Longer Work Hours = Higher Heart Disease Risk

A new study, published by the Journal of Occupational and Environmental Medicine has concluded what many of us already suspected, namely that working long hours (defined at 46+ hours a week) results in an increase in cardiovascular disease risk.

Interestingly enough the study also found that the risk is lowest for workers working between 40-45 meaning that working less than 40 hours a week isn’t necessarily any better for you. Workers who worked 30 + hours saw a slight increase until they reached 40 hours after which the risk decreased until 40 after which it decreased until it started to rise again till 45.

The study involved 1,900 participants over the course of 10 years and concluded that every hour over 45 hours a week resulted in an addition 1% increase in risk.

Conclusion? Giving your boss more than 46 hours a week could actually cost you years, not just hours.

February Healthy Heart Awareness Month

February is Healthy Heart Awareness month

Heart Attack, Stroke and Cardiac Arrest Warning Signs

Every 39 seconds, an adult dies from a cardiovascular disease such as a heart attack or stroke. Cardiovascular disease claims the lives of more than 800,000 adults each year, 150,000 of whom are under the age of 65. Learn what you can do to reduce your risk

Act in Time
As February begins, it also kicks off American Healthy Heart Month. The American Heart Association have launched a new “Act in Time” campaign to increase people’s awareness of heart attack and the importance of calling 9-1-1 immediately at the onset of heart attack symptoms.

Dial 9-1-1 Fast
Heart attack and stroke are life-and-death emergencies every second counts. If you see or have any of the listed symptoms, immediately call 9-1-1. Not all these signs occur in every heart attack or stroke. Sometimes they go away and return. If some occur, get help fast! Today heart attack and stroke victims can benefit from new medications and treatments unavailable to patients in years past. For example, clot-busting drugs can stop some heart attacks and strokes in progress, reducing disability and saving lives. But to be effective, these drugs must be given relatively quickly after heart attack or stroke symptoms first appear. So again, don’t delay get help right away!

Coronary heart disease is America’s No. 1 killer. Stroke is No. 3 and a leading cause of serious disability. That’s why it’s so important to reduce your risk factors, know the warning signs, and know how to respond quickly and properly if warning signs occur.

Heart Attack (Damage is occurring to the heart muscle) Warning Signs

Some heart attacks are sudden and intense the “movie heart attack,” where no one doubts what’s happening. But in reality most heart attacks start slowly, with mild pain or discomfort. Often people affected aren’t sure what’s wrong and wait too long before getting help. Here are some signs that can mean a heart attack is happening:

  • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes (3-5 min), or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness, indigestion or pain.
  • Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach. The sharp pain shooting down your left arm or in your neck.
  • Shortness of breath with or without chest discomfort.
  • Other signs may include breaking out in a cold sweat, nausea or lightheadedness
  • No symptoms: some people will never experience any of the above symptoms while having a heart attack; the best prevention of a heart attack is maintaining a healthy diet and lifestyle.

As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.

Learn the warning signs, but remember this: Even if you’re not sure it’s a heart attack, have it checked out. Minutes matter! Fast action can save lives maybe your own. Dont wait more than five minutes to call 9-1-1.

Calling 9-1-1 is almost always the fastest way to get lifesaving treatment. Emergency medical services staff can begin treatment when they arrive up to an hour sooner than if someone gets to the hospital by car. The staff are also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too.

If you can’t access the emergency medical services (EMS), have someone drive you to the hospital right away. If you’re the one having symptoms, don’t drive yourself, unless you have absolutely no other option. Lastly, if you do not have stomach problems take an ASPERIN (Not Tylenol or Ibuprofen), two 81 mg baby aspirin or one 325 adult. This can also help thin your blood and possibly save your life.

Stroke Warning Signs
The American Red Cross says these are some of the warning signs of a stroke:

  • Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
  • Sudden confusion, trouble speaking or understanding
  • Sudden trouble seeing in one or both eyes
  • Sudden trouble walking, dizziness, loss of balance or coordination
  • Sudden, severe headache with no known cause

Remember FAST (Face. Arms, Speech and Time) these simple steps can help determine if the person is experiencing a stroke:

A. Face- Have the person smile and check for signs of weakness on one side of the face

B. Arms-Have the person raise both arms at the same time and check for weakness or numbness in one or both the limbs

C. Speech-Ask the person to say a simple sentence(i.e. Lunch is ready), check for any slurred speech or trouble speaking

D. Time- Call 911 or your local emergency number immediately and note the time the stroke signals started.

If you or someone with you has one or more of these signs, don’t delay! If given within three hours of the start of symptoms, a clot-busting drug can reduce long-term disability for the most common types of stroke.

Stay with the person they may feel fearful or anxious. Most often they do not understand what has happened to them. Offer comfort and reassurance, but never give them food or water and wait till Emergency Medical Service arrives.

Cardiac arrest (Heart has stopped beating) strikes immediately and without warning. Here are the signs:

  • Sudden loss of responsiveness (no response to tapping on shoulders).
  • No normal breathing (the victim does not take a normal breath when you tilt the head up and check for at least five seconds).
  • No pulse when checked at your pulse points(Wrist, Neck and Upper Arm)

If these signs of cardiac arrest are present, tell someone to call 9-1-1 and get an AED (Automated External Defibrillator) (if one is available) and begin CPR immediately. Remember it only takes 6 minutes of blood loss to the human brain for brain damage to occur. After 10 min, it begins irreparable damage.

If you are alone with an adult who has these signs of cardiac arrest, call 9-1-1 and get an AED (if one is available) before you begin CPR.

ABCs of Preventing Heart Disease, Stroke and Heart Attack

Sounds simple doesnt it? So why is coronary heart disease and stroke the No. 1 and No. 3 killers of Americans? One reason is undeniably a lack of commitment to a heart-healthy lifestyle. Your lifestyle is not only your best defense against heart disease and stroke, its also your responsibility. By following these three simple steps you can reduce all of the modifiable risk factors for heart disease, heart attack and stroke including:

Stop smoking. If you smoke, look to quit. If someone in your household smokes, encourage them to quit. We know its tough. But its tougher to recover from a heart attack or stroke or to live with chronic heart disease. Commit to quit it will be better for your overall health.

Reduce blood cholesterol. Fat lodged in your arteries is a disaster waiting to happen. Sooner or later it could trigger a heart attack or stroke. Youve got to reduce your intake of saturated and trans fat and get moving. If diet and exercise alone dont get those numbers down, then medication is the key. Take it just like the doctor orders. Heres the lowdown on where those numbers need to be:

Total Cholesterol Less than 200 mg/dL
LDL (bad) Cholesterol LDL cholesterol goals vary by person.

  • Low risk for heart disease Less than 160 mg/dL
  • Intermediate risk for heart disease Less than 130 mg/dL
  • High risk for heart disease including those with heart disease or diabetes Less than 100mg/dL

HDL (good) Cholesterol 40 mg/dL or higher for men and 50 mg/dL or higher for women
Triglycerides Less than 150 mg/dL

Lower high blood pressure. Its the single largest risk factor for stroke. Stroke is the No. 3 killer and one of the leading causes of disability in the United States. Stroke recovery is difficult at best and you could be disabled for life. Shake that salt habit, take any medication the doctor recommends exactly as prescribed and get moving. Those numbers need to get down and stay down. American Heart Association recommended less than 120/80 mmHg.

Be physically active every day. Research has shown that getting 3060 minutes of physical activity on most days of the week can help lower blood pressure, lower cholesterol and keep your weight at a healthy level. But something IS better than nothing. If youre doing nothing now, start out slow. Studies show that people who have achieved even a moderate level of fitness are much less likely to die early than those with a low fitness level.

Aim for a healthy weight. Obesity is an epidemic in America, not only for adults but also for children. Fad diets and supplements are not the answer. Good nutrition and physical activity are the only way to maintain a healthy weight. Obesity places you at risk for high cholesterol, high blood pressure and insulin resistance, a precursor of type 2 diabetes the very factors that heighten your risk of cardiovascular disease. Your Body Mass Index (BMI) will tell you if your weight is healthy.

Manage diabetes. Cardiovascular disease is the leading cause of diabetes-related death. People with diabetes are two to four times more likely to develop cardiovascular disease due to a variety of risk factors, including high blood pressure, high cholesterol, smoking, obesity and lack of physical activity.

Reduce stress. Some scientists have noted a relationship between coronary heart disease risk and stress in a person’s life that may affect the risk factors for heart disease and stroke. For example, people under stress may overeat, start smoking or smoke more than they otherwise would. Research has even shown that stress reaction in young adults predicts middle-age blood pressure risk.

Limit alcohol. Drinking too much alcohol can raise blood pressure, cause heart failure and lead to stroke. It can contribute to high triglycerides, produce irregular heartbeats and affect cancer and other diseases. It contributes to obesity, alcoholism, suicide and accidents. The risk of heart disease in people who drink moderate amounts of alcohol (an average of one drink for women or two drinks for men per day) is lower than in nondrinkers. However, its not recommended that nondrinkers start using alcohol or that drinkers increase the amount they drink.

Information provided by American Heart Association, CDC, Medic First Aid and American Red Cross

Health and Safety Alert- Stroke Awareness

May National Stroke Awareness Month

May is here. Some of us have had personal experiences with family, friends or loved ones that have had or know someone that has experienced a stroke.

Stroke is the fourth leading cause of death in the United States. It is also a leading cause of serious long-term disability. While most strokes occur in people aged 65 years and older, strokes can occur at any age. Learn the signs and symptoms and how you can lower your risk for stroke.

Strokes strike fast. You should too. Call 9-1-1 immediately.

New treatments are available that can reduce the damage caused by a stroke for some victims. But these treatments need to be given soon after the symptoms start.

Knowing the symptoms of stroke, calling 9-1-1 right away, and getting to a hospital are crucial to the most beneficial outcomes after having a stroke. The best treatment is to try to prevent a stroke by taking steps to lower your risk for stroke

What is a stroke?

A stroke or “brain attack” occurs when a blood clot blocks an artery (a blood vessel that carries blood from the heart to the body) or a blood vessel (a tube through which the blood moves through the body) breaks, interrupting blood flow to an area of the brain. When either of these things happen, brain cells begin to die and brain damage occurs.

When brain cells die during a stroke, abilities controlled by that area of the brain are lost. These abilities include speech, movement and memory. How a stroke patient is affected depends on where the stroke occurs in the brain and how much the brain is damaged.

For example, someone who has a small stroke may experience only minor problems such as weakness of an arm or leg. People who have larger strokes may be paralyzed on one side or lose their ability to speak. Some people recover completely from strokes, but more than 2/3 of survivors will have some type of disability.


Ischemic (Clots) Hemorrhagic (Bleed) TIA (Transient Ischemic Attack)
Ischemic stroke occurs as a result of an obstruction within a blood vessel supplying blood to the brain. It accounts for 87 percent of all stroke cases Hemorrhagic stroke occurs when a weakened blood vessel ruptures. Two types of weakened blood vessels usually cause hemorrhagic stroke: aneurysms and arteriovenous malformations (AVMs). Often called a mini stroke, these warning strokes should be taken very seriously. TIA (Transient Ischemic Attack) is caused by a temporary clot.

Anyone can have a stroke. But your chances for having a stroke increase if you meet certain criteria. Some of these criteria, called risk factors, are beyond your control — such as being over age 55, being male, being African American, Hispanic or Asian/Pacific Islander, or having a family history of stroke. Other stroke risk factors are controllable.

Uncontrollable Risk Factors:

· Age

· Gender

· Race

· Family History

· Previous Stroke or TIA

Controllable Risk Factors:

· Stop Smoking

· Prevent and Control High Blood Pressure

· Prevent and Control Diabetes

· Maintain a healthy diet, weight and exercise regularly

Stroke Symptoms

People at risk and partners or caretakers of people at risk for stroke should be aware of the general symptoms. The stroke victim should get to the hospital as soon as possible after these warning signs appear. It is particularly important for people with migraines or frequent severe headaches to understand how to distinguish between their usual headaches and symptoms of stroke.

The National Stroke Association lists the following five warning signs of stroke. PEOPLE SHOULD IMMEDIATELY CALL FOR EMERGENCY ASSISTANCE IF THEY EXPERIENCE ANY OF THESE SYMPTOMS:

· Sudden numbness or weakness of the face, arm or leg, especially on one side of the body

· Sudden confusion, trouble speaking or understanding

· Sudden trouble seeing in one or both eyes

· Sudden trouble walking, dizziness, loss of balance or coordination

· Sudden, severe headache with no known cause

If you or someone with you has one or more of these signs, don’t delay! If given within three hours of the start of symptoms, a clot-busting drug can reduce long-term disability for the most common types of stroke.

Stroke Detection

The National Stroke Awareness Month program places emphasis on making the public aware about Acting FAST.

According to the National Stroke Association a person experiencing a stroke can be treated if people have acted FAST – 80% of strokes can also be prevented.

FAST (Face. Arms, Speech and Time) being an acronym for things to check in a suspected stroke victim:

A. Face- Have the person smile and check for signs of weakness on one side of the face

B. Arms-Have the person raise both arms at the same time and check for weakness or numbness in one or both the limbs

C. Speech-Ask the person to say a simple sentence(i.e. Lunch is ready), check for any slurred speech or trouble speaking

D. Time- Call 911 or your local emergency number immediately and note the time the stroke signals started.

NOTE: New Sign of a Stroke ——– Stick out Your Tongue

Another ‘sign’ of a stroke is this: Ask the person to ‘stick’ out his tongue…if the tongue  is ‘crooked’, if it goes to one side or the other,  that is also an indication of a  stroke.

If you or someone with you has one or more of these signs, don’t delay!  If given within three hours of the start of symptoms, a clot-busting drug can reduce long-term disability for the most common types of stroke.

Stay with the person they may feel fearful or anxious. Most often they do not understand what has happened to them. Offer comfort and reassurance, but never give them food or water and wait till Emergency Medical Service arrives.

Public Stroke Prevention Guidelines

1. Know your blood pressure. If it is elevated, work with your doctor to keep it under control. High blood pressure is a leading cause of stroke. Have your blood pressure checked at least once each year—more often if you have a history of high blood pressure.

2. Find out if you have atrial fibrillation (AF). If you have AF, work with your doctor to manage it. Atrial fibrillation can cause blood to collect in the chambers of your heart. This blood can form clots and cause a stroke. Your doctor can detect AF by carefully checking your pulse.

3. If you smoke, stop. Smoking doubles the risk for stroke. If you stop smoking today, your risk for stroke will begin to decrease.

4. If you drink alcohol, do so in moderation. Drinking a glass of wine or beer or one drink each day may lower your risk for stroke (provided that there is no other medical reason you should avoid alcohol).  Remember that alcohol is a drug – it can interact with other drugs you are taking, and alcohol is harmful if taken in large doses. If you don’t drink, don’t start.

5. Know your cholesterol number. If it is high, work with your doctor to control it. Lowering your cholesterol may reduce your stroke risk. High cholesterol can also indirectly increase stroke risk by putting you at greater risk of heart disease – an important stroke risk factor. Often times, high cholesterol can be controlled with diet and exercise; some individuals may require medication.

6. Control your diabetes. If you are diabetic, follow your doctor’s recommendations carefully because diabetes puts you at an increased risk for stroke. Your doctor can prescribe a nutrition program, lifestyle changes and medicine that can help control your diabetes.

7. Include exercise in the activities you enjoy in your daily routine. A brisk walk, swim or other exercise activity for as little as 30 minutes a day can improve your health in many ways, and may reduce your risk for stroke.

8. Enjoy a lower sodium (salt), lower fat diet. By cutting down on sodium and fat in your diet, you may be able to lower your blood pressure and, most importantly, lower your risk for stroke.

9. Ask your doctor if you have circulation problems. If so, work with your doctor to control them. Fatty deposits can block arteries that carry blood from your heart to your brain. Sickle cell disease, severe anemia, or other diseases can cause stroke if left untreated.

10.  If you have any stroke symptoms, seek immediate medical attention.

The next CPR/First Aid class will be held May at 9:00 am in the Learning Center. Please contact me if you are interesting in learning how to save a life!
Information provided by www.stroke.org and American Red Cross

To receive more stroke awareness information  call 1-800-STROKES (1-800-787-6537).

Today’s post comes to us courtesy of Ken Oswald

Safety and Security Manager for Plateau


The Scoop on Snow Shoveling Safety




It happens every winter … snow falls, usually leaving piles of the white stuff to clear from your sidewalks and driveway. Consider the following before you grab your shovel after a major snowfall.

The good news is that 15 minutes of snow shoveling counts as moderate physical activity. We all should aim for at least 30 minutes of moderate physical activity of some kind on most days of the week. Brisk walking or social dancing is other ways to fit in moderate physical activity during cold winter months.

The bad news is that researchers have reported an increase in the number of fatal heart attacks among snow shovelers after heavy snowfalls. This rise may be due to the sudden demand that shoveling places on an individual’s heart. Snow shoveling may cause a quick increase in heart rate and blood pressure. One study determined that after only two minutes of shoveling, sedentary men’s’ heart rates rose to levels higher than those normally recommended during aerobic exercise.

Shoveling may be vigorous activity even for healthy college-aged students. A study performed by researchers at North Dakota State University determined that, based on heart rate, shoveling was a moderately intense activity for college-aged subjects most of the time but was vigorous activity during about one-third of their shoveling time of 14 minutes.

When shoveling, it’s important to avoid back strain. The average shovel (loaded with 16 pounds of snow) ends up moving 192 pounds of snow, if you load your shovel about 12 times a minute. That’s almost 2,000 pounds being lifted in just over 10 minutes!

Shoveling can be made more difficult by the weather. Cold air makes it harder to work and breathe, which adds some extra strain on the body. There also is the risk for hypothermia, a decrease in body temperature, if one is not dressed correctly for the weather conditions.

Who should think twice about shoveling snow?

Those most at risk for a heart attack include:

  • Anyone who has already had a heart attack.
  • Individuals with a history of diagnosed heart disease.
  • Those with extremely high blood pressure or high cholesterol levels.
  • Individuals leading a sedentary lifestyle.

Should you rush out and buy a snow blower?

Not necessarily. Not everyone who shovels snow is going to have a heart attack. Snow shoveling can be good exercise when performed correctly and with safety in mind.

Also consider back safety when shoveling snow. Even if you exercise regularly and are not at risk for heart disease, shoveling improperly could lead to a strained back. If you’ve been inactive for months and have certain risk factors, use some common sense before taking on the task of snow shoveling.

Fluffy Snow Removal

  • This snow removal technique allows children to participate and help their parents in the outdoor duties of the winter season. Provide a child’s size shovel and have them help you remove fluffy snow. PUSH rather than lift this fluffy snow to remove this type of snow. Exerts less strain on your body.

 Compact Snow Removal

  • Compact snow is a different type of snow. It is more dense in nature, and heavier than recent snow. This is when having a snow plow device comes in handy. Many people strain their backs and pull muscles when attempting to shovel compact snow. Borrowing a snow plow device from a neighbor or purchasing one from a hardware store helps you clear your driveway and walkways.

Black Ice Removal

  • One of the most dangerous forms of snow is black ice. This environmental hazard occurs when it rains, or when snow melts and freezes again. Because it freezes at such a fast rate, air bubbles that usually form underneath never develop. This is what makes it invisible and difficult to detect. To remove black ice, wear shoes that provide exceptional traction. Pour magnesium chloride or ice melt on places where black ice has formed; this helps you stabilize your balance while getting rid of the black ice. Take a shovel and crack the ice with one edge of the shovel. Pick up the broken ice with the shovel and place it inside a medium bucket. Have your children move these pieces of ice to the outer corners of your yard.

Black Ice Prevention

  • To prevent slip-and-fall accidents caused from black ice, it is imperative to take action. Pour some magnesium chloride or ice melt in a bucket. This works great at getting rid of any areas likely to form black ice. Fill another bucket with regular dirt and give it to your child, and provide a little shovel or scooper. Inspect the area for any black ice and apply the magnesium chloride before allowing your child to pour the dirt on the ground. Have them throw some of the dirt on part of the driveway, while you tackle walkways and the sidewalk.

A Pile of Snow Shoveling Tips

Be heart healthy and back friendly while shoveling this winter with these tips:

  • If you are inactive and have a history of heart trouble, talk to your doctor before you take on the task of shoveling snow.
  • Avoid caffeine or nicotine before beginning. These are stimulants, which may increase your heart rate and cause your blood vessels to constrict. This places extra stress on the heart.
  • Drink plenty of water. Dehydration is just as big an issue in cold winter months as it is in the summer.
  • Dress in several layers so you can remove a layer as needed.
  • Spray the snow shovel blade with a environmentally friendly lubricant, such as Pam cooking spray, to help snow slide off easier
  • Warm up your muscles before shoveling, by walking for a few minutes or marching in place. Stretch the muscles in your arms and legs, because warm muscles will work more efficiently and be less likely to be injured.
  • Pick the right shovel for you. A smaller blade will require you to lift less snow, putting less strain on your body.
  • Begin shoveling slowly to avoid placing a sudden demand on your heart. Pace yourself and take breaks as needed.
  • Avoid quick jerky motions;
    Switch the shovel periodically from one hand to the other.

  • Protect your back from injury by lifting correctly. Stand with your feet about hip width for balance and keep the shovel close to your body. Bend from the knees (not the back) and tighten your stomach muscles as you lift the snow. Avoid twisting movements. If you need to move the snow to one side reposition your feet to face the direction the snow will be going.
  • Most importantly — listen to your body. Stop if you feel pain!
  • Lastly, if you have a layer of ice underneath the snow pack, you may be better off to leave the snow on top which provides a less of a slip hazard.

Safety is as simple as ABC – Always Be Careful!


Information provided by the CDC and North Dakota State University


Today’s Blog post is courtesy of Ken Oswald

Safety and Security Manager for Plateau



Is your overtime killing you?

According to a new study, due to be released in the upcoming issue of “Heart” journal, the answer is “yes!” unless you are keeping physically fit. According to research, men who aren’t staying fit more than double their risk of heart disease if they work long hours. The article gives the following information:

  • Compared with men who worked less than 40 hours per week, unfit men who worked 41 to 45 hours a week were 59% more likely to die of heart disease, although they were not more likely to die of other causes.
  • Compared with unfit men, those who were physically fit and worked longer hours were 45% less likely to die of heart disease and 38% less likely to die of other causes.
  • Being both unfit and working more than 45 hours per week more than doubled a man’s risk of dying of heart disease compared with those who worked less than 40 hours per week.

Source: http://www.medicinenet.com/script/main/art.asp?articlekey=119510

Is Christmas hard on your heart?

In the story of the Grinch, his heart which was two sizes too small, grew. Seems that Dr Seuss might inadvertently have stumbled on something important.

Turns out that your heart might give you problems during the holidays unless you learn to control your stress levels. According to a podcast from the American Physiological Society available for streaming here, heart attack deaths peak on Christmas and New Years.

It was originally thought that the problem was related to the cold weather but cardiologist Robert Kloner of the Keck School of Medicine and Good Samaritan Hospital found that the trend held true for Los Angeles as well.

After a long list of probable causes were eliminated one by one, it was concluded that the culprit was stress.

It has long been known that the holidays are the most stressful time of the year but apparently we now have one more thing to stress about; your heart!

So… learning to simplify and distress Christmas and learning how to properly handle stress just got more important with the holidays on the way. The American Heart Association is a great place to start. Download “How can I Manage Stress?” to learn more about it.

This week is National Heart Failure Awareness Week

This week, February 8 – 14 is National Heart Failure Awareness Week. Because most people who have the disease don’t know that they have it, it is important people to learn what the symptoms are and to schedule a medical check-up to have the problem diagnosed. That’s, in effect, what this awareness week is all about.

The symptoms to look for are:

Shortness of breath – Even with little to no exercise, you feel like you aren’t getting enough air.

Fast or heavy heart rate – Does your heart feel like it’s pounding and/or racing?

Coughing – A cough that just won’t go away

Swollen ankles or legs – This swelling is caused by the fluid retention that is typical of heart failure.

Loss of appetite – Consistently not hungry when you should be

Sudden, rapid weight gain – We all gain weight at times but if you see a rapid increase or a sudden increase, especially if you haven’t changed your dietary habits, then you should see a doctor as soon as possible.

Nausea – Feeling queasy or sick to your stomach

Physical fatigue – Feeling overtired, especially a sudden onset of fatigue

While most of the above symptoms hit most of us at some time on another, if you start seeing more than one of these combined or if any of them hit suddenly, you need to make sure you get in and see a doctor. There is no cure for heart disease but changes in lifestyle, diet, exercise combined with medication can help you manage it and continue to lead a great life.