Heart Health 101 and ProArginine Plus Janice Heasty RN BSN.

Heart Health 101Heart Health 101and ProArginine Plusand ProArginine Plus

Janice Heasty RN BSNJanice Heasty RN BSN

Dan Austin RN, High Desert Heart Institute, Nurse Dan Austin RN, High Desert Heart Institute, Nurse Clinical Coordinator and Directory of the CHF Clinical Coordinator and Directory of the CHF

(Congestive Heart Failure) Unit(Congestive Heart Failure) Unit

““When you know what When you know what you know, you have you know, you have the responsibility to the responsibility to pay it forward.”pay it forward.”

Assess Your Risk For a Assess Your Risk For a Heart AttackHeart Attack

1. How old are you?1. How old are you?A. 25-35 (1 point)A. 25-35 (1 point)

B. 36-45 (2 points)B. 36-45 (2 points)

C. 46-55 (3 points)C. 46-55 (3 points)

D. 56-65 (4 points)D. 56-65 (4 points)

E. >66 ( 5points)E. >66 ( 5points)


2. Do you have a family history of early 2. Do you have a family history of early coronary artery disease (a mother or sister coronary artery disease (a mother or sister who was younger than 60 years old or a who was younger than 60 years old or a father or brother younger than 50 years father or brother younger than 50 years old when he/she had a first heart attack or old when he/she had a first heart attack or symptoms of a heart attack?symptoms of a heart attack?A. No (0 points)A. No (0 points)

B. Yes (2 points)B. Yes (2 points)


3. Do you have high Blood Pressure 3. Do you have high Blood Pressure (BP ≥ 140/90)?(BP ≥ 140/90)?

A. No (0 points)A. No (0 points) B. Yes (1 point)B. Yes (1 point) C. Don’t know (1 point)C. Don’t know (1 point)

4. Do you have Diabetes or elevated 4. Do you have Diabetes or elevated blood sugar?blood sugar?

A. No (0 points)A. No (0 points) B. Yes (3 points)B. Yes (3 points)


5. Are you physically active?5. Are you physically active? A. I accumulate approx. 30” of moderate aerobic activity A. I accumulate approx. 30” of moderate aerobic activity

(walking, going up stairs, vacuuming, dancing, gardening, (walking, going up stairs, vacuuming, dancing, gardening, aerobics, swimming, cycling, spinning, or jogging almost aerobics, swimming, cycling, spinning, or jogging almost every day. (0 points)every day. (0 points)

B. I exercise only occasionally: I accumulate thirty minutes B. I exercise only occasionally: I accumulate thirty minutes of aerobic activity one or two days per week. (1 point)of aerobic activity one or two days per week. (1 point)

C. I rarely engage in regular moderate aerobic C. I rarely engage in regular moderate aerobic physical physical activity. (2 points)activity. (2 points)

D. I never engage in moderate physical activity.D. I never engage in moderate physical activity. (3 points)(3 points)


6. Which of the following best 6. Which of the following best describes your Cholesterol?describes your Cholesterol?

A. <200mg/dL (0 points)A. <200mg/dL (0 points)

B. 201-239 mg/dL (1 point)B. 201-239 mg/dL (1 point)

C. >240mg/dL (2 points)C. >240mg/dL (2 points)

D. Don’t know (2 points)D. Don’t know (2 points)


7. 7. Which of the following best describes your HDL Which of the following best describes your HDL (good) cholesterol?(good) cholesterol?

A. <45 mg/dL (2 points)A. <45 mg/dL (2 points)

B. 45-59 mg/dL (1 point)B. 45-59 mg/dL (1 point)

C. 50-59 mg/dL (0 points)C. 50-59 mg/dL (0 points)

D. >60 mg/dL (-1 point)D. >60 mg/dL (-1 point)

E. Don’t know (1 point)E. Don’t know (1 point)


8. Which of the following best describes you 8. Which of the following best describes you LDL (bad) cholesterol?LDL (bad) cholesterol?

A. <100 mg/dL (0 point)A. <100 mg/dL (0 point)

B. <130 mg/dL (1 point)B. <130 mg/dL (1 point)

C. >160 mg/dL (1 point)C. >160 mg/dL (1 point)

D. Don’t know (1 point)D. Don’t know (1 point)


9.9. Which of the following best describes Which of the following best describes your triglyceride level?your triglyceride level?

A. 150-199 mg/dL (0 points)A. 150-199 mg/dL (0 points)

B. 200-250 mg/dl (1 point)B. 200-250 mg/dl (1 point) C. >250 mg/dL (2 points)C. >250 mg/dL (2 points) D. Don’t know (1 point)D. Don’t know (1 point)


10. Do you smoke?10. Do you smoke?

A. Yes (3 points)A. Yes (3 points)

B. Smoked previously, stopped B. Smoked previously, stopped within the last year. (2 points) within the last year. (2 points)

C. Smoked previously, stopped 5 C. Smoked previously, stopped 5 years ago (1 point) years ago (1 point)

D. Smoked previously, stopped 10 D. Smoked previously, stopped 10 years or more ago (0 points)years or more ago (0 points)

E. No (0 points)E. No (0 points)


11. Flossing and Heart Disease: medical 11. Flossing and Heart Disease: medical research has found a correlation between research has found a correlation between any level of periodontal disease (including any level of periodontal disease (including gingivitis) and atherosclerosis, or gingivitis) and atherosclerosis, or hardening of the arteries. hardening of the arteries.

A. I floss almost every day and see A. I floss almost every day and see my my hygienist at least once/year, if not hygienist at least once/year, if not

2x’s/year. (0 points) 2x’s/year. (0 points) B. I don’t floss, and maybe see my B. I don’t floss, and maybe see my

hygienist once/year. (1 point) hygienist once/year. (1 point) C. I have no idea what you are talking C. I have no idea what you are talking

about (1 point) about (1 point)


12. Look at a BMI (body mass index)12. Look at a BMI (body mass index) chart. Determine your personal chart. Determine your personal BMI which is considered a better indicator BMI which is considered a better indicator

of “fatness” than weight alone. What is of “fatness” than weight alone. What is your BMI?your BMI?

A. 18-22 (0 points)A. 18-22 (0 points) B. 22-24 (1 point)B. 22-24 (1 point) C. 25-30 (2 points)C. 25-30 (2 points) D. 31-35 (3 points)D. 31-35 (3 points) E. >35 (4 points)E. >35 (4 points)


13. How would you describe the way 13. How would you describe the way you handle anger?you handle anger?

A. I avoid getting to the breaking A. I avoid getting to the breaking

point. (0 points)point. (0 points)

B. I yell or slam doors. (1 point)B. I yell or slam doors. (1 point)

C. I always hold my anger in. (2 C. I always hold my anger in. (2

points)points)


0: Great!0: Great! You are presently healthy, and following the You are presently healthy, and following the suggestions of the presentation should make you even suggestions of the presentation should make you even healthier.healthier.

1-10: Low Risk!1-10: Low Risk! It pays to investigate the areas where you It pays to investigate the areas where you amassed points and modify your lifestyle accordingly. You amassed points and modify your lifestyle accordingly. You should find this presentation particularly motivating and should find this presentation particularly motivating and helpful.helpful.

11-20: Moderate Risk!11-20: Moderate Risk! This presentation will help you This presentation will help you understand why it’s important to begin changing understand why it’s important to begin changing your lifestyle NOW!your lifestyle NOW!

>20: HIGH RISK FOR HEART DISEASE!>20: HIGH RISK FOR HEART DISEASE! Though you may Though you may feel well now, get a complete physical ASAP. In the feel well now, get a complete physical ASAP. In the meantime, understand more about your heart and how it meantime, understand more about your heart and how it works. And you’ll learn what changes you need to make to works. And you’ll learn what changes you need to make to begin reducing your risk.begin reducing your risk.


My goal is to help you recognize your My goal is to help you recognize your personal risk factors for heart personal risk factors for heart disease and motivate you to make disease and motivate you to make the necessary lifestyle changes to the necessary lifestyle changes to keep your heart healthy.keep your heart healthy.

YOUR goal is to change the risk factors YOUR goal is to change the risk factors you can control, so that YOU can you can control, so that YOU can greatly reduce the chance of having greatly reduce the chance of having a heart attack.a heart attack.

What is Cardiovascular Disease?What is Cardiovascular Disease?

CHD: Coronary Heart DiseaseCHD: Coronary Heart Disease MI: Myocardial infarction (Heart Attack)MI: Myocardial infarction (Heart Attack) CAD: Coronary Artery DiseaseCAD: Coronary Artery Disease Atherosclerosis: plaque in the Atherosclerosis: plaque in the

arteriesarteries HTN: Hypertension (High Blood Pressure)HTN: Hypertension (High Blood Pressure) CHF: Congestive Heart FailureCHF: Congestive Heart Failure CVA: Cerebral Vascular Accident CVA: Cerebral Vascular Accident

(stroke)(stroke)

Coronary Heart DiseaseCoronary Heart Disease

Disorder of the blood vessels in the Disorder of the blood vessels in the heart that can lead to a heart attack.heart that can lead to a heart attack.

A heart attack happens when an A heart attack happens when an artery becomes blocked, preventing artery becomes blocked, preventing blood flow from getting to the heart blood flow from getting to the heart muscle.muscle.

Coronary Heart Disease (cont.)Coronary Heart Disease (cont.)

The arteries become narrowed by fatty The arteries become narrowed by fatty deposits which develop into plaque.deposits which develop into plaque.

The blood supply (that is carrying oxygen, The blood supply (that is carrying oxygen, sugar and nutrients) cannot get to the sugar and nutrients) cannot get to the heart muscle.heart muscle.

The heart muscle cannot keep up with The heart muscle cannot keep up with increased demands (exercise, stress, increased demands (exercise, stress, surgery, illness) with these blockages.surgery, illness) with these blockages.

How Critical is the Problem?How Critical is the Problem?

C-Shop: Cardiac School age Health C-Shop: Cardiac School age Health Opportunities ProgramOpportunities Program

Western Nebraska: Bridgeport, NEWestern Nebraska: Bridgeport, NE 1 out of 3 students tested: Elevated 1 out of 3 students tested: Elevated

Cholesterol, Triglycerides, or BPCholesterol, Triglycerides, or BP Shocking fact: 5Shocking fact: 5thth graders graders Education to both students and parents Education to both students and parents

about curbing heart disease through about curbing heart disease through healthy lifestyle choices.healthy lifestyle choices.

Retest will be when they reach 10Retest will be when they reach 10thth grade. grade.

How critical is the problem?How critical is the problem?

#1 Killer of both men and women #1 Killer of both men and women (more than the next 7 causes of death (more than the next 7 causes of death combined including cancer).combined including cancer).

50% of all Americans will die of some 50% of all Americans will die of some form of Cardiovascular Disease.form of Cardiovascular Disease.

1 in 3 will die from Coronary Heart 1 in 3 will die from Coronary Heart Disease.Disease.

356,014

100,050

67,54264,103

41,87741,514

38,948 37,485

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

CAUSES OF FEMALE DEATHS 2002

HEART DISEASE

STROKE

LUNG CANCER

COPD

ALZHEIMER'S

BREAST CANCER

DIABETES

ACCIDENTS

How Critical is the Problem? (cont.)How Critical is the Problem? (cont.)

One woman in America dies from One woman in America dies from heart disease every minute. (African-heart disease every minute. (African-American women are 30% more likely American women are 30% more likely to die from CHD).to die from CHD).

If you combine Heart Disease and If you combine Heart Disease and Stroke, there is one death every 33 Stroke, there is one death every 33 seconds.seconds.

Heart Disease begins before age 20, Heart Disease begins before age 20, many years before anyone has many years before anyone has symptoms.symptoms.

How Critical is the Problem? (cont)How Critical is the Problem? (cont)

62% of women believe that cancer is a 62% of women believe that cancer is a woman’s greatest threat.woman’s greatest threat.

Only 13% of American women consider Only 13% of American women consider heart disease a health risk themselves.heart disease a health risk themselves.

9,000 U.S. women younger than 45 years 9,000 U.S. women younger than 45 years old have had a heart attack each year.old have had a heart attack each year.

In women younger than 65 years who have In women younger than 65 years who have a heart attack; their death rate is twice that a heart attack; their death rate is twice that of men.of men.

Classic Symptoms of Heart DiseaseClassic Symptoms of Heart Disease

““It’s the Big One”It’s the Big One”

Chest discomfort: pain, pressure, tightnessChest discomfort: pain, pressure, tightness

Pain radiating to the left arm or shoulderPain radiating to the left arm or shoulder

Cold SweatsCold Sweats

NauseaNausea

Does everyone experience these symptoms? Does everyone experience these symptoms?

Vague symptoms of heart attackVague symptoms of heart attack

Unusual or sudden extreme fatigueUnusual or sudden extreme fatigue

Shortness of BreathShortness of Breath

Flu-like symptoms: nausea or vomiting, cold Flu-like symptoms: nausea or vomiting, cold sweats, weaknesssweats, weakness

Feelings of anxiety “Something is wrong”Feelings of anxiety “Something is wrong”

Pain in one or both arms, shoulders, elbows, Pain in one or both arms, shoulders, elbows, neck, jaw, stomach or back.neck, jaw, stomach or back.

Only 30% of people experience classic signs Only 30% of people experience classic signs and symptoms before having a heart attack.and symptoms before having a heart attack.

Women, diabetics, and older men do not Women, diabetics, and older men do not experience the classic symptoms of having experience the classic symptoms of having a heart attack!a heart attack!

64% of women who died from coronary 64% of women who died from coronary heart disease had no previous symptoms.heart disease had no previous symptoms.

Symptoms can often be vague so they are Symptoms can often be vague so they are difficult to diagnose. Sometimes, treatment difficult to diagnose. Sometimes, treatment is delayed because their heart attack is delayed because their heart attack presents as something else.presents as something else.

Women Have Poor OutcomesWomen Have Poor Outcomes

The entire artery is lined with diffuse disease rather The entire artery is lined with diffuse disease rather than one area.than one area.

Women start off with smaller vessels, so a small Women start off with smaller vessels, so a small amount of disease is much more significant.amount of disease is much more significant.

The collaterals (small connecting blood vessels, The collaterals (small connecting blood vessels, nature’s little bypasses) are gone.nature’s little bypasses) are gone.

More complications with angioplasty (ballooning the More complications with angioplasty (ballooning the artery open) and stenting.artery open) and stenting.

More go for Coronary Artery Bypass Graft surgery More go for Coronary Artery Bypass Graft surgery (CABG), which is more invasive, carries more risks (CABG), which is more invasive, carries more risks and has more complications.and has more complications.

What Can We Do?What Can We Do? Education is the Key….Education is the Key….

• Know the facts.Know the facts.

• Seek the informationSeek the information

• Make the necessary lifestyle changesMake the necessary lifestyle changes TLC (therapeutic lifestyle changes)TLC (therapeutic lifestyle changes)

• Prevention is the Best Medicine!!!Prevention is the Best Medicine!!! Research shows you can lower your risk for CHD Research shows you can lower your risk for CHD

enormously (82%) simply by leading a healthy enormously (82%) simply by leading a healthy lifestyle.lifestyle.

Risks Factors That Cannot Be ControlledRisks Factors That Cannot Be Controlled

GenderGender

Increasing Age: tIncreasing Age: the average age of our he average age of our population is changing so CHD will remain a MAJOR population is changing so CHD will remain a MAJOR health issue.health issue.

Family History, GeneticsFamily History, Genetics• 11stst degree relatives degree relatives• Father, Brother: < 55 years old with CVDFather, Brother: < 55 years old with CVD

Mother, Sister: < 65 years old with CVD Mother, Sister: < 65 years old with CVD

RaceRace

““With the many risk factors for With the many risk factors for heart disease, a woman’s heart disease, a woman’s greatest Risk is Ignorance”.greatest Risk is Ignorance”.

former 1st lady, Laura Bushformer 1st lady, Laura Bush

Risk Factors That Can Be ControlledRisk Factors That Can Be Controlled

Hypertension, High Blood PressureHypertension, High Blood Pressure High cholesterol, Elevated Blood LipidsHigh cholesterol, Elevated Blood Lipids Smoking, Tobacco UseSmoking, Tobacco Use DiabetesDiabetes Obesity, Excessive Body FatObesity, Excessive Body Fat Physical InactivityPhysical Inactivity StressStress Other: Inflammation: CRP Other: Inflammation: CRP (c-reactive protein)(c-reactive protein)

HomocysteineHomocysteine

High Blood Pressure “The Silent Killer”High Blood Pressure “The Silent Killer”

GOOD < 120/80GOOD < 120/80

BADBAD• Mild HTN 140/80 – 159/91Mild HTN 140/80 – 159/91

• Moderate HTN 160/100 – 179/109Moderate HTN 160/100 – 179/109

• Severe HTN 180/100 – 209/109Severe HTN 180/100 – 209/109

High Blood Pressure “Facts”High Blood Pressure “Facts” Usually doesn’t cause symptoms.Usually doesn’t cause symptoms.

HTN—increases with age and body weight.HTN—increases with age and body weight.

Higher in African-Americans, Hispanics, Native Higher in African-Americans, Hispanics, Native Americans, and Hawaiians than Caucasians.Americans, and Hawaiians than Caucasians.

½ of all patients with their first heart attack are ½ of all patients with their first heart attack are hypertensive.hypertensive.

HTN doubles the risk for CVD “heart failure”.HTN doubles the risk for CVD “heart failure”.

Increased risk for “End-Organ” damage (kidney Increased risk for “End-Organ” damage (kidney failure, CVA (stroke), MI—heart attack).failure, CVA (stroke), MI—heart attack).

Pulmonary HypertensionPulmonary Hypertension

Elevated pressure in the arteries in Elevated pressure in the arteries in the lungs.the lungs.

Normal: 25 mmHg pressure at restNormal: 25 mmHg pressure at rest

Right ventricular failure.Right ventricular failure.• Must work harder to pump blood Must work harder to pump blood

through the lungsthrough the lungs• Heart muscle weakens and/or failsHeart muscle weakens and/or fails

Angelo CiCiAngelo CiCi

Pulmonary artery pressure: 96/Pulmonary artery pressure: 96/

Severe shortness of breath, on oxygen 24/7Severe shortness of breath, on oxygen 24/7

Right-sided heart failure: everything backs up: liver Right-sided heart failure: everything backs up: liver congestioncongestion

On Dec 20, 2008 Angelo had massive heart failure On Dec 20, 2008 Angelo had massive heart failure (congestive heart failure, congestive pulmonary failure (congestive heart failure, congestive pulmonary failure and pacemaker failure) with simultaneous renal failure. and pacemaker failure) with simultaneous renal failure.

From this point on he was in and out of the emergency From this point on he was in and out of the emergency room. "I was so weak I couldn't even open a bottle of room. "I was so weak I couldn't even open a bottle of water by myself and I had decided I had had enough. I water by myself and I had decided I had had enough. I told the nurses I wanted all the IV's removed and I just told the nurses I wanted all the IV's removed and I just wanted to go home and die." wanted to go home and die." Angelo CiCiAngelo CiCi

Angelo CiCiAngelo CiCi

Pro-Arginine Plus (4 scoops/day)Pro-Arginine Plus (4 scoops/day)

““I have seen a dramatic, a dramatic reversal in I have seen a dramatic, a dramatic reversal in Angelo’s symptoms” Dan Austin RNAngelo’s symptoms” Dan Austin RN

““I expected a marginal improvement in the I expected a marginal improvement in the symptoms…what we ended up seeing was symptoms…what we ended up seeing was remarkable, positive, remodeling of the heart, remarkable, positive, remodeling of the heart, positive pulmonary artery changes, pulmonary positive pulmonary artery changes, pulmonary vascular changes…” Dr. Siva Arunasalamvascular changes…” Dr. Siva Arunasalam

““The best thing? I can walk through the mall and The best thing? I can walk through the mall and hold my wife’s hand.” Angelo CiCihold my wife’s hand.” Angelo CiCi

WHO (World Health Organization) functional WHO (World Health Organization) functional classification for Pulmonary Hypertensionclassification for Pulmonary Hypertension

I- I- Although you have been diagnosed with pulmonary Although you have been diagnosed with pulmonary hypertension, you have no symptoms. hypertension, you have no symptoms.

II- II- You don’t have symptoms at rest, Ordinary physical You don’t have symptoms at rest, Ordinary physical activity results in undue fatigue or shortness of breath, activity results in undue fatigue or shortness of breath, chest pain, or heart syncope.chest pain, or heart syncope.

III- III- You are comfortable at rest. Less than ordinary You are comfortable at rest. Less than ordinary physical activity causes undue fatigue or shortness of physical activity causes undue fatigue or shortness of breath, chest pain, or heart syncope.breath, chest pain, or heart syncope.

IV- IV- You have symptoms even at rest.You have symptoms even at rest.

High Blood Pressure—Initial TreatmentHigh Blood Pressure—Initial Treatment

Weight lossWeight loss Decrease in salt intakeDecrease in salt intake Stop smoking and avoid 2Stop smoking and avoid 2ndnd hand hand

smokesmoke Regular exercise decreases BP, Regular exercise decreases BP,

stress and weightstress and weight Decrease alcohol consumptionDecrease alcohol consumption

Pro-Argi-9 PlusPro-Argi-9 Plus

L-arginine becomes nitric oxide which L-arginine becomes nitric oxide which relaxes the walls of the artery decreasing relaxes the walls of the artery decreasing blood pressure.blood pressure.

Dr. Siva’s High Desert Heart Health StudyDr. Siva’s High Desert Heart Health Study• 13% decrease in systolic BP (decrease the 13% decrease in systolic BP (decrease the

workload of the heart).workload of the heart).• 17% decrease in diastolic BP (decrease 17% decrease in diastolic BP (decrease

end-organ damage).end-organ damage).• CASP (central aortic systolic pressure) CASP (central aortic systolic pressure)

measured by B-Pro decreased 6.2%.measured by B-Pro decreased 6.2%.

CholesterolCholesterol

Narrowing of the arteries occurs when Narrowing of the arteries occurs when extra cholesterol and fat circulates in the extra cholesterol and fat circulates in the blood and builds up in the walls of the blood and builds up in the walls of the arteries that supply blood to the heart, the arteries that supply blood to the heart, the brain, and other organs.brain, and other organs.

Cholesterol does not dissolve in the blood. Cholesterol does not dissolve in the blood. The lipo-proteins (HDL, LDL) carry the The lipo-proteins (HDL, LDL) carry the cholesterol in the bloodstream.cholesterol in the bloodstream.

Blood lipid profile—start at age 20 and Blood lipid profile—start at age 20 and retest every 5 years.retest every 5 years.

Total Cholesterol LevelTotal Cholesterol Level

Desirable: < 200 mg/dLDesirable: < 200 mg/dL

Borderline High: 200-230 mg/dLBorderline High: 200-230 mg/dL

High: 230-259 mg/dLHigh: 230-259 mg/dL

Very High: 290 mg/dL and >Very High: 290 mg/dL and >

LDL LDL Low-Density LipoproteinLow-Density Lipoprotein“Bad Cholesterol”“Bad Cholesterol”

Major carrier of cholesterol in the blood. Major carrier of cholesterol in the blood. Builds up on the arterial walls.Builds up on the arterial walls.

OptimalOptimal < 100 mg/dL < 100 mg/dL Near Optimal 100-129 mg/dLNear Optimal 100-129 mg/dL Borderline High 130-159 mg/dLBorderline High 130-159 mg/dL High 160-189 mg/dLHigh 160-189 mg/dL Very High 190 mg/dL and >Very High 190 mg/dL and >

HDL HDL High-density lipoproteinHigh-density lipoprotein“Good/Healthy” cholesterol“Good/Healthy” cholesterol

Carries cholesterol from other parts Carries cholesterol from other parts of the body back to the liver.of the body back to the liver.

Good/Protective: 60 mg/dL and >Good/Protective: 60 mg/dL and >

Borderline/Desirable: 59-40 mg/dLBorderline/Desirable: 59-40 mg/dL

Low/Major Risk: < 40 mg/dLLow/Major Risk: < 40 mg/dL

Triglyceride LevelsTriglyceride Levels

A type of fat found in the body (from food A type of fat found in the body (from food and produced in the liver). Unused and produced in the liver). Unused calories are converted to triglycerides and calories are converted to triglycerides and transported to fat cells to be stored and transported to fat cells to be stored and released via hormone signals to be used released via hormone signals to be used as energy.as energy.

Good: < 150 mg/dLGood: < 150 mg/dL Borderline High: 150-100 mg/dLBorderline High: 150-100 mg/dL High: 200 mg/dL and >High: 200 mg/dL and >


Dr. Siva’s study: Remember that these were maximally Dr. Siva’s study: Remember that these were maximally medically managed patients…..medically managed patients…..

Total Cholesterol: no significant changeTotal Cholesterol: no significant change

LDL: no significant change, though we know ProArgi9+ LDL: no significant change, though we know ProArgi9+ reduces LDL oxidation.reduces LDL oxidation.

HDL: Increased 18%.HDL: Increased 18%.

Dr. Siva says: “This is what ‘REVERSES’ Dr. Siva says: “This is what ‘REVERSES’ heart heart disease” We can’t say that!disease” We can’t say that!

This is a difficult marker to increase.This is a difficult marker to increase.

Triglycerides: Decreased 45% (released and used for Triglycerides: Decreased 45% (released and used for energy? Is this why we feel so energetic on Pro-Argi-9 energy? Is this why we feel so energetic on Pro-Argi-9 Plus?)Plus?)

SmokingSmoking“America’s Health Crisis”“America’s Health Crisis”

Smoking is the leading preventable Smoking is the leading preventable cause of death in the nation.cause of death in the nation.

Smoking is the single biggest risk of Smoking is the single biggest risk of Cardiovascular Disease.Cardiovascular Disease.

Tobacco Use---Tobacco Abuse--- Tobacco Use---Tobacco Abuse--- includes anything with nicotine includes anything with nicotine (chewing tobacco, patches, gum)(chewing tobacco, patches, gum)


NicotineNicotine Decreases oxygen in the bloodDecreases oxygen in the blood Damages the blood vessel which Damages the blood vessel which

causes plaque to form causes plaque to form Triggers blood clots to developTriggers blood clots to develop Reduces HDL (“good cholesterol”)Reduces HDL (“good cholesterol”) Causes irregular heart rhythms Causes irregular heart rhythms

that could lead to cardiac arrestthat could lead to cardiac arrest


Smokers are 2-6 X’s more Smokers are 2-6 X’s more likely to suffer a heart attack likely to suffer a heart attack than nonsmokers.than nonsmokers.

Male smokers lose 13.2 years of life Male smokers lose 13.2 years of life expectancy.expectancy.

Female smokers lose 14.5 years of life Female smokers lose 14.5 years of life expectancy.expectancy.

Second-Hand smoke doubles a non-smoker's risk Second-Hand smoke doubles a non-smoker's risk of heart disease.of heart disease.


The Good NewsThe Good NewsDon’t smoke, and if you do,Don’t smoke, and if you do,

QUIT NOW!QUIT NOW!

Quitting begins to decrease cardiovascular risk Quitting begins to decrease cardiovascular risk immediately.immediately.

Over time (10 years), the risk of heart disease Over time (10 years), the risk of heart disease returns to nearly normal.returns to nearly normal.

Pro-Argi-9 PlusPro-Argi-9 PlusPro-Argi-9 Plus provides us with the amino acid L-arginine Pro-Argi-9 Plus provides us with the amino acid L-arginine

which converts to nitric oxide.which converts to nitric oxide.

On Dr. Siva’s list: smoking consumes nitric oxide, the body On Dr. Siva’s list: smoking consumes nitric oxide, the body needs more. Every tissue utilizes Nitric Oxide. needs more. Every tissue utilizes Nitric Oxide. * Lowers Blood Pressure* Lowers Blood Pressure

* Protects against heart attack and stroke* Protects against heart attack and stroke (interferes with unwanted blood clotting) (interferes with unwanted blood clotting)

* Keeps the normal endothelial layer as * Keeps the normal endothelial layer as protective protective

* Protects against atherosclerosis* Protects against atherosclerosis

Red Wine Extract (Resveratrol): An Antioxidant---acts as a Red Wine Extract (Resveratrol): An Antioxidant---acts as a sponge that absorbs free-radicals. Also, keeps the LDL sponge that absorbs free-radicals. Also, keeps the LDL from becoming “sticky”.from becoming “sticky”.

DiabetesDiabetes

Now affects 10% of the U.S. populationNow affects 10% of the U.S. population

Has nearly doubled in the last 20-30 yearsHas nearly doubled in the last 20-30 years

About 65% of diabetics die of some type of About 65% of diabetics die of some type of heart disease at an earlier age than the rest heart disease at an earlier age than the rest of the population.of the population.

Diabetes increases the risk of Coronary Diabetes increases the risk of Coronary Heart Disease Heart Disease

Women: 3-7 X’sWomen: 3-7 X’s Men: 2-3 X’sMen: 2-3 X’s

DiabetesDiabetes

Good Blood Sugar: < 100 mg/dLGood Blood Sugar: < 100 mg/dL

ABC’s of Diabetic ControlABC’s of Diabetic Control

• A1c (hemoglobin A1c) a blood test that measures your A1c (hemoglobin A1c) a blood test that measures your average blood glucose level over the last 3 months.average blood glucose level over the last 3 months.

• BP (blood pressure) the higher your BP, the harder your BP (blood pressure) the higher your BP, the harder your heart has to work and the more damage inside your heart has to work and the more damage inside your arteries.arteries.

• Cholesterol: LDL (bad) builds up and “clogs” your Cholesterol: LDL (bad) builds up and “clogs” your arteries.arteries.

Dr. Siva’s study with Dr. Siva’s study with Pro-Argi-9 PlusPro-Argi-9 Plus

●●Glucose: Glucose: DDecreased 8% (Dr. Siva rated this a highly significant ecreased 8% (Dr. Siva rated this a highly significant

finding)finding)

●●Blood Pressure: Blood Pressure: Systolic BP decreased 13%Systolic BP decreased 13%

Diastolic BP decreased 17%Diastolic BP decreased 17%

●●Blood Lipids:Blood Lipids: HDL increased 18%HDL increased 18%

Triglycerides decreased 45%Triglycerides decreased 45%

Dr. Siva’s study with Dr. Siva’s study with Pro-Argi-9 PlusPro-Argi-9 Plus

ABI Ankle-Brachial IndexABI Ankle-Brachial Index• The # represents the % of decreased The # represents the % of decreased

blood flow in the lower extremities.blood flow in the lower extremities.• PAD (peripheral arterial disease) is PAD (peripheral arterial disease) is

common in diabetic patients.common in diabetic patients.• ABI increased 16%. HUGE!ABI increased 16%. HUGE!

When people can walk around with leg pain When people can walk around with leg pain (claudication is cramping the calves—the muscles (claudication is cramping the calves—the muscles is screaming for oxygen that the clogged arteries is screaming for oxygen that the clogged arteries cannot deliver). When they can walk without leg cannot deliver). When they can walk without leg pain, their quality of life improves, their ability to pain, their quality of life improves, their ability to exercise improves.exercise improves.

ObesityObesity

More than 30% of adults are now More than 30% of adults are now considered obese.considered obese.

More alarming: at least 15% of More alarming: at least 15% of children are obese.children are obese.

People who are 30 pounds or more People who are 30 pounds or more overweight are more likely to overweight are more likely to develop heart disease, even if they develop heart disease, even if they have no other risk factors. OUCH!have no other risk factors. OUCH!

ObesityObesity

The risk is greater if the weight is The risk is greater if the weight is around the stomach instead of around the stomach instead of around the hips (apple vs pear around the hips (apple vs pear shape).shape).

Being overweight increases the Being overweight increases the chances of developing other major chances of developing other major risk factors (high blood pressure, risk factors (high blood pressure, high cholesterol, diabetes).high cholesterol, diabetes).

ObesityObesity

Waist measurementsWaist measurements• Men: > 40”Men: > 40”• Women: > 35”Women: > 35”

BMI (Body Mass Index)BMI (Body Mass Index)• Overweight: > 25Overweight: > 25• Obese: > 30Obese: > 30

Morbid Obesity: 100 pounds over Morbid Obesity: 100 pounds over your desired weightyour desired weight

Pro-Argi-9 PlusPro-Argi-9 Plus Not a weight loss product, but people Not a weight loss product, but people

seem to lose 1 pound/month taking this seem to lose 1 pound/month taking this product.product.

Dr. Siva spoke about muscle physiology. Dr. Siva spoke about muscle physiology.

(Big improvements in 6-minute walk-test)(Big improvements in 6-minute walk-test)

• Performance enhancementPerformance enhancement• Increased exercise capacityIncreased exercise capacity• Delivering more oxygen to the tissueDelivering more oxygen to the tissue• More efficient to remove lactic acidMore efficient to remove lactic acid

Exercise and Heart DiseaseExercise and Heart Disease 60% of Americans do not get the recommended 60% of Americans do not get the recommended

amount of physical activity.amount of physical activity.

Research shows that as little as 30 minutes of Research shows that as little as 30 minutes of moderate activity on most, preferable all, days of moderate activity on most, preferable all, days of the week help protect your heart.the week help protect your heart.

The BEST heart healthy exercise program The BEST heart healthy exercise program includes both aerobic exercise and resistance includes both aerobic exercise and resistance training. Resistance training helps improve heart training. Resistance training helps improve heart health by decreasing BP, changing fat into health by decreasing BP, changing fat into muscle, increasing your Basal Metabolic Rate.muscle, increasing your Basal Metabolic Rate.

Exercise and Heart DiseaseExercise and Heart Disease

Aerobic exercise increases HDL. The Aerobic exercise increases HDL. The more the exercising, the higher the more the exercising, the higher the HDL.HDL.

Diabetes is better controlled with Diabetes is better controlled with regular moderate exercise.regular moderate exercise.


Performance enhancementPerformance enhancement

Increased exercise capacityIncreased exercise capacity

Deliver more oxygen to the tissuesDeliver more oxygen to the tissues

More efficient to remove lactic acidMore efficient to remove lactic acid

Faster RecoveryFaster Recovery

Feel BetterFeel Better

Move MoreMove More

Move FasterMove Faster

Recover FasterRecover Faster

Lose WeightLose Weight

Vitamin D & Heart DiseaseVitamin D & Heart Disease

November 2009 reportNovember 2009 report

Intermountain Medical Center in UtahIntermountain Medical Center in Utah

Researchers found that low levels of Researchers found that low levels of vitamin D significantly increase the vitamin D significantly increase the risk for stroke, heart disease, and risk for stroke, heart disease, and death.death.

November 2009 reportNovember 2009 reportIntermountain Medical Center in UtahIntermountain Medical Center in Utah

The study followed 27, 686 people age 50 and older with no The study followed 27, 686 people age 50 and older with no history of CVD.history of CVD.

The participants were divided into 3 groups based on their The participants were divided into 3 groups based on their Vitamin D levels normal, low, or very low.Vitamin D levels normal, low, or very low.

After 1 year, the very low levels:After 1 year, the very low levels:• 77% more likely to die77% more likely to die• 45% more likely to develop CAD45% more likely to develop CAD• 78% more likely to have a stroke compared to those with 78% more likely to have a stroke compared to those with

normal Vit. D levelsnormal Vit. D levels

““We concluded that among pts 50 years or >, even a We concluded that among pts 50 years or >, even a moderate deficiency of Vit. D levels was associated with moderate deficiency of Vit. D levels was associated with developing CAD, heart failure, stroke and death,” said study developing CAD, heart failure, stroke and death,” said study co-author Heidi May.co-author Heidi May.

Vitamin D & Heart DiseaseVitamin D & Heart Disease

Dr. Tracy Stevens, MD, FAAC, Dr. Tracy Stevens, MD, FAAC, Cardiology, Kansas City, MissouriCardiology, Kansas City, Missouri

““Get your vitamin D levels checked”Get your vitamin D levels checked”She thinks that this essential vitamin is She thinks that this essential vitamin is

seriously underrated.seriously underrated.

In a recent program involving 600 women, Dr, In a recent program involving 600 women, Dr, Stevens and her colleagues found that 97% Stevens and her colleagues found that 97% of the participants were deficient in Vitamin of the participants were deficient in Vitamin D and low levels of the vitamin have been D and low levels of the vitamin have been linked to marked increases in heart disease. linked to marked increases in heart disease. When the women took supplements, they When the women took supplements, they reported feeling more energy as their reported feeling more energy as their vitamin D levels increased.vitamin D levels increased.


D3 (Cholecalciferol) is your best D3 (Cholecalciferol) is your best source of vitamin D.source of vitamin D.

Each scoop has 2,500 IU of Each scoop has 2,500 IU of Vitamin D3 or 625% of your daily Vitamin D3 or 625% of your daily values.values.

Dr. Siva’s Study withDr. Siva’s Study withPro-Argi9 PlusPro-Argi9 Plus

Dr. Siva’s study found their 33 maximally Dr. Siva’s study found their 33 maximally medically managed patients to be 95% medically managed patients to be 95% deficient in vitamin D. deficient in vitamin D.

Vitamin D3 increased 183% in their Vitamin D3 increased 183% in their patients. Many “measureable data points” patients. Many “measureable data points” improved in this study. In addition to improved in this study. In addition to improvement of lab values and medical test improvement of lab values and medical test results, the quality of life (demonstrated by results, the quality of life (demonstrated by the 6-minute walk test) dramatically the 6-minute walk test) dramatically improved in these 33 patients.improved in these 33 patients.

If you don’t take care of If you don’t take care of your body, your body,

where will you live?”where will you live?”

Heart Health 101 and ProArginine Plus Janice Heasty RN BSN.

Documents

point slide

heart attack

heart health

moderate physical activity

minutes of aerobic activity

high desert heart institute

following best

years old