Sound Medicine -- September 14, 2002

Barbara Lewis and Dr. Kathy Miller talk to physicians and experts about heart conditions:

A new heart-synchronizing pacemaker
Polycystic ovary syndrome and heart disease
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Heart-synchronizing pacemaker

Between two and three million Americans have heart failure, with 39,000 people dying each year from it and 400,000 new cases diagnosed annually. Heart failure usually develops slowly over the course of many years as the heart loses its pumping ability. Symptoms often don't present until the heart is severely damaged and weakened. They include shortness of breath and fatigue, which eventually debilitate the patient. Now, a new type of pacemaker that resynchronizes the heart offers new promise.

We talk with cardiologist Dr. J.D. Graham. He defines heart failure as a weakened heart muscle, which can be caused by a virus or by conditions such as high blood pressure, clogged arteries and heart attacks. Dr. Graham discusses medications that help, even improve heart's condition.

For hearts with a damaged electrical system, the new, bi-ventricular pacemaker works constantly to synchronize the heart muscle, which ensures better ejection of blood. He reports patients experience significant improvement in their quality of life. Dr. Graham explains the mechanics of pacemakers, how they're installed, and how long they last. He also provides warnings about magnetic waves for wearers.

Dr. J.D. Graham is a cardiologist with Indiana Heart Physicians and St. Francis Hospital and Health Centers.

Resources
Dr. Graham recommends the following links:
The American Heart Association provides information for maintaining a healthy heart.
The American College of Cardiology Web is primarily for medical professionals, but curious individuals will find good reading under "media, journals, & news."
The Mayo Clinic Web site has a section dedicated to heart and blood vessel health which discusses conditions like congestive heart failure.


Polycystic ovary syndrome

Polycystic ovary syndrome affects 5 to 10 percent of women in their reproductive years and is a leading cause of infertility. The syndrome is defined by symptoms such as obesity, irregular menstrual cycles, elevated testosterone levels that can cause excess body hair, and ovarian cysts. But perhaps more serious is the high risk of diabetes and cardiovascular disease among women with PCOS. In fact, women with PCOS have a risk of heart attack seven times the normal.

We talk with Dr. Brad Weinberg, cardiologist with the Indiana Heart Hospital, part of Community Health Network, and Reyna Dodd, whose 21-year-old daughter died of heart disease as a complication of PCOS.

Mrs. Dodd, an educator and advocate for PCOS, describes her daughter's illness and death of coronary artery disease. Dr. Weinberg explains the recently made connection between PCOS and heart disease. Women at risk have higher blood sugars, hypertension, diabetes, poor cholesterol levels and obesity. Dr. Weinberg advises PCOS patients to pay attention to these accompanying metabolic conditions. He says that at the moment, these problems are what doctors treat.

Resources
The American Heart Association published a journal report in June 2002 detailing recent research linking PCOS and heart disease.
A MEDLINEplus page with many links to information about PCOS, including research and news about the condition.
The PCOTeen support group is for young women with PCOS. It offers chat, message boards and email lists.
 
We're pleased to thank our founding sponsors: IU Medical Group, Clarian Health and Wishard Health Services.

Upcoming programs:
We talk with founder of Doctors Without Borders, Dr. Patrick Aeberhard. We also cover the topic of overweight children and the importance of napping as an adult.

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Health Quiz —
How frequently can you donate blood?

Blood transfusions are a vital part of mass casualty response, as we all learned during the aftermath of last September's terrorist attacks, and blood banks were soon filled by donations from those who wanted to do whatever they could to help. According to the American Association of Blood Banks, less than 5% of people eligible to give blood do so. How frequently may the average healthy person donate blood?

a. once a year
b. 4 times a year
c. 6 times a year
d. once a week

Find out!
Medical mystery — Unsaturated versus saturated fats

"Low-fat," "fat-free" and "heart-healthy." It's almost impossible to walk through the supermarket without reminders to watch our fat intake. But what exactly should we be looking for
when we read nutrition labels and see percentages of unsaturated versus saturated fat?

Find out!


Weekly Notebook—
West Nile facts

IU School of Medicine neurologist Dr. Karen Roos voices the concern of many health officials when she says it's likely the West Nile virus will mutate, like a flu virus, and become stronger and harder to control. Also, when applying DEET insect repellent to young children, Roos advises keeping the substance off their hands so it doesn't get in their mouths or irritate their eyes. Here are more West Nile facts:
  • As of Sept. 13, there have been 57 probable human cases of West Nile virus in Indiana.
  • In the past, most cases of West Nile disease have been reported in September and early October.
  • A person bitten by an infected mosquito may show symptoms from 3 to 15 days after the bite.
  • Severe cases are most common in individuals over 50 years old or those with weakened immune systems.
 
Source: Indiana State Department of Health