February 2019

February

2019

Bank president

4 chooses ASHLAND for valve replacement

6 STRONGER hearts, stronger minds

20 A heart surgeon discusses quality

26 Help us put AEDs in our communities

Table of Contents

2 Are you at risk for heart disease?

4

A Walk in the Park: Valve replacement

puts bank president back on his feet

6

Stronger hearts, stronger minds

8 New procedures offers hope

in reducing stroke risk

9 Reduce your risk of carotid artery disease

10

Ultrasound reveals heart's hidden secret

13 The knee bone's connected to the heart

14 Quality Matters: Cardiology service offers

accessibility, speed and results

17

Beating the Odds: Portsmouth woman

shares a cautionary tale

19 Your fluttering heart

20 Quality Matters: A heart surgeon talks quality

21 Build a stronger heart ? Volunteer

23 What you need to know about

high blood pressure

24

Don't let AFib keep you on the sidelines

26 Help us put AEDs in our communities

Heart Care Inspired by You is a publication of the Marketing and Communications

Department of King's Daughters Health System: Elaine Corbitt, Chief Communications & Corporate

Engagement; Tom Dearing, Director; Erin Bounds, Amy Dean, Kellie DeLaney, and Jerry Pennington.

Additional assistance in the production of this publication was provided by Jody Archer, Carrie Bennett,

Kim Grooms, Laura Patrick, Pam Trimble, Kerry Tague, Angie Tipton, and Amber Wills.

Are you at risk for

heart disease?

Year after year, heart disease tops the list as the most common killer of men and women in the United States. It's estimated that by 2035, 45 percent of people in America will have at least one health issue related to heart disease. Heart disease ? and its complications ? are growing more rapidly than previously predicted, according to the American Heart Association's Steven Houser, Ph.D.

There are a lot of reasons for this. Of course, smoking is an issue. Nationally, rates have declined significantly. However, smoking rates in Kentucky, West Virginia and southern Ohio remain above the national average. Obesity, poor dietary habits, type 2 diabetes, and sedentary lifestyles also are increasing.

Add to this the fact that heart disease seems like one of those far-off things that only happens to others, never oneself. Until it does.

Are you at risk for heart disease? Chances are, if you live in this area, you are. This simple quiz can help you understand what puts you at risk and what you can do about it.

Family History

1. Do you have a family history of heart disease (parents or siblings)?

Answer yes if your father/brother was diagnosed at age 55 or

earlier or mother/sister were diagnosed at age 65 or earlier.

o o Yes

No

2 | King's Daughters | 1-844-324-2200 |

2. Do you have a family history of stroke?

Answer yes if your father/brother was

diagnosed at age 55 or earlier or mother/

sister at age 65 or earlier.

o o Yes

No

3. Do you have a family history of

cardiovascular disease, such as high blood

pressure, heart failure, sudden cardiac

death, poor circulation in your legs, atrial

fibrillation or other rhythm disorder?

o o Yes

No

Personal Health

4. Have you had a heart attack, stroke, or

other cardiac event?

o o Yes

No

5. Are you African-American?

o o Yes

No

6. Do you have high cholesterol or do you

currently take medication to treat high

cholesterol?

o o Yes

No

7. Do you have diabetes, take medications

or restrict your diet to manage high blood

sugar?

o o Yes

No

8. Do you have high blood pressure

(hypertension) or are you currently

taking medications to manage your blood

pressure? Normal blood pressure is defined

as 120/80.

o o Yes

No

9. Do you smoke (including vaping or

eCigarettes), use tobacco products, or are

you exposed to second-hand smoke on a

daily basis?

o o Yes

No

10. Are you overweight or obese? Normal BMI

is 18.5-24.9.

o o Yes

No

11. Are you age 45 or older or, if female, have

you already experienced menopause

(natural or surgical)?

o o Yes

No

12. Do you exercise less than 20 minutes a day,

5 days a week?

o o Yes

No

13. Are you frequently under stress?

o o Yes

No

14. Are you over 35 and take birth control pills?

o o Yes

No

15. Have you been diagnosed with kidney

disease or are you currently on dialysis?

o o Yes

No

16. Have you ever been diagnosed with

metabolic syndrome? (Metabolic

syndrome is defined as having at

least three of the following: High

fasting blood sugar (>110 mg/dL);

high triglycerides (>150 mg/dL);

low "good" cholesterol (>50 mg/dL

for women; >40 mg/dL for men);

blood pressure of 130/85 or higher;

waist measurement of 35 inches

or greater for women; 40

inches or greater for men)

o o Yes

No

Scoring Obviously, the goal is to answer as many of these questions NO as possible. While there's nothing you can do about your family medical history, your age or race, there are lots of things you can do to influence your other risk factors. Lose weight, stop tobacco products, exercise, and eat a healthy diet being chief among them.

Talk to your primary care provider about your risk factors. Better yet, take this completed quiz with you to your next visit. King's Daughters cardiologists welcome new patients, with appointments within 48 hours. If you'd like to be seen by one of our heart experts, please give us a call at (606) 3244745. We believe the best time to see a cardiologist is before you need one.

Health Care Inspired by You | HEART MONTH 2019 | 3

A Walk

in the PARK

Valve replacement surgery puts bank president back on his feet

Fourteen years ago, lifelong Ashland resident Andrew Jones was diagnosed with a leaky aortic valve. He was referred to a Lexington hospital for valve replacement, as King's Daughters did not yet have the capability to do the procedure.

Jones's Lexington surgeon told him to expect the replacement valve to last 20 years. "At that time, I was only 40 years old and 20 years seemed like way, way, out in the future," Jones said. "I thought maybe I'll never have to do it."

In 2018, Jones began experiencing shortness of breath. "I started feeling more tired than usual," he recalls. "But I was extremely active so I

thought, I'm just tired. The more it went on, the worse it got. I got to the point that I could hardly stay awake during the day. I'd sit down at my desk and I felt like I needed to doze off."

At night, his shortness of breath became worse, making it difficult to sleep, even frightening. He would awake, startled and wondering what had happened. Jones went to see his cardiologist, who returned the verdict: his porcine replacement valve had finally given out. "It was destroyed," the doctor told him. He would have to have surgery.

Jones was both relieved and apprehensive. Now he knew what the problem was, and that it could be fixed. But there was something else, too. "It's a little sense of dread to think about going through heart surgery again. Heart surgery isn't a terribly hard experience. But of course it's not a walk in the park either," Jones said.

4 | King's Daughters | 1-844-324-2200 |

He received advice from friends and family, all of whom seemed to have a different opinion about where he should go for surgery. Some advocated for a return to Lexington. Some advocated for King's Daughters. "But I knew from the beginning that if I had to have it done, and if it was an alternative, I wanted to do it here, amongst my family and my friends," Jones said.

Eric Bronstein, M.D. cardiothoracic surgeon

After meeting with King's Daughters cardiothoracic surgeon Eric Bronstein, M.D., Jones decided. He asked Dr. Bronstein a lot of questions about valve surgery, second surgeries, his experience and his outcomes. Jones learned Dr. Bronstein had performed more than 800 valve replacement/repair procedures during his 20-year career. "That just gave me a great feeling about him. He's very confident, which made me very much at ease. I knew he was my guy."

On Sept. 25, 2018, Dr. Bronstein replaced Jones's destroyed aortic valve with a new mechanical valve. Jones was discharged just a few days later, and took a celebratory lap around Central Park. "It was a beautiful day and I went for a walk around the park just like nothing had happened. I was back on my feet."

As for his choice of King's Daughters over Lexington, Jones couldn't be happier. He knew King's Daughters and many of the people involved in his care. Everyone made him feel like he was part of their family and that he would be well cared for. He remembers waking up after the surgery and seeing many familiar faces. Family. Friends. Physicians he knew. "It was very comforting that all these folks were surrounding me and lifting me up."

Today, Jones is back to living life the way it was meant to be. His shortness of breath, sleepiness and fatigue all disappeared with the surgery. He's back to his demanding job as Northeast Region President at Community Trust Bank. He looks forward to boating at Cave Run Lake, golfing and basically living an active life with his wife, Donna, and his two adult sons.

But the entire experience has given him a new appreciation for the things that are right here in Ashland; for Dr. Bronstein and the excellent care he provided. "We are very lucky to have him in a small town like Ashland. Sometimes great people don't get the recognition like a great athlete gets. But if Dr. Bronstein were an athlete, he would be on the front page of the sports section every week because he's just a great physician."

See the video at HeartMonth2019

It was a beautiful day and I went for a walk around the park just like nothing had happened. I was back on my feet.

ANDREW JONES

Health Care Inspired by You | HEART MONTH 2019 | 5

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