, or a %amily hi"tory o% ,rea"t aner or ovarian
aner#
S(in :*elanoma; & <a"al ell and "B!amo!" ell arinoma" ao!nt %or a,o!t
NGL o% "(in die"ea"e"# U"!ally %o!nd in hronially e/po"ed area" on the
%ae, ne(, hand", and arm"# U"!ally appear a" pale, .a/li(e or red and "aly
pathe"# 'ay" to avoid i" to "tay o!t o% diret e/po"!re to "!n li-ht, .ith the
!"e o% "!nreen#
Oral & Symptom" o% oral aner inl!de a l!mp or thi(enin- in the oral "o%t
ti""!e", "orene", or %eelin- o% "omethin- in throat# 8o,ao !"e, and alohol
inrea"e the ri"(" o% -ettin- oral aner#
8e"ti!lar & I" a rare aner and ao!nt" %or 1L o% aner in men# Sel%
e/amination may help in the early detetion o% te"ti!lar aner#

3rimary Caner 3revention Strate-ie"
U"e the"e term" to @ll in the ,lan(" ,elo.:
r!i%ero!" lead %at pre"ervative" @,er
"mo(in-
e/eri"e alohol .ei-ht P UV A C
E
radon a",e"to" antio/idant" e"tro-en
phytohemial"
3rotetive 7ator": 8o DoO Ri"( 7ator": 8o AvoidO
1# Inrea"e QQr!i%ero!"QQ ve-eta,le" 1# Derea"e QQ%atQQQ
:a,,a-e, ,rooli, a!li4o.er; :le"" meatM dairy, more
le-!me",
remove "(in, ,roil in"tead
o% %ry;
6# Inrea"e QQantio/ident"QQ 6# Derea"e
Qper"ervative"QQ
:le-!me", .hole -rain", :"mo(ed, "alt&!red,
nitrate",
"(in" o% %r!it, ve-ie"; nitrite", ,aon, hotdo-",
pepperoni;
A# Inrea"e A# Stop Q"mo(in-QQQQQQQ
Vit QAQ :yello., oran-e %r!it"Mve--ie";
Vit QCQ :itr!" %r!it", redM-reen pepper"
<rooliMtomatoe";
Vit QEQQ :.hole -rain", n!t", "eed", oil";
C# QQQe/eri"eQQQQ re-!larly C# Red!e e/e"" inta(e o%
QaloholQQQ

G# Lo"e QQQ.ei-htQQQQ G# Avoid harm%!l hemial"
QQQUVQQ ray", QQPQQ ray"
QQQleadQQQQQQQ,
QQQa",e"to"QQQ,
QQQQQradonQQQQQ,
J# Eat .hole %ood" rih in Q@,erQQ#
RISR 7AC8ORS ASSOCIA8ED 'I89 CA=CER
CERVICAL COLOREC8AL <REAS8 3ROS8A8E
LU=>
OVARIA= 8ES8ICULAR U8ERI=E ORAL
SRI=
Eah -ro!p o% ri"( %ator" ,elo. i" a""oiated .ith .hat type o%
aner)
Over a-e GE, Inherited %amily hi"tory o% polyp"
Ulerative oliti", O,e"ity , Diet rih in red meat
Diet hi-h in %at, lo. in @,er, Smo(in-, E/e""ive alohol
QQQoloretalQQQ
Smo(er", e/e""ive alohol on"!mption,
he.in- to,ao, poor daily hy-iene
QQQQoralQQQQQ
9i"tory o% S8D" :e"peially -enital .art"
and -enital herpe";,*!ltiple "e/ partner", Ci-arette "mo(in-
Early @r"t intero!r"e
QQQQervialQQQQQQQ
'omen over JE, =ever havin- ,een pre-nant
A %amily hi"tory, Cannot ,e deteted ,y 3A3
QQQQQovarianQQQQQ
*en over the a-e o% JG, Inherited -eneti predi"po"ition
7amily hi"tory, A%rian Amerian men
Diet" hi-h in alorie", dairy prod!t", animal %at"
Diet" lo. in plant %ood"
QQQQQQQ3ro"tateQQQQ
*en ,et.een 6N and AG year" o% a-e
QQQQte"ti!larQQQQQQ
8o,ao "mo(e, a",e"to", radon
hi-h ozone level", Environmental to,ao "mo(e :E8S; QQQl!n-QQQQQ
Ultraviolet radiation, "!n,!rn", "!ntan", %air "(in, heredity
3ree/i"tin- mole" QQQQ"(inQQQQ