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Photo: Nicola Betts

During heart month we’ve discussed many ways that you can help attain a heart-healthy lifestyle through diet and exercise. These are important areas of focus to every Canadian as heart disease is still one of the leading causes of premature death for both men and women in Canada. Although we have talked about ways that you can help to prevent heart disease from occurring, we haven’t discussed how to identify and react if you’re faced with a heart-related emergency. Below we have laid out common signs and symptoms of a heart attack and a cardiac arrest, and what you can do to help.

Signs and Symptoms of a Heart Attack

Identifying signs and symptoms can vary for both men and women, so it’s especially important to listen to your body as the signs tend to be much less noticeable in women. If you experience any of the signs below call 9-1-1 immediately.

Signs of a Heart Attack

Men and Women

  • Chest discomfort (pressure, squeezing, fullness or pain, burning or heaviness)
  • Sweating
  • Upper body discomfort (neck, jaw, shoulder, arms, back)
  • Nausea
  • Shortness of breath
  • Light-head

More Prevalent In Women

  • Indigestion type feeling, or band of tightness in the upper back region.
  • Dizzy, lightheadedness, or shortness of breath with exertion

What To Do If You Are, Or You See Someone Experiencing A Heart Attack

  1. Call 9-1-1
    • This is highly important as you want to get professional medical help to yourself or to the person you’re treating.
  2. Stop all activity
    • Sit or lie down in whatever position is most comfortable.
  3. Take nitroglycerin or Aspirin
    • If you have either of these items available to you, take them. If you have nitroglycerin, take your normal dosage. If you have Aspirin, chew and swallow a tablet. ***Important*** make sure that you or the person you’re treating are not allergic to either of these items before ingestion.
  4. Rest and wait
    • Wait and stay calm for help to come. If you’re by yourself and you know of someone close by who may be able to help you, try to call out to them for assistance.

Signs and Symptoms of a Cardiac Arrest

Signs of a cardiac arrest can happen much more rapidly, as cardiac arrest is defined as the heart stopping, and it’s no longer transferring blood to the rest of the body. It’s extremely important to get help for a cardiac arrest, as the inability to transfer blood to vital organs, can cause death within minutes.

Signs of a Cardiac Arrest

  1. Sudden collapse
  2. Unresponsive to touch and sounds
  3. Not breathing or they’re making gasping sounds.

What To Do If You See Someone Experiencing A Cardiac Arrest

  1. Call 9-1-1 immediately
  2. Yell or try to locate an AED 
    • If you have someone else with you, get them to look for and fetch an AED. AED’s are often available in public places, so if you can’t find one, try to locate an information desk and ask if there is one available.
  3. Start CPR
    • Begin chest compressions by pushing down hard and fast in the centre of the chest. If you become tired, try to sub in another bystander until help arrives.

Mikey Young at Heart App

To better prepare yourself in case of a heart-related emergency, we encourage you to sign up and download the Mikey Young at Heart app. Although the app is meant primarily for high school students, it can be used to educate anyone on how to perform CPR and how to properly use an AED.

The Mikey Network is pleased to announce that we’ve been able to supply The Advanced Tactical Training Search and Rescue in Kitchener, ON with a MIKEY for their second rescue vehicle.

Based in the Waterloo Region, the group supports search and rescue operation needs throughout south western Ontario. They have advanced levels of training in:

  • Ground Search and Rescue
  • Canine
  • UAV (Drone) support and search patterns
  • Assistance of water rescue
  • Urban Search and Rescue, with the emphasis on disasters, including possible plane crash and building collapses.

We’re so glad that groups like The Advanced Tactical Training Search and Rescue exist, as they truly offer invaluable protection and life-saving services. We hope that their new MIKEY serves them well.

Want to know more about MIKEY’s? Check out the MIKEY page here.

From February 7th to the 14th, is Congenital Heart Disease Awareness Week in Canada. Although the disease is not well-known to many Canadians, it is one of the most common birth defects, affecting one in every one hundred children. At the Mikey Network, we understand the impact that this disease can have on individuals and families, as we regularly deal with young men and women who have CHD.

For those that don’t know, the word congenital means “present at birth”. The congenital heart defect occurs when the heart or the blood vessels near the heart don’t develop normally before birth.

There is no known cause for the disease, but in traceable cases, it is often caused by:

  • Viral infections such as measles.
  • Inherited
  • Down Syndrome
  • Drug or alcohol abuse during pregnancy

Although it is one of the more common birth defects, the survival of children with the disease has greatly increased thanks to medical advances in Canada and around the world.  Today, more than 90% that have (CHD), survive well into their adult life.

To learn more about CHD, we recommend the following resources.

Canadian Congenital Heart Alliance – Great resource for both children and adults that are affected by the disease.

University of Ottawa Heart Institute – Provides great insight into CHD, and defines symptoms and specific forms of the disease. They also have a clinic that provides care to adults with congenital heart defects once they become adults.

Canadian Adult Congenital Heart Network – pools the knowledge and experience of congenital heart disease professionals.

This February is Heart Month in Canada. Promoted by Health Canada, this month aims to raise awareness for heart-related illnesses and causes, while encouraging Canadians to take steps to improve upon their own heart health.

The significance of Heart month is still not lost on Canadians, as Heart disease is still one of the leading causes of death in Canada. It is estimated that approximately 600,000 Canadians live with heart failure.

Fortunately, we can all reduce the risk of heart disease by making healthier lifestyle choices, including quitting smoking, eating a healthy and balanced diet, getting the proper amount of sleep, exercising regularly and monitoring our blood pressure and cholesterol levels.

Throughout the month of February, we will be sharing heart-healthy tips on our blog, as well as on our social media channels to help you to improve your heart health. Below are some key heart health tips that you should aim to keep all year round.

Heart Healthy Tips

  1. DO NOT SMOKE: if you have never smoked, don’t start. If you do smoke, quit. You will increase your life by 5 years for every year you are smoke free.
  2. Enjoy a balanced, nutritious diet. Limit fat intake to between 15% and 30% of your total number of daily calories.
  3. Exercise regularly, 20 minutes 3-4 times per week, or a minimum of a brisk walk daily.
  4. Moderate your intake of alcohol. Guidelines by Health Canada suggest limits of two drinks per day…either 12 oz. Beer, or 5 oz. Wine or 1.5 oz. Spirits.
  5. Limit your intake of salt and caffeine. (No more than the equivalent of four regular cups of coffee per day.)
  6. Try to get 8 hours of sleep each night.
  7. Have regular check-ups with your physician. Early detection is the key to a successful solution.
  8. Keep a positive attitude and wear a smile… it takes only 22 muscles to smile, but 37 to frown.
  9. Make time for leisure activities such as reading, hobbies, sports, TV etc.
  10. Invest in CPR and AED education and training, and encourage your family and friends to do the same.

Exercising regularly can be one of the most beneficial things that you can do for your heart health. Performing physical activity helps you to live longer and allows your body to run and perform better in the long-term. It’s advised that everyone should be performing 150 minutes of exercise a week to maintain a heart-healthy lifestyle.

But after suffering a heart attack or a cardiac arrest it can be a daunting thought to begin exercising again. What’s safe to do? What should I focus on? Where do I start?

Although you may face these questions with uncertainty, the truth is that there is almost no disease that doesn’t benefit from exercise in some way. As such, you shouldn’t give up, sit around and do nothing. You should focus on ways that you can begin to strengthen your body and improve your overall heart function.

Benefits of regular exercise for the heart include:

  • Strengthening your heart and cardiovascular system
  • Improving your circulation and helping your body use oxygen better
  • Improving your heart failure symptoms

Seek out a physician before you begin

Although we encourage you to exercise, we strongly recommend that before you do anything; you contact your physician to see what they recommend. They’ll understand your level of recovery and fitness level better than anyone else, and will be able to provide you with a detailed plan to begin exercising again.

Here are some questions that you should ask when you go to meet your doctor:

  • How much exercise can I do?
  • How often can I exercise?
  • What types of exercises should I do?
  • What activities should I avoid?
  • Should I hire a personal trainer to exercise with me?

After you have met with your doctor, they may recommend that you should go through a rehabilitation program to teach you how to safely become more active. You can find a cardiac rehab program in any province at cardiachealth.ca.

General workout tips

  • Focus on doing aerobic exercises when you begin working out again, rather than more complex movements like isometric exercises (pushups). Aerobic exercises are easier to perform and will help to make your heart stronger, while isometric could strain your muscles. Popular aerobic exercises include running, walking, and swimming.
  • Look at the forecast before your workout to avoid humid or cold days. Cold weather can increase your blood pressure, interrupt blood flow to part of the heart and make blood clots more likely to form. Humid weather can tire you out much quicker and can interfere with your circulation. On days when the weather is too hot or cold, aim to workout inside instead.
  • Make sure that you stay hydrated. It is important to drink water even before you feel thirsty, especially on hot days.

Starting to exercise

If your doctor has advised you that you’re all right to perform regular exercises instead of going to a rehabilitation center, we recommend that you slowly ease back into a workout routine. Everyone should perform 30 minutes of exercise a day, but it’s best if you go at a pace that you’re comfortable with; especially if you haven’t worked out in a long time.

Here is a simple workout that you can do anywhere.

Week 1 – 10-minute walk (Every second day)

Week 2 – 5-minute walk to warm up, a 10-minute walk, and 5-min cool-down.

Week 3 –  5-minute walk to warm up, a 15-minute walk, and 5-min cool-down.

Week 4 –  5-minute walk to warm up, a 20-minute walk, and 5-min cool-down.

Things to look out for

As you begin the transition back into exercising again, it’s important to remember to look for any symptoms of a heart attack during your workout. If you can, aim to workout with a partner for the first two months so that they can monitor you as you get back into the rhythm of going to the gym. While you workout both you and your partner should be conscious of:

  • Any chest pain
  • Weakness in your body
  • Dizziness or lightheadedness
  • Pressure or pain in your chest, neck, arm, jaw or shoulder, or any other symptoms that cause concern.

Exercising and making your way back towards a heart-healthy lifestyle will take time, so no matter what your results are initially; always aim to keep moving forward.