A recent study published in the Journal of the American College is making the case that eating 50 grams of chocolate everyday could reduced risk of a stroke in women. But not just any chocolate, dark chocolate. The study was conducted with patients consuming 50 grams for 15 days of either dark chocolate (70% cocoa) or white chocolate (0% cocoa). Their findings? A strong correlation between large consumptions of dark chocolate and decreased risk of stroke and other health complications.

They found that Cocoa contains a compound called ‘flavanols’ which is present in berries, grapes and apples that contains antioxidants and anti-inflammatory properties. These flavanols help counteract rogue oxygen molecules that damage healthy cells and are known to cause at least 60 different heart problems ranging from heart ailments to cancer. These findings, which were presented at the Experimental Biology 2012 meeting in San Diego, US, concluded that compared to those who ate white chocolate, dark chocolate patients had lower blood sugar levels, improved LDL (bad cholesterol) and improved HDL (good cholesterol).

This wasn’t the only study conducted about the potential health benefits of chocolate. Scientists at the Karolinska Institute conducted a 10-year observation comparing chocolate consumption and their correlation with strokes in women between the age of 49 and 83. Published in October of 2011, they found that women eating 66.5 grams a week (2.4 ounces) were 20% less likely to have a stroke then women who never or rarely ate chocolate. “Only women in the highest quartile of chocolate consumption (median 66.5 g/week) had a significantly reduced risk of stroke, suggesting that higher intakes are necessary for a potential protective effect. The reason for the stronger association observed for hemorrhagic stroke than for cerebral infarction is unclear” said Susan Larsson, PhD.

However, before you go indulge yourself in chocolate there is some skepticism around these studies and these findings are still considered preliminary until colleagues have a chance to scrutinize the data. Chocolate is high in calories and could lead to weight gain and other complication. Another is that causation doesn’t necessarily mean correlation. One example of this is the famous ‘correlation’ between increase in ice cream sales and the rate of drowning deaths increases sharply. The example fails to recognize the importance of time and temperature in relationship to ice cream sales and drowning. More people swim in the summer and more people eat ice cream in the summer so logically both will happen more often. And while we don’t know quite yet how strong these correlations are between dark chocolate and one’s heart health we do know one thing for certain. That America’s love for chocolate will never fade.

If you have any more questions, contact one of our expert cardiologists about a cardiology consultation.

If your interested in learning more we suggest you take a look at this article.

They realized that traumatic events like the loss of a loved one can cause what they are now calling ‘Broken Heart’ Syndrome.  In fact, after a study of 2,000 patients with heart complications they found that the risk of a heart complications is twenty-one times higher the day after losing a loved one and six times higher during that first week. Additionally, they found that Broken Heart Syndrome is 7.5 times more likely in women than men.

Stress can cause a plethora of physical complications for your body from complications to your reproductive, digestive and immune system and can lead to serious illness if left untreated. Now you can add heart complications to that list. Triggered by an adrenaline rush after suffering severe emotional distress, Broken Heart Syndrome temporarily constricts the heart’s arteries and interferes with the heart’s pumping ability causing chest pain, shortness of breath, an irregular heartbeat, arm pain and a general weakness.Symptoms that are almost identical to a heart attack.

These symptoms are so similar that most ER Doctors and Paramedics can’t diagnose these cardiac complications without ordering an Angiogram.  In a recent study, they found that up to 5% of all heart attacks diagnosed in women are actually Broken Heart Syndrome. However, unlike a heart attack, there is regularly no long-term damage and a speedy recovery.

While some doctors are dumbfounded about this trivial connection between emotions well being and physical heart complication, Epperson, director of the University of Pennsylvania’s center for Women’s Behavioral Wellness is not. “We know that many medical problems — asthma, autoimmune diseases, depression, gastro upset — can be caused by stress, so why wouldn’t something like a heartbreaking loss ‘break’ your heart?” And just like taking a vitamin, exercising or eating healthy, you need to take care of your emotional well-being as well.

Like an infected wound, neglecting your mental health could lead to serious complications so whether it’s reading a book, fishing, taking a walk or turning off your cell phone to disconnect from the world for twenty minutes a day, relaxing and reducing your stress could save your life. In fact, 54% of workers are concerned about health problems due to stress and according to a study by Yale University, 29% of workers feel they are ‘very stressed’ at work. There are hundreds of techniques to help you handle your stress so the best advice is to talk to one of our Doctors and let them know how you are feeling.

If you would like to learn more you can read an interview with Dr. Ilan Wittstein, assistant professor of medicine in the Division of Cardiology at Johns Hopkins Hospital who helped discover Broken Heart Syndrome.

The American Heart Association suggests that by just walking 10,000 steps a day you can reduce the risk of the initial heart attack by up to 90% and reduce the chance for a stroke by 70% and yet fewer and fewer Americans each year are doing it. But, what some people don’t know is how important exercise is after a heart complication. In a Study released by the American Heart Association, exercise “improved VO₂max, ventilator response, heart rate variability and blood flow” while decreasing depression in patients with heart failure and in a separate study, HF-Action, there was a dramatic improvement in just three months reducing shortness of breath, fatigue and had patients feeling better. In the ‘HF-Action’ study, patients in the exercise group had a 5-point improvement on the Kansas City Cardiomyopathy Questionnaire then those in the control group. Whats even more impressive is that these benefits were sustained over a long period of time.

Yet, despite these clear signs of improved heart health in patients approximately 47% of heart failure patients admit to not exercising. But, exercise doesn’t always have to boring. One study suggested people exercising with the waltz dance for 3 hours a week and other have come up with clever inventions of their own to make exercise easier and more convenient like the TrekDesk. TrekDesk is a small treadmill that fits under a desk and can be used to walk on while sitting at your desk working or on the phone.

Have you been exercising lately? Talk to our experts to learn more about a great exercise routine for you or your loved one or request a consultation.

According to a NY Times article, for nearly a decade, the UConn soccer team has used heart rate monitors during their conditioning drills.  They use these monitors during footwork drills and handling drills, sprinting drills and long runs—they even use them during rest periods.  And by monitoring all facets of their conditioning program (including rest), the team and its trainers were able to gauge “workout intensity”, allowing UConn to create the optimal conditioning program for each player.

In a quote for the NY Times article, Mario Diaz, UConn’s trainer, states that he thinks they’re among the “top 5 percent of the fittest teams in the country,” and that in the 65^th or 70^th minute of each game the play, they simply “outrun and out endure” their competition.

And if UConn’s 17-3-2 record before the start of the 2011 N.C.A.A. tournament is any indication of the team’s level of fitness, there’s certainly not many teams fitter than this group.

But UConn isn’t the only one using heart rate monitoring conditioning.   The UConn coaches estimate that 10 to 30 percent of all N.C.A.A. soccer teams use similar heart monitoring devices to inform their conditioning program.   After all, not only do heart rate monitors help teams to get in the best shape, but they also help to prevent injuries—especially the type of soft-tissue damage that’s common with over training.

Adding a heart rate monitor to your regime, regardless of previously diagnosed conditions, could be a great way to increase your exercise capacity.  Use the heart rate monitor’s variety of tracking metrics (heart rate, calories burned, etc) to push yourself to further heights.   Remember, you don’t have to be an elite athlete or someone with a heart condition to start using one.   And before you purchase one, speak with a heart specialist, or contact our team.

We may only be in the second week of a new year, but heart health seems to be taking the media by storm in 2012. From new studies to new health campaigns to new takes on old regimens, experts have been weighing in on all types of health issues.

Below are some of the top trending articles of this month dealing with heart health and prevention. For personal advice from a cardiologist about your cardiac care, contact our team of professionals to make an appointment.

Medical Advice for the New Year: Don’t Get Sick – The Atlantic

“I am sure that it would, in theory, have been better for me to not have developed high blood pressure in the first place.  It might also have been better for me to be 5’10 instead of 6’2–and unfortunately, I have no idea how I could have achieved either stunt.”

Marathon offers CPR training to runners – The Boston Globe

“‘The number-one predictor of survival of cardiac arrest during a race was whether a runner had access to bystander CPR,’ said study leader Dr. Aaron Baggish, associate director of the cardiovascular performance program at Mass. General. Teaching basic chest compressions to marathon participants and race observers – a form of CPR than doesn’t involve mouth-to-mouth resuscitation – might lead to fewer deaths in the future, he added.”

Broken heart boosts risk of cardiac attacks: study – NY Daily News

“Intense grief can cause a host of symptoms that raise heart risks, including higher heart rate, blood pressure, stress hormone levels and blood clotting.”

Healthy People Don’t Need Aspirin To Prevent Heart Disease: Report – The Huffington Post

“Based on more than 100,000 men and women followed for an average of six years, there was no sign aspirin prevented fatal heart attacks. But it did cause a tiny drop in non-fatal heart attacks.”

Study: Cars, TV Increase Risk of Heart Attack – Fox

“People who engage in physical activity during work and leisure time tend to have a lower risk of heart attack than those with less active lifestyles. What’s even worse is that the ownership of a car and television have specifically been linked to an increased risk of heart attack by about 27 percent because these devices ‘promote sedentary behavior,’ according to the study.”

Improve your diet. Undertaking a complete diet change can be stressful for a lot of people, so why not start by resolving to make small adjustments here and there that will add up over time? Reduce your portion sizes by 25%. Replace your daily beverages with water.

Exercise. Getting plenty of exercise is a popular resolution that often loses steam by the end of January.  Many adults find daily trips to a health club boring and expensive or think there isn’t enough time in the day to exercise.  There are two excellent alternatives that will allow you to work out without joining a gym.  First, you can participate in a recreational league for a sport that you enjoy such as softball, soccer or basketball.  If sports leagues are not offered where you live, you can organize a weekly game with friends or coworkers.  This can be a lot more exciting, fun and social than going to a health club for an hour every other day.  Second, if you live within a reasonable distance to work you can exercise on your commute to work.   Many people walk, run or bike to work to save the cost of travel as well as making the most of their time during the day.

To learn more about improving your diet and fitness as well as the health of your heart, contact us today to meet with a cardiologist.

Patients with obstructive sleep apnea can wake up dozens or even hundreds of times per hour as their airways momentarily close, cutting off all oxygen. Frequently, apnea sufferers won’t even realize they are waking up during the night, often prolonging their choice to visit a doctor.

Though sleep apnea can be incredibly dangerous, it is also fairly easy to treat. One of the most frequent courses of treatment involves continuous positive airway pressure (CPAP) which is provided in the form of a breathing mask.

A study released today by the New England Journal of Medicine goes one step farther, however, showing that CPAP treatment has the potential to reduce the signs of heart disease. The study, though limited in its scope, shows that use of a CPAP machine was able to significantly improve the symptoms of metabolic syndrome, an indicator of heart disease risk.

Common risk factors for metabolic syndrome are having extra weight around your midsection and having an insulin resistance, which causes blood sugar to rise. Other factors for the syndrome include hormone changes, lack of exercise and a genetic predisposition.  A combination of any three indicators is used to diagnose metabolic syndrome in adults.

Traditional recommendations for treating metabolic syndrome include losing weight, increasing exercise, beginning an aspirin regimen and lowering cholesterol and blood pressure.

The study looked at 86 patients with obstructive sleep apnea, 75 of which also had metabolic syndrome. After just three months of using a CPAP machine, blood pressure, cholesterol, triglycerides and waist circumference all dropped in the test subjects.

In fact, after receiving CPAP eleven patients, or 13% of the study group, were no longer considered to have metabolic syndrome, compared to just one patient in the placebo group.

According to the study’s lead researcher, even short-term oxygen deprivation distresses the body and “causes the release of hormones that can cause cell damage that may lead to metabolic syndrome.” While doctors aren’t quite ready to say that CPAP treatment should be used to reverse heart disease, they do point out that obstructive sleep apnea is clearly a heart threat.

To learn more about metabolic syndrome or to be tested for this condition, schedule a consultation with our cardiologists today.

Most people don’t traditionally worry about getting their cholesterol checked until well into their adult life or until other health concerns prompt a cardiologist to complete the screening. However, the buildup of fat in the blood that wreaks havoc for middle-aged and older people may actually start at a very early age.

A new report from the National Heart, Lung, and Blood Institute with the American Academy of Pediatrics has updated guidelines to suggest cholesterol screening for younger patients. The new recommendations aim to test children at ages 9-11 and again as young adults at ages 17-21 for abnormal cholesterol levels as a proactive measure.

Various studies in recent years have suggested that traditional screening methods for adolescent cholesterol problems miss between 30-60% of children who are at risk. By widening the scope of juvenile testing, doctors will be better able to reach all children who may be developing early signs of heart disease.

A cholesterol test is a simple procedure, performed by a cardiologist or family doctor, in which a small amount of blood is drawn and analyzed. A normal cholesterol rate for adults is less than 200 milligrams per tenth of a liter of blood. In children, however, a normal rate should be less than 175.

With juvenile obesity rates on the rise nationwide, high cholesterol in children is a rapidly escalating concern. Even though a vast majority of children with abnormal cholesterol rates may not experience any symptoms of the condition, identifying high cholesterol early on can provide a much more optimistic outlook for future health.

Through poor diet, lack of exercise or a genetic disposition, children may begin forming fatty deposits in their arteries. If such buildups are diagnosed, early treatment has the potential to reverse damage to arteries. However, if left untreated these fatty deposits can decrease blood flow and place extra stress on blood vessels, causing irreversible harm.

If you or your child is diagnosed with high cholesterol, taking early action can be key in reversing damage and preventing future health problems. To treat high cholesterol:

• Talk to your doctor about beginning a daily exercise regimen to maintain a healthy weight
• Consult with a nutritionist to design a diet low in saturated fat and nigh in nutrients
• If cholesterol levels do not respond to diet and exercise, talk to a cardiologist about medication

To schedule an appointment or learn more about cholesterol screening, contact our office today.

Acute heart failure is a condition in which one of the heart’s ventricles malfunctions, potentially disrupting blood flow. Estimates have shown that as many as 5 million Americans are affected by acute heart failure, with half a million cases reported annually.

National averages suggest about 5-6% of Medicare patients have this cardiac condition as opposed to 35.2% at Chino Valley, which raised a red flag with California Watch, an investigative reporting group.

When a reporter for California Watch contacted Dr. Steven Shayani for a review of the data by an expert cardiologist, it was clear that something suspicious was taking place.

“Acute heart failure is very prevalent, as you know,” Dr. Shayani told California Watch. “However, there is no way of explaining” Chino Valley’s high rate, he said. “It doesn’t make any sense.”

In an effort to bring more clarity to this situation, California Watch undertook its own investigation of the medical center in question to find the true motivation for their diagnoses. Before 2006, no cases of acute heart failure were reported at the hospital. However, following a change in Medicare rules which authorized additional funds for treating this condition, the diagnosis became common practice.

Between 2008 and 2010, under the new Medicare policy, Chino Valley reported 1,971 Medicare patients with acute heart failure. For the medical center, owned by Prime Healthcare Services, these diagnoses meant a healthy bottom line.

New Medicare standards treated acute heart failure as a “major complication” which entitled treating physicians to additional reimbursements worth anywhere from $2,000 to $20,000 or more. But monetary gains might not have been the only incentive for the faulty diagnoses.

A padded acute heart failure rate can boost a hospital’s ratings, said Dr. Shayani.

“If you put heart failure as the diagnosis and the patient survives, that’s how you would statistically lower your mortality rate,” he said. “And so your ratings are better.”

Indeed, Chino Valley has enjoyed a HealthGrades excellence award for the past two years in addition to a five-star rating for heart failure treatment. These accolades are based primarily on the survival rate of patients treated for cardiac conditions.

Holiday Heart Syndrome is an aptly named condition which can affect the hearts of otherwise healthy people. Many people who experience this syndrome have never experienced symptoms of a heart condition before. Binge drinking (usually in the form of extra wine, eggnog or other holiday beverage) triggers the syndrome and causes the heart to begin beating erratically and faster than normal.

While overindulging in alcohol can upset the heart’s normal rhythm on any day or any time of year, cardiologists tend to see case of this syndrome peak around the holidays when many people give themselves license to pour an extra glass or two for themselves.

Alcohol on its own is capable of wreaking havoc, but when paired with an abundance of sodium-laden snacks and side dishes, the threat becomes more serious. An abnormal heart rhythm may not sound serious, extreme cases can lead to congestive heart failure or stroke.

People suffering from holiday heart syndrome usually feel their heart beat become rapid or fluttery, which can lead to a drop in blood pressure or fainting. While cardiologists aren’t exactly sure what causes these symptoms, it is believed that a sudden increase of blood to the heart can throw off its natural rhythm.

During the holidays, many people who experience cardiac symptoms have trouble discerning whether the issue is a bad case of indigestion or something much more serious. If your heart begins beating rapidly or irregularly after a big holiday meal, immediately stop eating and drinking and make sure you are sitting or lying down.

If the sensation continues for five minutes, first call 911 and then contact your cardiologist or family doctor. Continued arrhythmias can require prescriptions to help regulate the heart’s function and avoid future problems.

Rather than risk a holiday trip to the emergency room, make a conscious effort to be proactive about protecting your heart. Throughout the holiday season, try to maintain a diet similar to your eating and drinking patterns during the rest of the year. Stick to two glasses of alcohol during your big lunch or dinner, and drink only in conjunction with a balanced plate including plenty of heart-healthy vegetables.

Want to learn if you are at risk for holiday heart syndrome? Schedule an appointment with one of our cardiologists today!