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James M. Rippe, M.D. Published 2000 excellent $20 book      review 8/17/00  

Author has written over 200 publications on issues in medicine, health and fitness, 
and weight management, as well as having written or edited 10 books on health and fitness.

"More women die of heart disease than men in the United States."

"While men do suffer heart attacks an average of 10 years earlier than women, after menopause women catch up. 
Within the year after a heart attack, 42 percent of women will die as compared to 24 percent of men."

"Amazingly, some recent surveys have shown that women are more afraid of breast cancer than cardiovascular disease. 
While there is not question that breast cancer is a serious disease, 
only one woman in 27 dies of breast cancer, while one in two dies from heart disease."

Hypertension
Elevated cholesterol
Tobacco use – 3X risk of heart disease, 30X risk of lung cancer
Physical inactivity (added in 1994)
Obesity (added in 1998)
   – 70% have 2 risk factors, 50% have 3 risk factors, and 20-25% have 3 risk factors
Unfortunately risk factors do not just add, but multiply. 
     Three risk factors can increase the risk of heart disease between eight and twenty times!

"Coronary artery disease. Over 12 million people alive today in the United States suffer from some form of it. 
Every 29 seconds, an American will suffer a complication of CAD, every minute, another will die of it. 
It’s the most significant chronic condition and the leading cause of death for all segments of our society."

"The very thought of a heart attack scares most people. With good reason. 
Each year in the United States alone, nearly 1.5 million individuals suffer an acute heart attack 
– about one individual every 20 seconds. 
Of these, one third die. 
And about one half of these deaths occur within one hour of the event 
and are usually a result of cardiac rhythm problems associated with the heart attack"

"The problem of heart attack is all the more tragic because it often strikes individuals in their peak productive years. 
About 45 percent of the heart attacks occur in individuals under the age of 65."

"Although we often call sudden cardiac arrest "a massive heart attack" they are not technically the same thing. 
A heart attack (myocardial infarction) results from a blockage of the coronary arteries. 
Sudden cardiac arrest is caused by ventricular fibrillation, the electrical malfunction in which the heart begins to quiver rapidly, rather than contracting and pumping blood regularly. 
Cardiac arrest strikes without warning. 
Because blood flow essentially stops, its victim loses consciousness and dies within minutes unless emergency help is available. "

How embarrassing if it’s just heartburn
I’m not sure if my pain fits the warning signs
I’m too young to have a heart attack
The pain’s not that bad; I’ll wait awhile and see if it goes away
Only men get heart attacks
I’m as health as a horse – I can’t be having a heart attack.

(note: Chapter 25: Ten Cardiac Signs and Symptoms: Which are Worrisome and Which Are Not)

There are basically three different kinds of stroke: 
    Cerebral embolism (ischemic stroke), 
    cerebral thrombosis (progressive narrowing of the arteries in the brain), 
    hemorrhagic stroke (bleeding in the brain)

‘If you have one or more of these symptoms, don’t wait – call 911 right away!

Sudden numbness or weakness of the face, arm, or leg, especially on one side of the body
Sudden confusion or trouble speaking or understanding speech
Sudden trouble seeing in one or both eyes
Sudden trouble walking, dizziness, or loss of balance or coordination
Sudden severe headache with no known cause

Treatment can be more effective if given directly. Every minute counts"