Did you know that heart disease is the leading cause of death in the US and a major cause of disability? You can reduce your risk of developing coronary heart disease by taking steps to prevent and control some of the factors that put you at greater risk. Also, knowing the signs and symptoms of a heart attack are so important for reducing negative outcomes of having a heart attack.

Different conditions that can put your heart at risk are arrhythmia, heart failure, and peripheral artery disease (PAD). Second hand smoke, physical inactivity, unhealthy diet, tobacco use, diabetes, obesity, high blood pressure and high cholesterol are also risk factors associated with developing heart disease. There are also other conditions and risk factors that are associated with heart disease and can be found on the American Heart Association's website (www.heart.org).

 Some of the symptoms of a heart attack are intense and sudden; however, the majority of heart attacks start slowly, with mild discomfort or pain. Many times, people do not realize what is wrong and wait too long to get help. Here are some signs that are associated with a heart attack:

 Chest discomfort - This can be an uncomfortable pressure, squeezing, fullness or pain in the center of the chest which can last for a few seconds to a few minutes, or can go away and come back.

Pain or discomfort in other parts of the body - Pain can sometimes be felt in one or both arms, the neck, back, jaw or stomach.

Shortness of breath - This can occur with or without chest pain or discomfort.

Other signs may be a cold sweat, nausea with or without vomiting or lightheadedness.

The American Heart Association; the National Heart, Lung, and Blood Institute; the American Red Cross and the National Council on Aging have launched a new campaign to increase awareness of heart attacks and the importance of calling 9-1-1 immediately when any symptoms occur. This act is called "Act in Time" and can be seen in whole at www.nhlbi.nih.gov/actintime/index.htm.

 If you have any questions or concerns regarding heart disease, heart attacks or associated conditions or diseases that put you at risk for heart disease, please make an appointment to discuss your concerns with your provider.

-Rita N. Balistreri, FNP-BC

Introducing

THE DIABETES EDUCATOR CORNER

Each month, our diabetes educator, Ann Scott RN MSN CDE, will provide some information intended to help you successfully self-manage your diabetes. There are always advancements in treating diabetes. Our goal is to keep you well informed about these advances so you reach the best possible control of your diabetes. The focus is PREVENTION. Check out the Diabetes Educator Corner each month for news and discussions.

If you have questions for Ann, you can email her at This e-mail address is being protected from spambots. You need JavaScript enabled to view it or call 231-347-5400 to schedule an appointment to meet with her.

February is Heart Health Month. Are you loving your heart? Check out the ABCs of Diabetes Control.