go red 2013

Did you know that cardiovascular disease is the leading cause

of death for both men and women in America and the second

leading cause of death for Alaskans? community-owned

Go Red • Reduce risk

of heart disease• Recognize warning signs• Celebrate survivors

INSIDE:

www.heart.org/fairbanks or (907) 456-3659

2 Fairbanks Daily News-Miner, Thursday, February 14, 2013

TABLE OF CONTENTS

Stories of survival: Aubrey ....... 3Stories of survival: Sharon ...... 4Hands-only CPR ..................... 5Keepers: Handy references .. 5-8Resources and contacts ......... 6High blood pressure ............... 7Healthier lifestyle ................... 8Stories of survival: Andrea ...... 9Food for the heart ................ 10

How well do you know your heart?

www.heart.org/fairbanks or (907) 456-3659

3Fairbanks Daily News-Miner, Thursday, February 14, 2013

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Stay informed Stories of survival: Aubrey

By AMANDA BOHMANFor the News-Miner

Aubrey Spillane likes cats, owls, American Girl dolls and the library.

She draws and plays the piano and flute. When she grows up, she wants to be a veterinarian or chef.

Spillane is like most 10-year-old girls except for one thing. She has a heart condition.

Heart disease for the fourth grader means monthly blood pressure checks, trips to a pediatric cardiologist in Anchorage and a pressing need to exercise and eat healthy. Someday in the future, she will likely need angio-plasty, surgery to expand an artery.

Spillane is one of the lucky ones. Her mother, preschool teacher

Michelle Spillane, remembers a con-versation with Aubrey’s surgeon in the days following her birth. The infant was born with coarctation of the aorta,

which is the narrowing of the largest artery in the body. Aubrey’s aorta was almost completely crimped. She stopped breathing and was taken on an emer-gency flight to a hospital in Portland.

“I had flown on the medevac flight, while Dan (Aubrey’s father) had to fly commercially so he hadn’t arrived yet,” Spillane said in an email. “As they wheeled her away, the surgeon said they hadn’t seen a case this severe and wouldn’t be able to guarantee she’d make it.”

An ultrasound can reveal the con-dition, but somehow Aubrey’s narrow artery was missed, her mother said.

The surgery was a success. A photo of Aubrey taken four

months after her surgery shows a joyful baby with bright eyes and creamy skin, chewing on the leg of a stuffed lion.

Aubrey doesn’t take her good health for granted.

10-year-old thrives despite heart condition that nearly took her life

Please see AUBREY, Page 4

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She traced a finger along her torso, showing the path of a thin, faint scar — physical evi-dence of a surgery she doesn’t remember.

Avoiding salt is hard, she said. Exercising isn’t.

Aubrey skis in the winter and plays soccer in the summer. Gym is one of her favorite classes.

“Always stay active so you can do the things you want in life. Nothing will stop you” is her advice to other young heart patients.

Aubrey has lobbied Congress on behalf of the American Heart Association to support increased physical fitness for school chil-dren.

She knows that lifestyle choic-es, such as diet and exercise, are a huge factor in determining who gets heart disease and who doesn’t.

In Aubrey’s case, the heart disease is congenital, meaning present at birth.

Michelle Spillane said she could locate no other relative who has suffered from coarctation of the aorta.

Aubrey’s prognosis is good.At the last doctor’s visit, the

cardiologist said Aubrey’s artery appears “wide open,” her mother said, so they don’t expect the angioplasty to take place for a while.

Aubrey takes no medication. She has no restrictions on her physical activity.

The monthly blood pres-sure checks are to make sure Aubrey’s blood pressure doesn’t spike.

“If I don’t take care of myself, I might have to take medica-tion,” Aubrey said.

She played a few notes on her flute and gave a tour of her room. Tacked on a bulletin

board were pictures of cats with descriptions of their breeds. She joked that her family can’t have a cat because their dog might eat it.

One of her teachers told Aubrey that she should get her own talk show because she likes to crack jokes.

She has a betta fish named Rose even though it is male.

“I know my heart is there, but I don’t necessarily feel it,” she said. “I feel like my health is pretty good.”

Contact writer Amanda Bohman at [email protected].

Stories of survival: Sharon

AUBREY: Lifestyle choices keyContinued from Page 3

By MARY BETH [email protected]

Heart disease is familiar territory for Sharon Boko, 74. She lost both her parents and her hus-

band to heart disease.Her father, Jay Johnson suffered his

first stroke at age 50, was disabled, and died of a second stroke five years later.

Her mother, Elsie Johnson, was 59 when she experienced her first stroke and died of heart disease at age 71.

Boko’s husband, Bob, had a heart attack at age 53, a triple bypass in 1989, and was 73 when he died of a massive heart attack in 2005.

Yet, when Sharon was on the brink of what most likely would have been a fatal heart attack, she had no idea she was at risk.

“I, of all people, knew all of the signs of heart disease, but as a woman, I did not recognize any of my signs,” she said.

Photo courtesy Michelle Spillane

Aubrey Spillane, 10, has a heart condition. Aubrey was born with coarctation of the aorta, which is the narrow-ing of the largest artery in

the body. Aubrey’s aorta was almost completely crimped. She stopped breathing and

was taken on an emergency flight to a hospital in Portland.

Heart disease runs in the family

Eric Engman/News-Miner

Sharon Boko is pictured Jan. 29.Please see SHARON, Page 11

Every person now living in Alaska knows someone who will die as a result of either heart disease or stroke. Lower your risk of developing heart disease by watching your weight, eating healthy foods, staying active and managing your stress.

community-owned


Go R

edBy AMANDA BOHMANFor the News-Miner

A woman clutches her chest and collapses in front of you. What do you do?

There’s an app for that.Download it, it’s free, and you

can listen to a video in which the narrator, in a reassuring voice bringing to mind iPhone’s Siri, instructs the listener on how to conduct Hands-Only CPR.

The hands-only method — essentially CPR without the mouth-to-mouth — is sanctioned by the

American Heart Association. It’s the method 911 dispatchers instruct callers to use on adults who collapse and appear unresponsive.

It’s become the standard inter-vention of the lay public in recent years after decades of chest com-pressions plus mouth-to-mouth, traditional CPR.

The instructions for hands-only CPR are simple: After 911 is called, put one hand over the oth-er and push hard on the middle of the person’s chest. The tempo of pushing should be about the same tempo as the song “Stayin’ Alive.”

Push until help arrives. The goal is to manually pump

blood through the heart. “This is another form of CPR

for people who have uncomfortable feelings about mouth-to-mouth,” said Michell Daku, director of the American Red Cross of Alaska-Tanana Valley. “Some assistance is better than no assistance.”

Studies show heart attack vic-tims who receive hands-only CPR have nearly the same survival rate as those who receive the

Hands-only CPR deemed simple, life-saving

Please see CPR, Page 7

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HANDS-ONLY CPR1. Call 911 or ask someone

to do it. 2. Kneel down on one side of

the victim.3. Put the heel of one hand on

the center of the chest.4. Put your other hand on top

of the first.5. Interlock your fingers.6. Push hard and fast on the

center of the chest until help arrives.

Source: www.handsonlycpr.org/handson

Lower your risk of developing heart disease by watching

your weight, eating healthy foods, staying active

and managing your stress. community-owned


Go RedAm

erican Heart Association, Fairbanks division:

ww

w.heart.org/fairbanks or (907) 456-3659

American Heart Association, Fairbanks DivisionP.O. Box 71717Fairbanks, AK 99707www.heart.org/fairbanks

American Heart Association1-800-AHA-USA-11-888-474-VIVEwww.heart.org

American Stroke Association1-888-4-STROKE1-888-474-VIVEwww.strokeassociation.org

Go Red For WomenHeart disease is the No. 1 killer of wom-en. Learn how to love your heart and safeguard your health.www.GoRedForWomen.org

Heart 360®Heart360® is an online tool to help track and manage your heart health and provides helpful advice and information. Enter your health information in an easy-to-use tool, and your records will be safely and securely stored in Microsoft® HealthVault™.www.heart360.org

CPR, AED, and First Aid training1-877-AHA-4CPRwww.heart.org/cpr

Heart Hub for PatientsThe American Heart Association’s patient portal to help you understand and man-age your health.www.HeartHub.org

Heart Walk, May 18 2013The American Heart Association’s annual walk at Veteran’s Memorial Park wel-comes survivors, community teams, and corporate teams.(907) 456-3659www.fairbanksheartwalk.org

Mended HeartsMended Hearts, a national nonprofit organization, helps heart patients and their families by offering hope and improving quality of life through peer-to-peer support.1-888-432-7899www.mendedhearts.org

My Heart. My Life.The American Heart Association’s guide to living a healthier life.www.myheartmylife.org

RESOURCES AND CONTACTS Time for a checkup?


chest compressions with mouth-to-mouth resusci-tation.

Officials hope to increase the number of people willing to inter-vene, saving more lives.

“A lot of times when people go into cardiac arrest, there is vomit. There is blood,” said Bill “Rocky” Rockwell, a firefighter and para-medic at the Fairbanks Fire Department. “People

are more willing to get involved and do it if they are just doing chest com-pressions.

“That gives the per-son a greater chance of survival than somebody standing there looking at them,” Rockwell added.

The Red Cross contin-ues to teach the tradition-al CPR method — mouth-to-mouth plus chest compressions, according to Daku.

“It saves lives every single day and it is a skill

that everybody needs to learn,” Daku said. “We talk about (hands-only CPR) but we don’t pro-mote it. It is an option.”

Mouth-to-mouth is still in the protocol for situations such as drowning, an asthma attack, a drug overdose and young children who collapse.

Stephanie Johnson, manager of the Fair-banks Emergency Com-munications Center, said dispatchers rarely

receive those types of calls.

Calls involving adults with heart problems are a different story.

According to the Cen-ters for Disease Control and Prevention, heart disease is a leading cause of death in America with about 600,000 deaths per year. Cancer came in sec-ond with about 575,000 deaths.

It’s unclear if the new CPR method has boosted the survival rate for heart

attack victims in Fair-banks.

Dispatchers on a recent shift said they noticed no uptick in Good Samari-tans.

People have always been willing to help, Johnson said, even if it means giving someone mouth-to-mouth.

“The kind of callers we get, generally, they are willing to help,” she said.

Contact freelance writer Amanda Bohman at [email protected].

CPR: Hands-only has nearly same survival rate as mouth-to-mouthContinued from Page 5

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What is high blood pressure?Blood pressure is the force of blood pushing against blood vessel walls. High blood pressure means the pres-sure in your arteries is higher than it should be. Another name for high blood pressure is hyper-tension.

Many people have it and don’t know. The only way to know if your blood pressure is high is to get it checked regularly by your doctor.

Do I have it?


Go RedH

ave questions for the doctor or nurse?

1. Talk to your doc-tor, nurse or other healthcare profes-sionals. If you have heart disease or have had a stroke, members of your family also may be at higher risk. It’s important to make changes now to lower their risk.

2. Call 1-800-AHA-USA1 (1-800-242-8721) or visit heart.org to learn more about heart disease.

3. For information on stroke, call 1-888-4-STROKE (1-888-478-7653) or visit us at StrokeAssociation.or.g

HOW CAN I LEARN MORE?

The American Heart Association has many other fact sheets to help you make healthier choices to reduce your risk, manage disease or care for a loved one.

Visit heart.org/answersbyheart to learn more.

Take a few m

inutes to write them

down before you visit your healthcare provider

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Stories of survival: Andrea

By MARY BETH [email protected]

Andrea Barker lived the first 42 years of her life oblivious to a hole in

her heart — an actual physical opening between the left and right atria (upper chambers) of the heart, called a patent fora-men ovale, that failed to close naturally after birth.

As Barker grew up there were few physical signs that she was walking around with the abnormality.

“I’m overweight, and even as a kid I couldn’t keep up with the other kids.”

As a junior high student, Barker remembers feeling sick to her stomach at school and waking up on the washroom floor.

In addition to fatigue, the most common symptom she

experienced daily, occurred when she would lie down.

“My heart would kind of clunk and readjust,” she said.

But life went on. Barker became a certified realtor, worked with her mother in the family realty business, married and bore two daughters.

In 2007, when the girls were ages 6 and 3, the family was preparing to go out, taking two different vehicles. Barker was going to drop off her daughters at daycare and then meet up with her husband at a health club.

Fortunately, Barker’s hus-band decided to linger at home until she and the girls were ready to depart.

“The last thing I remember, I was drinking coffee and my speech was blurring, and then nothing,” she said.

When she regained con-

sciousness, her husband was rubbing her back and there was coffee everywhere.

“I immediately felt sick to my stomach and had an excru-ciating headache,” she said.

Barker had suffered a stroke that in turn triggered a sei-zure.

Her husband wanted to take her immediately to the hospital, but Barker who really wasn’t fully aware of what had happened, held off until she took a shower and cleaned up.

Today, six years later, Bark-er realizes with lucid certainty what she should have done.

If she had been home alone without the prodding and sup-port of her husband to go right to the hospital, the outcome could have been far worse, even fatal.

Living with a hole in her heart

Eric Engman/News-Miner

Andrea Barker is seen Jan. 30. Please see ANDREA, Page 11

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By AMANDA BOHMANFor the News-Miner

No meat. No milk. No eggs. No oil. The best diet for optimal heart health,

to prevent or reverse heart disease, is a plant-based diet, according to Fairbanks cardi-ologist Romel Wrenn.

“It’s better to be a vegetarian,” the doctor said. Wrenn cited three studies. All point to a

plant-based diet as a sure way to avoid heart disease. It’s the No. 1 killer in America and it’s preventable, Wrenn said.

“There are some problems associated with genetics, but those are few,” he said.

One study Wrenn cited is outlined in the book “Prevent and Reverse Heart Disease” by Dr. Caldwell Esselstyn.

The Cleveland Clinic physician followed a group of heart patients after prescribing a diet containing no more than 10 percent of calories from fat. Some patients also took cholesterol-lowering medication.

According to Esselstyn, five of the 22 patients dropped out. Of the 17 who maintained the diet, 11 had their cholesterol measured bi-weekly.

“They had no more problems,” Wren said. In another book, “The China Study: Startling

Implications for Diet, Weight Loss and Long-Term Health,” father and son researchers T. Colin and Thomas Campbell studied the eating habits of thousands of people in China.

They claim that people who eat mostly plants suffer from fewer illnesses than people whose diet includes animal proteins.

Finally, Wrenn cited “The Blue Zone: Les-sons For Living Longer from the People Who’ve Lived the Longest.”

In the book, author Dan Buettner teamed with National Geographic to determine where on earth people are living the longest.

They found five places where residents tend-ed to live long lives: Okinawa, Japan; Sardinia, Italy; Loma Linda, Calif.; Nicoya, Costa Rica; and Ikaria, Greece.

The oldest residents of the cities had a few things in common. For one, they are active.

They quit eating before they feel full and they don’t eat late at night. Beans, soy and lentils dominate their diet. Meat is consumed about five times per month.

The residents also were found to have great purpose in their lives, a religious faith and mechanisms for dealing with stress.

Eat plants, reduce risk of heart diseaseRECOMMENDED

READINGFairbanks cardiologist

Romel Wrenn’s suggested heart health reading list:

“Prevent and Reverse Heart Dis-ease” by Dr. Caldwell Esselstyn. This book is featured in Dr. Oz’s Book Corner and reportedly influenced former Presi-dent Bill Clinton to adopt a healthier diet. Esselstyn describes his 20-year nutrition study of heart patients at the Cleveland Clinic.

“The China Study: Startling Implications for Diet, Weight Loss and Long-Term Health,” by father and son

researchers T. Colin and Thomas Campbell. The book is one of the best-selling books on nutrition, according to The New York Times. The authors argue that people who eat a plant-based diet suffer from fewer ill-nesses than people who consume animal proteins.

“The Blue Zones: Lessons For Living Lon-ger from the People Who’ve Lived the Lon-gest” by Dan Buettner. The communities where people tend to live the longest have some things in common. Buettner discusses the lifestyle choices that lead to long, happy lives and offers advice for duplicating the lifestyle.Please see FOOD, Page 11

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That was in 2007, and ever since that close call the former teacher has made it her mission to educate women about what they should look out for.

“I’m always telling women we don’t present like men do for heart disease. Sometimes it’s just having discomfort or being tired all the time. Most women don’t have pain in the arm or tightening in the chest like men,” she said.

“I have told as many people as I can about this. The biggest thing is to listen to your body, and if your body isn’t feeling right, you are the only one who can tell.

“If you are not sure (about symp-toms), talk to your doctor,” she rec-ommends.

When Boko finally make an appoint-ment and talked to her doctor about her tiredness and shortness of breath, he took it very seriously. He knew Boko, her usual high energy level and penchant for moving household fur-niture around regularly, and ordered tests that came back inconclusive.

The Heart Center at Fairbanks Memorial Hospital wasn’t open yet, so her doctor sent her down to Anchorage for an angiogram. Test results showed three veins to her heart were 95 percent to 98 percent blocked. She was hospitalized and underwent triple bypass surgery the next day.

“By the grace of God and my doc-tor, I survived,” she said.

Boko has been involved with the local branch of the American Heart Association, the Go Red women’s luncheon and the annual Heart Walk since 2008.

That same year the AMA tapped her to represent Alaska and sent her to Washington, D.C., to lobby state congressional representatives involved in developing legislation to support research of women’s heart disease since its symptoms vary so greatly from men’s symptoms.

A bill passed to that effect and U.S. Sen. Lisa Murkowski was one of the main sponsors from the begin-ning, Boko said.

Following her surgery, and the opening of the FMH Heart Center, Boko changed her diet and lifestyle.

She joined the heart center’s rehab program, learned all about diet and exercise, participated in its workout program twice per week, and lost 40 pounds.

“It kept me honest and watching my diet and exercising,” she said.

Although Boko has laid low since last fall because of pelvic stress frac-tures incurred during a long, rigorous hike, she continues to watch her diet as she heals, and carry on her mission to educate women about heart disease.

Contact staff writer Mary Beth Smetzer at 459-7546.

SHARON: Watch for warning signsContinued from Page 4

“Don’t wait. Call 911” is a mantra Barker now repeats over and over again, especially to women who have unusual physical symptoms that could be a warning that all is not right with one’s heart.

An ultrasound pinpointed the PFO heart defect and it was corrected surgically in Anchorage with a Cardi-oSeal, a non-invasive surgery.

Barker was out of the hospital the next day, feeling well but mentally drained.

Because of the seizure she couldn’t drive for six months and couldn’t return immediately to her realty work.

“I didn’t have physical side effects, but I had anxiety attacks,” Barker said.

“It took two years to get over it mentally, to figure out the numbing in my face and do research. Some-times the research scares you,” she said, alluding to learning how close she came to dying.

Counseling and naturopathy mas-sage treatment helped her recover.

“The new (Fairbanks Memorial Hospital) heart center also gave me hope and comfort,” Barker said.

In the six years since, Barker continues to exercise and experience good health. “I feel great,” she said, adding “My heart no longer clunks.”

Barker opened her own business, Alaska A La Carte Realty, a flat fee real estate company.

She had her daughters tested to ascertain they haven’t inherited what most likely is a hereditary heart defect.

She joined the Go Red campaign and Heart Walk in 2009, and is pro-moting the need for heart defect tests for babies at birth.

And she continues to tell women if they feel something isn’t right, it probably isn’t and they need to take the time to take care of themselves.

“If that saves one person, that’s all that matters to me,” Barker said.

Contact staff writer Mary Beth Smetzer at 459-7546.

ANDREA: Physical, mental effectsContinued from Page 9

Associated Pressfile photo

Beets for sale are seen at a farmers market. The best diet for optimal heart health, to pre-vent or reverse heart disease, is a plant-based diet, according to Fairbanks cardiologist Romel Wrenn. “It’s better to be a vegetarian,” the doctor said.

Naturopathic Doctor Scott Moser said stress management and diet are the most common areas he works on with heart patients.

Moser, who works at the Alaska Center for Natural Medicine, explores four pillars of health with all of his patients, including heart patients. The pillars are diet, exercise, sleep and stress management.

“It’s really hard to overcome ill-ness or disease if you don’t have a solid foundation,” the naturopath said. “Diet is probably the biggest thing we talk about. What I really try to get people away from is processed foods.”

What is a processed food? “If you look at the food labels and

there are words that you can’t even say, that’s a processed food,” Moser said.

Moser recommends eating fish, namely salmon and cod, once or twice per week. Other meat should be wild or organic.

Mass-produced meat is a no-no, Moser said, because of pesticides in

the feed. “Those toxins are stored in animal

fat,” Moser said.A clear list of which foods to eat

and which to avoid is available on the Web site for the Mayo Clinic, www.mayoclinic.com/health/heart-healthy-diet/NU00196.

The Mayo Clinic encourages people to eat fresh or frozen fruits and veg-etables, oatmeal, rice, whole-wheat bread, ground flaxseed, skim milk, egg whites, fish, legumes, tofu and lean ground meat.

The list of foods to shun is long, including coconut, syrupy canned fruit, fried vegetables, muffins, white bread, granola bars, cake, pie and buttered popcorn.

Butter, gravy, egg yolks, cold cuts, bacon, hot dogs and soy sauce are also to be avoided, according to the clinic.

“If you don’t have disease and you are trying to maintain health, one should minimize the amount of ani-mal protein in the diet,” the cardiolo-gist, Wrenn, said.

Contact freelance writer Amanda Bohm-an at [email protected].

FOOD: What to eat, what to avoidContinued from Page 10

February is American Heart Month.

To learn more about heart disease

and how to prevent the second

leading cause of death in Alaska

visit: FMHDC.com/heart

community-owned

fmhdc.com


go red 2013

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