V. I. P. Program Overview
Vascular disease defined
Narrowing of arteries that can seriously reduce the blood supply to vital organs (heart, brain, or intestines) or to vessels in the extremities. As a result, the organ’s cells may either die or suffer severe damage
Vascular disease prevalence
Over 58 million Americans
Since 1900, cardiovascular disease has been the #1 killer of adult Americans except in the year 1918
Over 2,600 Americans die each day of cardiovascular disease; an average of 1 every 33 seconds
Cardiovascular disease claims more lives each year than the next 7 leading causes of death combined
If all major cardiovascular disease were eliminated, life expectancy would rise by almost 10 years
In 1996, cardiovascular disease claimed 505,930 American female lives. In the same year, breast cancer claimed 43,091 American female lives.
Vascular disease risk factors
Elevated blood fats
100 million American adults have cholesterol values in excess of 200
risk of heart attack increases with
increased cholesterol
increased LDL-cholesterol (harmful cholesterol). Goals from the N. C. E. P. (National Cholesterol Education Program)
goal of 160 or less if less than 2 risk factors for vascular disease
goal of 130 or less if 2 or more risk factors and no coronary heart disease
goal of 100 or less if coronary heart disease (that is, heart attack, angioplasty or bypass surgery)
decreased HDL-cholesterol (helpful cholesterol)
value over 60 is actually a benefit
value under 35 is a harmful risk factor
Elevated blood pressure
Approximately 50 million Americans with elevated blood pressures
One in four adult Americans
Each year contributes to the deaths of over 202,000 Americans
Smoking
One in five deaths from cardiovascular disease are attributable to this
Approximately 40,000 non-smokers die each year from cardiovascular disease as a result of exposure to environmental ("second hand") tobacco smoke
Decreased physical activity
60% of adults do not achieve physical activity of 30 minutes or more 3 to 4 times per week
As many as 250,000 deaths in the United States per year are attributed to this
As many as 12% of total deaths in the United States per year are attributed to this
Overweight
Over 104 million Americans are overweight
Over 42 million Americans are obese
Over 4 million American children ages 6-17 are overweight
Mortality begins to increase with Body Mass Index (B. M. I.) above 25
Increase in mortality tends to be modest until a B. M. I. of 30
For persons with a B. M. I. of 30 or above, mortality rates from all causes and especially from cardiovascular disease are generally increased by 50 to 100 % by that of persons with B.M.I. in the 20 to 25 range (normal range).
Stress
75 to 90% of visits to physicians are stress related
Automatically increases blood pressure, heart rate, respirations, metabolism, and blood flow to vessels
Too much stress can cause relatively minor illnesses
Insomnia
Backache
Headache
Too much stress can cause major illness
Hypertension (elevated blood pressure)
Heart disease
Diabetes mellitus
Over 10 million Americans with physician-diagnosed diabetes mellitus (that is with fasting blood sugar of 126 or greater)
2/3 of people with diabetes mellitus will die of some form of heart or blood vessel disease
Positive family history, especially
A parent or sibling under 55 if they are/were male
A parent or sibling under 65 if they are/were female
Male and over age 45
Female and over age 55 OR under 55 and with premature menopause and have not had estrogen replacement therapy
Vascular disease as related to female hormones
Estrogens have been shown to long term benefits on the cardiovascular system
However, a question exists regarding potential for an increase in vascular closing events for the first couple of years of use
Review of program start-up concept
In keeping with the Community Hospital philosophy of service to the community
In keeping with the Community Hospital philosophy of partnerships between physicians and hospitals
Provide education to the community
Tackling the #1 killer of adult Americans – vascular disease
V. I. P. program will address the above risk factors and will also include
Medicines module
Discussion of cardiovasacular medicines
Discussion of classes of medicines
Longevity module
Discussion of factors affecting longevity
Discussion of leading causes of death
C. P. R. module
Cardio-pulmonary resuscitation techniques discussed
Cardio-pulmonary resuscitation techniques visualized
V. H. S. Tapes
Individual topics
Comprehensive tapes
Hospital TV channel viewings
Internet site at http://V-I-P.org (pronounced h t t p colon slash slash v dash I dash p dot o r g)
Tie-in with Community Hospital Anderson Education Center continuing education programs for the community
Classroom sessions
Written materials
Disclaimer
Information presented by the Vascular Improvement Program has been reviewed for correctness
However, with the passage of time, some information may become obsolete.
No substitute can be offered to replace your physician’s advice.
Program support (financial and materials)
Eli Lilly Pharmaceuticals
Merck Pharmaceuticals
Parke-Davis Pharmaceuticals
Pfizer Pharmaceuticals
Donations would be accepted
Community Hospital Foundation
Mr. Duane Cox – Chief Officer of the Community Hospital Anderson Foundation -----1515 North Madison Avenue ----- Anderson, Indiana 46011 ----- and specified for the "Vascular Improvement Program"
Special thanks from the Vascular Improvement Program to
All module presenters
Physician reviewers
Community Hospital Anderson employees
Community Hospital Anderson administration
V. I. P. program committee