Archive | March, 2010

‘Women-only’ cardiac rehabilitation curbs depression for heart attack survivors

8 Mar

On any given day, women are vastly outnumbered by men at cardiac rehabilitation – when they show up at all. Women who do attend while recovering from a heart attack often say they don’t like working out in the cardiac rehab gym alongside so many men – in fact, there’s usually a one-to-five ratio of women to men. To address this concern and attract more women heart attack survivors, some programs are now offering female-only cardiac rehab sessions.

This is a good thing, as we know that a cardiac rehab program can help survivors gradually improve their physical fitness, learn about nutrition, meet other heart patients, and get support to quit smoking, lose weight or make other heart-healthy lifestyle changes to improve heart health.

Depression is another factor that can keep us away from cardiac rehab.  Depression often follows a heart disease diagnosis (Mayo Clinic cardiologists tell us that up to 65% of survivors suffer depression, yet fewer than 10% are appropriately diagnosed).  Depression is also in general twice as likely to affect women as men. Depression interferes with how well we can stick with important lifestyle modifications following a cardiac event,  as well as our willingness to even bother showing up for cardiac rehabilitation.

It turns out that a major benefit of attending and completing a cardiac rehab program after a heart attack is that symptoms of depression actually improved among women who participated in a motivationally-enhanced cardiac rehabilitation program exclusively for women, according to a presentation at November’s American Heart Association’s annual scientific meetings.  (more…)

Are you the quarterback of your own heart health team?

4 Mar

Karla Marburger is a self-described “Type A computer geek”, a Nebraska woman who is also a survivor of both congestive heart failure and acute renal failure at the tender age of 43.

I first met Karla along with 45 of our fellow heart sisters when we attended the 2008 WomenHeart Science & Leadership Symposium for Women with Heart Disease at the world-famous Mayo Clinic. Exactly one year later, she announced:

“Today, I’m going to a bridal shower — my bridal shower. Two weeks from today, I am getting married to John.”

When she first met John, she reported that she was concerned about how he would feel about dating someone with heart problems, someone with dietary restrictions that make it hard to go out to eat, someone who sleeps with oxygen every night, someone who is stubborn about protecting her workout time – and someone who was still healing emotionally from this experience.

“After 2-3 dates of watching me order my meals and scheduling our dates around my workouts, John started commenting on my healthy lifestyle. Not yet ready to trust him with the whole picture, I alluded to a ‘major lifestyle change’, but left it at that.”

But as their relationship turned serious, Karla knew that she had to talk to him about the full picture of her heart condition. She explained:

“He handled the conversation very positively. For John, my heart disease is not a blot on my future. Instead, he treats it as part of my life that has shaped the woman that I am today. And, we help each other by cooking and eating right.”

Karla has become a true expert in cooking and eating right, by the way.  Since her hospitalization in 2007, she has lost over 100 pounds as part of her heart-healthy lifestyle makeover.   (more…)

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