e H t Official newsletter of the Philippine Heart Association newsbriefs Vol. 29 l No. 45 l January - February 2015 l website: www.philheart.org Mandurriao High School bags 1st prize in Jump rope Contest Heart Month 2015 in Iloilo Hala-Bira 52-100 e H t Official Newsletter of the Philippine Heart Association newsbriefs Editorial Editorial Staff +Ernesto P. Namin, MD FOunding CHAirmAn Marcellus Francis L. Ramirez, MD Editor-in-CHief Eugenio Jose F. Ramos, MD Saturnino P. Javier, MD Erlyn C. Demerre, MD Healthy Lifestyle EditoriAl COnSultanTS Don Robespierre C. Reyes, MD ASSOCiATE Editor Gynna P. Gagelonia should start in childhood mAnAging Editor Ma. Lourdes E. Bunyi, MD Myla Gloria Salazar-Supe, MD eart disease continues to be the primary cause of mortality Ma. Ina P. Bunyi, MD Ana Beatriz R. Medrano, MD in the Philippines and worldwide. A major health concern, it Bernadette S. Halasan, MD generally manifests during adulthood. Irwin Paul N. Bundalian, MD Jerelyn B. Adviento, MD However, scientific evidence Promoting good nutrition in Michael F. Agbayani, MD H Celia Catherine C. Uy, MD has shown that the process of childhood will lead to important health SECTiOn EditorS atherosclerosis begins early in benefits. A diet rich in vegetables and & COnTRIBuTOrS childhood. research has divulged fruits and limited in fats can prevent Jose Rodil C. dela Cruz Lay OuT ArTist significant evidence that confirms obesity, high cholesterol levels, diabetes Irene P. Alejo the connection between risk factors, and hypertension. Overall, it can reduce EditoriAl ASSistanT unhealthy lifestyle, and accelerated the risk of heart disease. Physical atherosclerosis in childhood. activity beginning at childhood and PHA Board of Directors Childhood obesity, hypertension and adolescence also demonstrate the same Joel M. Abanilla, MD diabetes are just some of the factors beneficial effects in adults-- it decreases PresidEnT Alex T. Junia, MD that lead to premature cardiovascular the risk of heart attacks and improves ViCE PresidEnT disease (CVd). metabolic profiles. Romeo B. Cruz Since the development of Efforts must be taken not only in VP FOr FinAnCE heart disease is a lifelong process, educating the young about the hazards Frederick M. Alegre steps should be taken to reduce of smoking, but also in minimizing VP FOr ExternAl AffairS Raul L. Lapitan, MD cardiovascular (CV) risk as early as their exposure to second-hand smoke. SECretary childhood. These include informing our adult Jorge A. Sison, MD The Philippine Heart Association, patients about the adverse health TrEASurEr as the premiere cardiovascular effects of smoking both for themselves Helen Ong-Garcia, MD organization in the country, continues and for their children. Nannette R. Rey, MD Aurelia G. Leus, MD its advocacy of promoting Hl to The prevention of CV risk factors directorS prevent CVd. its 5-2-1-0-0 Hl should be addressed in childhood. Eugenio B. Reyes, MD campaign (5 servings of fruits and This is where our pediatricians and immEdiate PAST PresidEnT vegetables, less than 2 hours of screen pediatric cardiologists will play a big Gina Capili-Inciong ExECuTiVE director time, 1 hour of moderate physical role in decreasing CV mortality in the SmartShock™ activity, and zero smoking and country. Fat children make fat adults. 1 The Most Advanced Shock-Reducing Technology sweetened carbonated drinks), applies in the same way, children with CV risk as much to children and adolescents as factors later turn to adults with CVd. Fewer Shocks. Greater Living. it does to adults. Early preventive care in childhood will This February’s Heart month lower the burden of atherosclerosis, activities focus on the youth. involving and eventually lead to a lower rate of PHAN Ad announcement high school students in the jump heart disease in the adult population. The PHA NewsBriefs is open to advertisements. rope competition is one step in the Ensuring small steps toward a Hl in For rates and reservations, please call PHA Secretariat at 470 5525 • 470 5528. Association’s thrust in the promotion childhood can make a big difference in For comments, suggestions or contributions ♥ send to [email protected] of a healthy way of life in the young. the long run. Suite 1108 East Tower, Philippine Stock Exchange Bldg., Ortigas, Pasig City www.philheart.org e H t Official Newsletter of the Philippine Heart Association newsbriefs conJanuaryte - February 2015 nTS Vol. 29 l No. 45 columns 42 lay Forum Echocardiography The study of heart sounds we cannot hear By Homobono B. Calleja, md 43 Cardio and the law Medical negligence based on informal consent 06 Hala-Bira 52-100 launched in Iloilo By Atty. Angeles A. yap, md as Heart Month 2015 highlight One of the tenets of 52-100 is 1 hour physical activity in 1 day. 45 Cardios from Manila and Iloilo do the hula-hoop to emphasize Opinionated md that there are forms of exercise that are fun and free. Facts & Myths about Diabetes 09 By Celine T. Aquino, md Lakat Corazon ushers 50 in Heart Month dysrhythmic Tales To fortify the Jump Rope Reward for capture Competition, PHA VP Alex By Edgardo S. Timbol, md Junia, Heart Month 2015 chair, revived Lakad Puso, Lakat Heartlines Corazon in Ilonggo. & Updates 12 ACS Registry makes progress In spite of snags, it has made small strides. 46 New Guidelines What’s new in NSTEMI? 15 By lauren S. Salazar, md Camp Brave 47 Heart 9 Commentary: An outing-cum- The Not-so-Subtle Changes educational tour of the New Non-ST-Elevation that has kept its ACS Guidelines magic. By John Paul Tiopiangco, md PHA NewsBriefs • January - February 2015 3 Editor’s Note ccording to roman mythology, January is named after Janus, the god of beginnings and transitions. The root of the word actually comes from the latin word, ianua, which means A“door”, rightfully depicting January as the door of the year. January is synonymous with new brighter hopes for the nation and for year celebrations and new year Philippine Cardiology. This edition resolutions. As the first month of the highlights the major events that took year, it gives us an opportunity to start place in January and February-- the 4th anew. it seems that in any resolution Acute Coronary Syndrome Summit that you get to read, a resolution to lead held in makati medical Center, with and the Annual Convention in may, a healthier life is always included. updates on the PHA ACS registry; including the PHA’s first hosting of February, as we all know, is the and the Heart month iloilo and Camp the resuscitation Council of Asia month when we celebrate love. For the Braveheart in Sta. rosa, laguna. symposium. PHA, it is also Heart month-- a time Bigger things are in store for this in behalf of the PHAN Staff, a when the Association promotes its year-- the upcoming PHA-American Happy new year and Happy Heart ♥ programs on elevating awareness about College of Cardiology joint session in month to everyone. Hl and continues its efforts to combat San diego in march, the Cardiology the country’s number one killer. Specialty Board examinations in The PHA NewsBriefs opens the door April, the PHA’s bid for the Asian to the year 2015 with positive and Pacific Society of Cardiology in 2019, mighty About the Cover andurriao High School students lord it over at the Jump rope Competition, one of the highlights of Heart month 2015, themed “Hala Bira 52-100 in iloilo. mThru the academe, the PHA started flabbiness, thwart smoking and even to involve the youth -- campus drugs. Obesity and smoking are risk journalists, declaimers, painters, iT factors for heart disease. Thus, the whiz kids, gymnasts and lately, athlete- evolving Jump rope Competition is dancers. aptly nicknamed: Jumpstart your Heart The idea of holding the Jump rope with skipping rope”. Competition took root following more than the physical activity, reports that obesity among children the twice-a-year Jump rope contest is on the rise. The adult/pediatric stimulates creativity. Each jump rope cardiologists-PHA members urge number is a combination of aerobics, parents to train their children to engage hip-hop, street dance and pastime games in daily exercise at no cost, to combat in yesteryear and modern-times. ♥ 4 January - February 2015 • PHA NewsBriefs President’s Page milestones in January & February The triumph of Camp Brave Heart prevails over the hassle of the weekend traffic to Enchanted Kingdom. At the Feb. 2015 Board Meeting, JMA expressed extreme delight over the success of the Jan. 24, 2015 Acute Coronary Syndrome Summit, citing the huge turnout from the training institutions and PHA chapter officers. Drs. JMA and Dianco (6th & 8th fr L) hand an AED (automated external defibrillator) to Ely Estante, executive assistant to Iloilo City Mayor Jed Mabilog, while Craig Holland (7th fr L) from Heart Sine, the donor; and members of the PHA Board look on. The PHA Council on CPR Battlecry is: To bring CPR to every corner of the country and to see AED-equipped LGUs. PHA NewsBriefs • January - February 2015 5 HeartNews Hala Bira 52-100 in iloiloBy Gynna P.a Gagelonia blast lOILO CiTy, Feb. 22, 2015 – At the crack of dawn, historic iloilo City river Esplanade in imandurriao, bustled as the Heart month 2015 5K Lakat Corazon (lakad Puso) participants streamed swiftly to the “i am iloilo” signage, the assembly point. 6 January - February 2015 • PHA NewsBriefs HeartNews They negotiated thru Sen. Benigno Aquino Jr. Ave., and Pison Ave. to get to the Ateneo de iloilo High School in mandurriao. The Heart month 2015 theme is “Hala Bira 52-100”. A haven for walking, jogging, dancing, river water sports and open-air dining events, the Esplanade is one of iloilo’s youngest landmarks that has emerged into a tourism entity.