Greenville, N.C. – June 30, 2021 – ECU Health Medical Center (VMC) is participating in TAKEHeart, a national initiative funded by the Agency for Healthcare Research and Quality, to make a positive impact on the lives of patients by encouraging greater participation in cardiac rehabilitation. The initiative will help easily connect patients with cardiac rehabilitations services to improve their heart health and reduce the risk of future heart issues. As a TAKEHeart partner, VMC cardiac and pulmonary team members will receive advanced training, coaching and technical support as well as shared learning about cardiac rehabilitation best practices.
“Patients are more likely to survive an acute heart episode when they engage in cardiac rehabilitation,” said Stacey Greenway, director of cardiovascular disease management programs at VMC. “We know that only a small percentage of patients complete cardiac rehabilitation. Participating in TAKEHeart means bringing best practices and strategies in cardiac rehabilitation to Vidant and eastern North Carolina to improve outcomes for patients suffering from a cardiac episode.”
Approximately 1 million Americans have a coronary event or surgery each year, but only 20 percent are referred to cardiac rehabilitation. Among Medicare-eligible heart attack patients, only 6.5 percent complete the recommended cardiac rehabilitation sessions. Cardiac rehabilitation eases patients into heart-healthy exercises, nutrition education and education on how to manage risk factors such as stress. People who have cardiac rehabilitation after a heart episode have lower mortality rates, fewer hospital admissions and readmissions and higher quality of life.
The eastern North Carolina population faces a disproportionate risk of heart disease. According to the Agency for Healthcare Research and Quality, patients who complete cardiac rehabilitation sessions have a 47 percent lower risk of death and a 31 percent lower risk of a heart attack than those who attend only one session.
“One of the most important benefits to patients participating in a cardiac rehabilitation program is learning how to take charge of their own health and become more engaged partners with their health care team,” Dr. Noel Peterson, cardiologist at Vidant Health, said. “Our care teams are excited to continue to partner with patients and provide advanced cardiac rehabilitation services to eastern North Carolina.”
Cardiac rehabilitation is a combination of medical care and counseling to improve cardiovascular health after a heart attack, heart failure, angioplasty, or heart surgery has taken place. It may include exercise counseling and training, lifestyle education (e.g., nutrition and reducing risk factors) and efforts to manage stress.
“It is broader than just diet and exercise,” said Greenway. “Factors like learning how to be more proactive about health and providing better access to resources can make an impact. Living in a rural area can create a barrier to resources, which makes these initiatives so critical to this region. By providing improved access to rehabilitation services, we can help patients find creative ways to improve their heart health through ongoing education and lifestyle changes.”
There are key factors that impact heart health that everyone needs to be aware of to maintain a healthy cardiovascular system. These include monitoring blood pressure, knowing your cholesterol and getting enough exercise.
High blood pressure, also referred to as hypertension, occurs when the pressure of blood flowing through your blood vessels is consistently too high. According to the American Heart Association, nearly half of American adults have high blood pressure and many do not even know it.
Dr. Blase A. Carabello, chief of cardiology, Brody School of Medicine at ECU and ECU Health Medical Center, said, “High blood pressure is often a symptomless ‘silent killer’ because there are often no noticeable symptoms that accompany this condition. The best way to know if your blood pressure is in a healthy range is to get your blood pressure checked and monitor your blood pressure numbers regularly.”
Cholesterol levels can play a key role in heart health. It comes from two sources: the liver, which makes all the cholesterol you need, and the rest comes from foods from animals. Cholesterol circulates in the blood and as the amount of it increases in your blood, so too does the risk of cardiovascular diseases such as heart disease and stroke. When it comes to cholesterol, remember to check, change and control.
Another key factor influencing heart health is atrial fibrillation or “afib,” a quivering or irregular heartbeat that can lead to blood clots, stroke and heart failure and a shortened life span. Typically, people who have one or more conditions including high blood pressure, sleep apnea, underlying heart disease, and other chronic conditions including thyroid problems, diabetes and asthma may be at risk for atrial fibrillation. However, the single most important modifiable risk factor for afib is obesity.
The treatment goals of atrial fibrillation begin with diagnosis through in-depth examination from a physician. Based upon the diagnosis, providers may offer a variety of options including medication that usually entails the use of blood thinners, nonsurgical procedures, including electrical cardioversion to reset the heart to a normal rhythm and procedures that can block the area of the heart where blood clots form if patients are unable to take blood thinners.
“Being proactive about your heart health is the best way to be aware of potential problems,” said Dr. Carabello. “Eating a healthy diet, maintaining a healthy weight and being physically active can make a positive impact on blood pressure, cholesterol and atrial fibrillation, which will help maintain good heart health. Also, seeing your provider for screenings and check-ups is key to preventing problems before they arise.”
Even though the pandemic continues to make an impact on daily life in eastern North Carolina, Dr. Carabello encourages community members to continue to seek medical attention and to be knowledgeable about the procedures in place to make patients as safe as possible.
He said, “Heart disease did not take a break during the pandemic and any negative heart condition needs to be addressed in its earliest stages when the widest variety of treatments are available.”
For those who have experienced a major cardiac event, Vidant offers a Cardiovascular and Pulmonary Rehabilitation Program to help create a path forward. A team of respiratory therapists, registered nurses, exercise professionals, dietitians and a medical director guide patients through a program focused on exercise, nutrition and behavior modification to prepare and equip those in the program to continue physical activity and healthy lifestyle changes.
For more information about cardiovascular resources at Vidant Health, including treatments, screenings and technologies, visit VidantHealth.com/Heart-Vascular.
