Down South: Blacks Have Increased Risk of Strokes

by: continuum wellness - March 1st, 2010   Filed under: African American, Health, health care, health disparity, heart, heart attack, minorities, stroke Add Comment

UAB Study Shows African-Americans Have Highest Stroke Rate, Southerners More Likely to Die

February 26, 2010
BIRMINGHAM, Ala. – African-Americans age 65 and younger are more than twice as likely to have a stroke compared with Caucasians in any region, and people who have a stroke are more likely to die in the South than elsewhere, according to researchers at the University of Alabama at Birmingham (UAB) School of Public Health.

The findings are from UAB’s Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, one of the largest ongoing health studies that includes more than 30,200 U.S. participants.

This new report is among the first to show major regional and racial disparities in stroke rates. It also underscores the need for targeted stroke-prevention and care strategies in those at greatest risk, said Virginia Howard, Ph.D., a UAB associate professor of epidemiology and a REGARDS co-principal investigator.

The study was presented Feb. 26 at the International Stroke Conference in San Antonio.

“This is the first study to take national data and really lay it out on the table,” Howard said. “We found in the 45-54 age group that blacks have a 2.5-fold greater stroke rate compared to whites, which is startling.”

The study also shows a stroke rate greater than 12 percent higher in eight Southeast states known as the Stroke Belt – Alabama, Arkansas, Georgia, Louisiana, Mississippi, North and South Carolina and Tennessee – with the highest stroke rate in the coastal states of Georgia, North and South Carolina.

“These are stroke-incidence data. It doesn’t tell us how to fix the problem, but it gives us our clearest stroke picture to date in this country,” Howard said.

In the new study, REGARDS researchers reviewed data on more than 26,500 participants with no history of stroke. They kept in periodic telephone contact with the participants for nearly five years and documented 299 strokes to which they applied a rate formula. In the 45-54 age group, the stroke rate is 192 percent for African-Americans compared with 74 percent for whites.

“That disparity in the incidence rate evens out and changes as you monitor stroke in older Americans. In fact the racial differences reverse, so by the time they reach about age 80 and older, whites have a higher stroke rate compared with blacks,” Howard said. It is not clear why the differences change with age, but it may have to do with different types of strokes occurring in different age groups.

The bottom line is that certain subgroups are at greater risk and need to pay closer attention to their stroke-risk factors, said George Howard, Dr.PH., a UAB professor of biostatistics and a REGARDS co-principal investigator. Stroke-risk factors include family history, high blood pressure and high cholesterol, diabetes, obesity, tobacco use and other variables.

The new study was collaboration between UAB, the University of Cincinnati, the University of Vermont in Burlington, Wake Forest University in Winston-Salem, N.C. and the National Institute of Neurological Disorders and Stroke (NINDS). Funding for this study comes from NINDS.

About the UAB School of Public Health

The UAB School of Public Health is a community of scholars and professionals working and teaching in varied arenas of public health with the goal of fostering research and best practices crucial to the health of our nation and its peoples. The school offers more than 20 areas of study and manages dozens of research and community-service centers.

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Why No Cure for Heart Disease?

by: continuum wellness - February 15th, 2010   Filed under: Health, health beliefs, health care, heart, heart attack, medicine Add Comment

Former President of the United States Bill Clinton received quadruple bypass heart surgery in 2004. Four blocked arteries were propped open by inserting tubing, know as stents, into blocked arteries. According to cardiologists this is par for the course. This procedure is not a cure, it is a fix; a patch. Seen as a progressive disease it is treated by surveillance. There is no attempt to heal the body from what may be the underlying causative factors.

Is this the best in health care can offer?
Hereditary factors? Lifestyle factors? Heart disease? medication? Heart Bypass surgery? angioplasty, this is a rather typical progression. The costs for the procedures escalate.
Prices for these varied procedures can range from $7,000 to in some cases over $100,000. The care is invasive. There is no such thing as minimally invasive surgery. It is still major and intense. The public is involved in a game of wait and see, as people in need of healing, deteriorate and then told surgery is their only option.

A heart attack or myocardial infarction occurs when a plaque ruptures, allowing a blood clot to form. This completely obstructs the artery, stopping blood flow to part of the heart muscle, and that portion of muscle dies.

The cost of stents
Balloon Angioplasty with Stent Placement for Coronary Artery Disease

Actually there are “cures” for heart disease. There always have been. That does not mean that an individual may not eventually die because of heart failure. But it is possible to live in health without balloons, or mesh or the advanced options using mesh with stainless steel – inserted into your arteries to prop them open. Start now, avoid waiting until the prognosis is poor.

The physical heart resides in the chest cavity, but it is not in a vacuum. When you are comfortable with your heart, that joy translates throughout your life.

The public can let the medical profession that we want healing, not management. The public can let the medical profession that we want healing, not lifetime prescriptions drugs.

Enter the “Polypill” to reduce heart problems, hbp and stroke

by: continuum wellness - March 30th, 2009   Filed under: adverse events, alternative medicine, baby boomers, behavior, cholesterol, complementary medicine, healing, healing philosophy, Health, health beliefs, health benefits of food, health care, healthy body, healthy eating, healthy mind, heart, heart attack, holistic, holistic medicine, integrative medicine, kindness, medications, medicine, men, prescription drugs, self-care, self-healing, thoughts, tips, wellness, Western diet, women, women's health Add Comment

The “miracle” of modern medicine has led to bizarre side effects such as a treatment for restless legs, that has caused compulsive gambling. A medicine for Parkinson’s has a similar problem for some. Sleep drugs that cause people to stumble out of their home and drive. Fertility drugs that lead to multiple births. Hallucinations are a “rare” side effect of some ADHD medications. These are the considered a-typical, but the typical side effects are no fun either.

Help for High Blood Pressure

Enter the Polypill.  Researchers want to create a pill a 3 in one that can reduce the risk of heart attack, stroke and high blood pressure in one.  article here
Truth is it has been created or should I say they have been. When we eat whole foods, contained therein is a synergistic blend of vitamins, proteins, amino acids, flavonoids, solar and lunar energy and maybe even (hopefully) love from the gardener. We cannot get this from a pill.

Run This Way

Instead of running from nature, run to nature. Nurture yourself with learning how to live in balance. It’s free. It’s the healthiest choice for yourself and the planet. Give it a try. Polypill? Try basking in the sun, or hugging a dear friend, cook yourself a meal with a big dose of love in it…you’ll be glad you did, for benefits no Polypill could ever provide.

At Continuum Wellness we offer homeopathic care and wellness coaching to promote wholeness, health and well-being.

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ADHD and Heart Screening, Update

by: continuum wellness - July 31st, 2008   Filed under: ADD, ADHD, adolescents, adverse events, heart, heart attack, medical news, medications, Uncategorized 1 Comment

Apparently the experts are at odds with one another, but have come to some agreement regarding assessing the risk of future heart problems developing in children who take stimulant drugs.

Pediatricians don’t consider it necessary for heart screenings for children prescribed stimulant drugs. The American Heart Association initially recommended heart screening for children taking stimulant drugs. The current position is it not mandatory, but considering the number of children who have sudden cardiac death it may be useful to at least have the heart screen performed. The AHA has released an update clarifying their position, here. Basically an ECG screening is not considered mandatory.
U.S. News reported on this topic here
Following is the statement: of the American Heart Association
May 16, 2008

This statement replaces the April 21 news release

Endorsed by the American Academy of Child and Adolescent Psychiatry, the American College of Cardiology, Children and Adults with Attention-Deficit/Hyperactivity Disorder, the National Initiative for Children’s Healthcare Quality and the Society for Developmental and Behavioral Pediatrics

The American Heart Association released on April 21, 2008 a statement about cardiovascular evaluation and monitoring of children receiving drugs for the treatment of Attention Deficit Hyperactivity Disorder (ADHD). As a result of language in the news release and the statement as published, there have been conflicting interpretations of the recommendations regarding the use of an electrocardiogram (ECG) in assessing children with ADHD who may need treatment with medications. The purpose of this joint advisory of the American Academy of Pediatrics (AAP) and the American Heart Association (AHA) is to clarify the recommendations.

• The scientific statement included a review of data that show children with heart conditions have a higher incidence of ADHD.

• Because certain heart conditions in children may be difficult (even, in some cases, impossible) to detect, the AAP and AHA feel that it is prudent to carefully assess children for heart conditions who need to receive treatment with drugs for ADHD.

• Obtaining a patient and family health history and doing a physical exam focused on cardiovascular disease risk factors (Class I recommendations in the statement) are recommended by the AAP and AHA for assessing patients before treatment with drugs for ADHD.

• Acquiring an ECG is a Class IIa recommendation. This means that it is reasonable for a physician to consider obtaining an ECG as part of the evaluation of children being considered for stimulant drug therapy, but this should be at the physician’s judgment, and it is not mandatory to obtain one.

• Treatment of a patient with ADHD should not be withheld because an ECG is not done. The child’s physician is the best person to make the assessment about whether there is a need for an ECG.

• Medications that treat ADHD have not been shown to cause heart conditions nor have they been demonstrated to cause sudden cardiac death. However, some of these medications can increase or decrease heart rate and blood pressure. While these side effects are not usually considered dangerous, they should be monitored in children with heart conditions as the physician feels necessary.

The statement has been revised to clarify the language and to assure that the intent is clear to all readers. This is available at:
http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.189473

The correction notice is at:
http://circ.ahajournals.org/cgi/content/full/CIRCULATIONAHA.107.189473/DC1.

This clarification has been endorsed by the American Academy of Child and Adolescent Psychiatry, the American College of Cardiology, Children and Adults with Attention-Deficit/Hyperactivity Disorder, the National Initiative for Children’s Healthcare Quality and the Society for Developmental and Behavioral Pediatrics.

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Medical Errors Cost Billions

by: continuum wellness - April 9th, 2008   Filed under: food, girls, happiness, Health, health care, healthy body, healthy mind, heart attack, herbs, holistic medicine, nutrition, pesticides, Uncategorized, wellness, Zocor Add Comment

Avoidable medical errors, such as bed sores, surgical instruments left in the body after surgery and urinary tract infections linked to catheter use will not be eligible for reimbursement. Starting Oct. 1, the federal Centers for Medicare and Medicaid Services will stop reimbursing hospitals for the treatment of eight major preventable errors…more.

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Having a Heart Attack? Ethnicity Matters?

by: continuum wellness - March 18th, 2008   Filed under: African American, emergency room visits, Health, health beliefs, health care, heart, heart attack, men, minorities, Native Americans, stroke, women 1 Comment

White men who arrive in emergency rooms complaining of chest pains get treatments for heart trouble faster than African-Americans or women do, a new U.S. government study finds.

Researchers looked at more than 19 million emergency room visits and found that whites who reported angina were 1.6 times more likely than nonwhites to be seen by a medical staff member within 10 minutes, and men were 1.5 times more likely than women to get that quick reaction, said study author Dr. Jing Fang, an epidemiologist with the U.S. Centers for Disease Control and Prevention. He was expected to report the findings at the American Heart Association’s Cardiovascular Disease Epidemiology and Prevention Annual Conference in Colorado Springs.

Those numbers are not clear-cut evidence of discrimination on the basis of race and sex, Fang said, since emergency room responses may be based on evidence that ischemic heart disease — blockage of coronary arteries that causes chest pain — is more common among those who get faster treatment, and that chest pains are more likely to have other causes in nonwhites and women.

“When you see that the percentage of ischemic heart disease is higher among whites than nonwhites and among men than women, maybe the health-care providers who decide who gets treated first are thinking that whites are more likely to have ischemic heart disease, men are more likely to have ischemic heart disease,” she said.

The study found no difference in response time or treatment based on age. Emergency room service was the same for visitors complaining of chest pains who were over 65 and those who were younger.

But treatments were different for the sexes and races. Men were 1.5 times more likely than women to get an electrocardiogram and 1.7 times more likely to be given a beta-blocker heart drug. Whites were 1.8 times more likely than nonwhites to get an electrocardiogram and 1.5 times more likely to be prescribed drugs for chest pain.

The study did not show whether the difference in treatment made a difference in outcomes such as mortality or hospitalization, Fang said. “We were unable to note the outcome, short-term or long-term mortality,” she said. “A follow-up study would be nice.”

Two other reports presented at the same conference showed clear ethnic influences on incidence and awareness of cardiovascular disease in the American population.

A study of Native Americans done at the University of Oklahoma found they had a higher incidence of stroke and were more likely to have a first stroke at an early age than whites and African-Americans. The incidence of stroke among Native Americans in the study was 679 per 100,000 person-years, higher than among other Americans, and the average age when a first stroke occurred was 66.5 years, earlier than in the general population.

And a study of health beliefs done at Columbia University found that members of racial or ethnic minorities were less likely to adopt prevailing views of cardiovascular disease prevention than other Americans. Minorities were more likely to place faith in a higher power than on personal actions to prevent disease, the researchers found. The finding “may represent a unique opportunity for education and early intervention,” they said.
HealthDay

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