Cardiovascular Disease and Rehab

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EXERCISE AND CARDIOVASCULAR ! CARDIOVASCULAR DISEASE Exercise plays a significant role in the prevention and rehabilitation of cardiovascular diseases. High blood pressure, high cholesterol, diabetes and obesity can all be positively affected by an appropriate and regular exercise program which in turn benefits cardiovascular health. Cardiovascular disease can come in many forms including: Acute coronary syndromes (coronary artery disease), myocardial ischemia, myocardial infarction (MI), Peripheral artery disease and more. Exercise can improve cardiovascular endurance and can improve overall quality of life. If you have had a cardiac event and are ready to start an appropriate exercise plan, Cardiac Rehabilitation may be the best option for you. Please call 317-745-3580 (Danville Hospital campus), 317-718-2454 (YMCA Avon campus) or 317-456-9058 (Brownsburg Hospital campus) for more information. SAFETY PRECAUTIONS • Ask your healthcare team which activities are most appropriate for you. • If prescribed nitroglycerine, always carry it with you especially during exercise and take all other medications as prescribed. • Start slow and gradually progress. If active before event, fitness levels may be significantly lower – listen to your body. A longer cool down may reduce complications. • Stop exercising immediately if you experience chest pain, fatigue, or labored breathing. • Avoid exercising in extreme weather conditions. • Drink plenty of water before, during, and after exercise. • Wear a medical identification bracelet, necklace, or ID tag in case of emergency. • Wear proper fitting shoes and socks, and check feet after exercise. STANDARD GUIDELINES F – 3-5 days a week. Include low weight resistance training 2 days/week I – 40-80% of exercise capacity using the heart rate reserve (HRR) (220-age=HRmax; HRmax-HRrest = HRR) T – 20-60mins/session, may start with sessions of 5-15 mins if necessary T – Large rhythmic muscle group activities that are low impact (walking, swimming, biking) Get wellness tips to keep YOU healthy at HENDRICKS.ORG/SOCIAL..

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J Wave Syndromes
Review Article http://dx.doi.org/10.4070/kcj.2016.46.5.601 Print ISSN 1738-5520 • On-line ISSN 1738-5555 Korean Circulation Journal J Wave Syndromes: History and Current Controversies Tong Liu, MD1, Jifeng Zheng, MD2, and Gan-Xin Yan, MD3,4 1Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular disease, Department of Cardiology, Tianjin Institute of Cardiology, The Second Hospital of Tianjin Medical University, Tianjin, 2Department of cardiology, The Second Hospital of Jiaxing, Jiaxing, China, 3Lankenau Institute for Medical Research and Lankenau Medical Center, Wynnewood, Pennsylvania, USA, 4The First Affiliated Hospital, Medical School of Xi'an Jiaotong University, Xi'an, China The concept of J wave syndromes was first proposed in 2004 by Yan et al for a spectrum of electrocardiographic (ECG) manifestations of prominent J waves that are associated with a potential to predispose affected individuals to ventricular fibrillation (VF). Although the concept of J wave syndromes is widely used and accepted, there has been tremendous debate over the definition of J wave, its ionic and cellular basis and arrhythmogenic mechanism. In this review article, we attempted to discuss the history from which the concept of J wave syndromes (JWS) is evolved and current controversies in JWS. (Korean Circ J 2016;46(5):601-609) KEY WORDS: Brugada syndrome; Sudden cardiac death; Ventricular fibrillation. Introduction History of J wave and J wave syndromes The concept of J wave syndromes was first proposed in 2004 The J wave is a positive deflection seen at the end of the QRS by Yan et al.1) for a spectrum of electrocardiographic (ECG) complex; it may stand as a distinct “delta” wave following the QRS, manifestations of prominent J waves that are associated with a or be partially buried inside the QRS as QRS notching or slurring.
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Cardiovascular Disease in Arizona FIGURE 1 Figure Title
The Burden of Cardiovascular Disease in Arizona FIGURE 1 Figure Title Ut utat. Duiscinci eros nulluptat, velit non volobore dolorper sim ercil eugait incipit prat loborti onsequamet in henit autatue core core ex enim zzrit, sed modiatumsan hendio ent augiam zzrit ver adit, quat. Dui tet augiat aute ea faccum exer senim volent niametum euip etumsan et at. El dolor augait acincin esse tat, venibh esend- ipit iriure doloboreet aut euipit, si. Dolore mincil erilit lum dolumThis accum verate document feugait amcommod dolesto provides dipit ipit lam, conse digna commolent ilit lutem zzrit wisci tem“ alit at. Peratie modipsu sciduis nosto dolum in ea commy nis non henisit ad tatie min heniat. Del eliquipit, quatuma ditsnapshot nosto ea con ut aut augaitof adiamconsedthe current magna feugiam consequis nis cardiovascular disease burden in Arizona. It identifies the mortality rates, prevalence rates, and hospitalization rates and estimated costs for cardiovascular disease risk factors and diseases.” Section Heading 2 i Acknowledgements Authors Steering Committee: Jessica Han, MSc Bart Demaerschalk, M.D. Arizona Department of Health Services Mayo Clinic, Scottsdale Ross Merrit, M.P.H June Estrada Arizona Department of Health Services TriZetto Group, Inc Nicole Olmstead, M.P.H James Frey, M.D. Arizona Department of Health Services Barrow Neurological Institute Reviewers Alicia Gonzales American Heart Association/American Ben Bobrow, M.D. Stroke Association Arizona Department of Health Services Mayo Clinic, Scottsdale Mary Lee Hyatt American Heart Association/American Pam Ferguson Stroke Association American Heart Association/American Stroke Association Julie Jackson, RN Summit Healthcare Cardiopulmonary Rehabilitation Tim Flood, M.D. Arizona Department of Health Services Nancy Keane American Heart Association/American Tim Ingall, M.D., Ph.D.
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