1 00:00:03,400 --> 00:00:05,400 Speaker 1: Hello Sunshine, Hey bessies. 2 00:00:05,600 --> 00:00:08,239 Speaker 2: Today on the bright side, it's Wellness Wednesday, and we're 3 00:00:08,240 --> 00:00:11,280 Speaker 2: tackling a topic that affects millions of women every year, 4 00:00:11,720 --> 00:00:15,040 Speaker 2: heart disease. Cardiologist doctor Jennifer Haith is here to drop 5 00:00:15,080 --> 00:00:17,640 Speaker 2: some truth bombs and share a few surprising tips that 6 00:00:17,840 --> 00:00:21,400 Speaker 2: honestly could save your life. It's Wednesday, February twelve. I'm 7 00:00:21,400 --> 00:00:22,640 Speaker 2: Simone Voice, I'm. 8 00:00:22,560 --> 00:00:27,840 Speaker 3: Danielle Robe and this is the bright side from Hello Sunshine. 9 00:00:29,480 --> 00:00:32,479 Speaker 2: All right, besties. All week we are talking love and 10 00:00:32,520 --> 00:00:35,680 Speaker 2: relationships as we look forward to Valentine's Day this Friday. 11 00:00:35,840 --> 00:00:38,680 Speaker 2: We hope you've got your Gallantine's Day plans in order. 12 00:00:39,120 --> 00:00:41,640 Speaker 2: And for today's Wellness Wednesday, we're talking about the one 13 00:00:41,680 --> 00:00:44,519 Speaker 2: thing that symbolizes all things love and romance. 14 00:00:45,040 --> 00:00:51,159 Speaker 3: Our heart be still our hearts. Okay, this is actually serious. 15 00:00:51,200 --> 00:00:55,280 Speaker 3: February is American Heart Month, a time when everyone is 16 00:00:55,400 --> 00:00:59,280 Speaker 3: encouraged to focus on their cardiovascular health, and for good reason. 17 00:00:59,680 --> 00:01:02,200 Speaker 3: This may come as a surprise to everybody, but heart 18 00:01:02,240 --> 00:01:04,880 Speaker 3: disease is the leading cause of death in the United 19 00:01:04,880 --> 00:01:09,160 Speaker 3: States and unfortunately the leading killer of women, more so 20 00:01:09,240 --> 00:01:12,520 Speaker 3: than breast cancer, and estimated one in four women will 21 00:01:12,560 --> 00:01:14,320 Speaker 3: die from some form of the disease. 22 00:01:14,560 --> 00:01:17,440 Speaker 2: I mean one in four women. That is a truly 23 00:01:17,480 --> 00:01:20,440 Speaker 2: shocking number. And I was also surprised to learn that 24 00:01:20,480 --> 00:01:22,720 Speaker 2: even though heart disease is the leading cause of death, 25 00:01:22,920 --> 00:01:27,400 Speaker 2: an estimated eighty percent of cardiovascular disease is preventable. Just 26 00:01:27,400 --> 00:01:29,720 Speaker 2: to say that one more time, it's preventable, it's mind blessing. 27 00:01:29,760 --> 00:01:33,200 Speaker 2: So if you are as surprised by these statistics as 28 00:01:33,200 --> 00:01:35,520 Speaker 2: we are, just know that there are a lot of 29 00:01:35,520 --> 00:01:38,480 Speaker 2: things that we can actually start doing today to feel 30 00:01:38,520 --> 00:01:42,080 Speaker 2: empowered on this journey of lowering our risk for her 31 00:01:42,120 --> 00:01:42,720 Speaker 2: heart disease. 32 00:01:43,080 --> 00:01:46,800 Speaker 3: Absolutely, and I think it goes without saying that we 33 00:01:46,840 --> 00:01:50,800 Speaker 3: all know the importance of eating well, exercising, sleeping well, 34 00:01:51,360 --> 00:01:53,960 Speaker 3: and our guest today is building on that. She's sharing 35 00:01:54,000 --> 00:01:56,560 Speaker 3: some lesser known ways that we can protect our hearts 36 00:01:56,920 --> 00:01:57,920 Speaker 3: and improve. 37 00:01:57,600 --> 00:01:59,000 Speaker 1: Our cardiovascular health. 38 00:01:59,400 --> 00:02:03,800 Speaker 3: Doctor Jennif for Haith is a cardiologist and Columbia University professor. 39 00:02:04,280 --> 00:02:09,440 Speaker 3: She specializes in heart failure, cardiac transplant, and women's cardiovascular disease. 40 00:02:10,080 --> 00:02:12,640 Speaker 3: Doctor Jennifer hath Welcome to the bright Side. 41 00:02:12,800 --> 00:02:14,520 Speaker 4: Hi, thank you so much for having me. 42 00:02:14,880 --> 00:02:17,200 Speaker 1: We're really grateful for your time today. 43 00:02:17,560 --> 00:02:22,080 Speaker 3: The stats around heart disease are equal parts terrifying and empowering. 44 00:02:22,600 --> 00:02:25,840 Speaker 3: We just mentioned that cardiovascular disease is the number one 45 00:02:25,919 --> 00:02:29,120 Speaker 3: killer of women, but it's also preventable eighty percent of 46 00:02:29,160 --> 00:02:32,200 Speaker 3: the time. I just want to reiterate that eighty percent 47 00:02:32,240 --> 00:02:34,800 Speaker 3: of the time. Can you help us make sense of 48 00:02:34,840 --> 00:02:37,680 Speaker 3: that contradiction. If heart disease is so preventable, why is 49 00:02:37,720 --> 00:02:40,160 Speaker 3: it still the leading cause of death in the United States. 50 00:02:40,400 --> 00:02:42,800 Speaker 5: It's a really good question, and it's probably the most 51 00:02:42,800 --> 00:02:45,160 Speaker 5: important thing we should talk about today, which is that 52 00:02:46,160 --> 00:02:49,320 Speaker 5: most of heart disease is in fact preventable and also 53 00:02:49,480 --> 00:02:52,239 Speaker 5: very treatable, which is part of why I picked cardiology 54 00:02:52,280 --> 00:02:57,040 Speaker 5: as my profession. The reason that people develop heart disease 55 00:02:57,200 --> 00:02:58,120 Speaker 5: is usually. 56 00:02:57,840 --> 00:02:59,440 Speaker 4: The combination of factors. 57 00:02:59,480 --> 00:03:02,480 Speaker 5: So there are risk factors that predispose you, and it's 58 00:03:02,520 --> 00:03:06,320 Speaker 5: a lot of women and men, but women especially where 59 00:03:06,320 --> 00:03:09,680 Speaker 5: since we're talking about women, don't necessarily take care of 60 00:03:09,680 --> 00:03:14,200 Speaker 5: these risk factors. And so when you have unchecked diabetes, 61 00:03:14,280 --> 00:03:19,720 Speaker 5: high blood pressure, obesity, tobacco use, sedentary lifestyle. I mean, 62 00:03:19,800 --> 00:03:22,680 Speaker 5: the list goes on high cholesterol, and you don't treat 63 00:03:22,720 --> 00:03:26,800 Speaker 5: those from an early age. Those things add up and 64 00:03:26,840 --> 00:03:29,639 Speaker 5: you end up with having heart disease. But if from 65 00:03:29,680 --> 00:03:31,960 Speaker 5: a young age people were paying more attention to these 66 00:03:32,040 --> 00:03:35,400 Speaker 5: risk factors and modifying them, you really would see a 67 00:03:35,480 --> 00:03:37,600 Speaker 5: dramatic reduction in heart disease in women. 68 00:03:37,680 --> 00:03:38,080 Speaker 4: Wow. 69 00:03:39,240 --> 00:03:43,360 Speaker 3: I also learned through researching for this interview that there's 70 00:03:43,400 --> 00:03:46,320 Speaker 3: been an increase in heart attacks for women ages thirty 71 00:03:46,360 --> 00:03:49,720 Speaker 3: five to fifty four. Thirty five to fifty four is 72 00:03:49,840 --> 00:03:53,320 Speaker 3: very young, and that's increased over the past two decades. 73 00:03:53,360 --> 00:03:54,680 Speaker 3: What does that increase about. 74 00:03:54,880 --> 00:03:56,360 Speaker 4: There's a couple of different reasons. 75 00:03:56,520 --> 00:04:01,400 Speaker 5: One is that women are now working in the workforce 76 00:04:01,840 --> 00:04:04,760 Speaker 5: in a similar capacity to men, and so for a 77 00:04:04,800 --> 00:04:07,680 Speaker 5: long time, you know, when women were not as much 78 00:04:07,720 --> 00:04:10,520 Speaker 5: a part of the workforce, cardiac disease was more prevalent 79 00:04:10,560 --> 00:04:13,240 Speaker 5: in men. Thought to be you know, in part related 80 00:04:13,280 --> 00:04:16,320 Speaker 5: to stress of you know, having a job and you know, 81 00:04:16,400 --> 00:04:17,960 Speaker 5: manual labor and things like that. 82 00:04:18,360 --> 00:04:20,920 Speaker 4: But women are also now falling. 83 00:04:20,640 --> 00:04:23,800 Speaker 5: Victim to the same risk factors that men have had 84 00:04:23,880 --> 00:04:24,359 Speaker 5: for years. 85 00:04:24,440 --> 00:04:24,640 Speaker 4: Right. 86 00:04:24,720 --> 00:04:29,120 Speaker 5: So smoking obesity huge problem in this country, and we're 87 00:04:29,160 --> 00:04:32,240 Speaker 5: seeing it younger, So women have those risk factors younger. 88 00:04:33,000 --> 00:04:37,320 Speaker 5: Diabetes again goes hand in hand with obesity, so women 89 00:04:37,400 --> 00:04:42,320 Speaker 5: developing insulin resistance at younger ages, higher blood pressure is 90 00:04:42,360 --> 00:04:44,920 Speaker 5: a result. So all of these things are really wrapped together. 91 00:04:45,480 --> 00:04:48,760 Speaker 5: And when you have a more sedentary lifestyle or you 92 00:04:49,080 --> 00:04:55,080 Speaker 5: are now working more longer hours overnight shifts, not not 93 00:04:55,240 --> 00:04:58,480 Speaker 5: aware that you are now at risk for diabetes, hypertension, 94 00:04:58,560 --> 00:05:01,640 Speaker 5: high cholesterol. Those things are all putting women at increased risk. 95 00:05:02,200 --> 00:05:05,120 Speaker 5: Women are also at higher risk for something called SCAD, 96 00:05:05,360 --> 00:05:08,599 Speaker 5: which is spontaneous cornary artery dissection. Is something you know 97 00:05:08,680 --> 00:05:10,520 Speaker 5: you may read about or hear about in the news 98 00:05:10,560 --> 00:05:15,040 Speaker 5: where the blood vessel wall actually splits apart and kind 99 00:05:15,040 --> 00:05:17,560 Speaker 5: of causes the blood vessel to close and cause a 100 00:05:17,600 --> 00:05:20,919 Speaker 5: heart attack, and that is common in women, particularly women 101 00:05:20,960 --> 00:05:25,039 Speaker 5: in the peripartum period. It's a very poorly understood phenomenon 102 00:05:25,120 --> 00:05:28,800 Speaker 5: where hormones may play a role, stress may play a role. 103 00:05:29,000 --> 00:05:31,320 Speaker 5: You know, we don't really know, but we know that 104 00:05:31,360 --> 00:05:34,839 Speaker 5: it affects women more than men, and that it's scary 105 00:05:34,960 --> 00:05:38,360 Speaker 5: because it's not so easily treated. So you know, there's 106 00:05:38,400 --> 00:05:41,479 Speaker 5: a lot of different things that play But you're right, 107 00:05:41,560 --> 00:05:44,120 Speaker 5: and being younger and being more aware of your risk 108 00:05:44,160 --> 00:05:47,120 Speaker 5: of heart disease is so important because it's when you 109 00:05:47,200 --> 00:05:51,400 Speaker 5: start young taking care of yourself. You're really preventing so 110 00:05:51,600 --> 00:05:53,600 Speaker 5: much misery down the road. 111 00:05:54,240 --> 00:05:57,640 Speaker 3: I was looking at your Instagram account and it says 112 00:05:57,680 --> 00:06:03,000 Speaker 3: that you encourage people to eat using the Mediterranean diet, 113 00:06:03,040 --> 00:06:05,599 Speaker 3: which I'd like to get into more. But I do 114 00:06:05,680 --> 00:06:07,360 Speaker 3: think that that seems like that's something you can do 115 00:06:07,400 --> 00:06:08,560 Speaker 3: at a young age. Yeah. 116 00:06:08,600 --> 00:06:11,880 Speaker 5: I mean, unfortunately, our diet is terrible in the United States, 117 00:06:12,400 --> 00:06:16,880 Speaker 5: and I think we're very fixated on being very intense 118 00:06:16,920 --> 00:06:20,160 Speaker 5: about different kinds of diets, and that's why there's. 119 00:06:19,920 --> 00:06:21,200 Speaker 4: Been so many diet books. 120 00:06:21,240 --> 00:06:23,960 Speaker 5: And you know, it's not sexy to just eat like 121 00:06:24,000 --> 00:06:27,479 Speaker 5: a balanced, normal diet, but that's actually the best thing 122 00:06:27,520 --> 00:06:30,680 Speaker 5: for you, you know. So what I tell patients is, 123 00:06:31,520 --> 00:06:34,599 Speaker 5: you know Mediterranean diet, like avoid butter, use olive oil, 124 00:06:35,080 --> 00:06:38,679 Speaker 5: have salads, have vegetables, have fruits, have nuts, try. 125 00:06:38,520 --> 00:06:40,200 Speaker 4: To limit meat, you know, takee. 126 00:06:40,279 --> 00:06:44,200 Speaker 5: You can have chicken, white meats, very focused on fish. 127 00:06:44,880 --> 00:06:47,560 Speaker 5: It's not so hard to stick to it. 128 00:06:47,560 --> 00:06:48,440 Speaker 4: It's pretty simple. 129 00:06:48,520 --> 00:06:51,680 Speaker 5: You just have to commit to like a healthier diet, 130 00:06:51,680 --> 00:06:53,480 Speaker 5: not eating fast food, fried food. 131 00:06:53,560 --> 00:06:56,280 Speaker 4: It's so part of our culture. Unfortunately. 132 00:06:57,000 --> 00:07:01,400 Speaker 1: Talk to me about genetics here. If your grandmother or 133 00:07:01,400 --> 00:07:03,640 Speaker 1: your mother suffers, are you more likely to suffer. 134 00:07:04,080 --> 00:07:07,960 Speaker 5: Yeah, So genetics of heart disease is fascinating. Some of 135 00:07:08,080 --> 00:07:13,160 Speaker 5: the diseases are clearly genetically based, are inherited. There's such 136 00:07:13,200 --> 00:07:17,239 Speaker 5: a bigger push for genetic testing. And so not only 137 00:07:17,320 --> 00:07:21,080 Speaker 5: is that helping us identify, you know, causes for some 138 00:07:21,160 --> 00:07:24,160 Speaker 5: of the syndromes we're seeing, but it also helps women 139 00:07:25,040 --> 00:07:28,320 Speaker 5: know that they should screen their children, or that their 140 00:07:28,360 --> 00:07:32,440 Speaker 5: parents should be screened, you know, if they have something 141 00:07:32,440 --> 00:07:33,960 Speaker 5: that their parents may not have known about, or their 142 00:07:34,000 --> 00:07:35,200 Speaker 5: siblings should be screened. 143 00:07:35,720 --> 00:07:37,000 Speaker 4: And it's fascinating. 144 00:07:37,000 --> 00:07:41,560 Speaker 5: I mean, there's genetic associations with almost every single heart problem. 145 00:07:41,600 --> 00:07:43,360 Speaker 4: We know some more than others. 146 00:07:43,520 --> 00:07:46,640 Speaker 5: And it is crucial for women to talk about their 147 00:07:47,240 --> 00:07:49,560 Speaker 5: family history with their family. 148 00:07:49,600 --> 00:07:50,960 Speaker 4: And it's interesting. 149 00:07:51,040 --> 00:07:54,880 Speaker 5: Women are embarrassed historically to talk about their heart disease. 150 00:07:55,520 --> 00:07:58,240 Speaker 5: They feel like it's a man's disease, you know. I 151 00:07:58,280 --> 00:08:01,760 Speaker 5: always say in the movies, you see a woman like 152 00:08:02,280 --> 00:08:04,560 Speaker 5: playing tennis and then having a heart attack or having 153 00:08:04,600 --> 00:08:06,239 Speaker 5: a heart attack in the middle of having sex. 154 00:08:06,320 --> 00:08:07,760 Speaker 4: Right, that's so true. 155 00:08:08,200 --> 00:08:13,200 Speaker 5: Right, And also this association with this like overweight, smoking, 156 00:08:13,520 --> 00:08:18,840 Speaker 5: cheeseburger eating man, you know, and that is not the case. 157 00:08:19,000 --> 00:08:22,080 Speaker 5: And there's many women who do not fit that profile. 158 00:08:22,120 --> 00:08:24,440 Speaker 5: I mean even people who run marathons, who are healthy 159 00:08:24,480 --> 00:08:26,640 Speaker 5: and who have maybe, like you're saying, this very strong 160 00:08:26,680 --> 00:08:29,800 Speaker 5: family history of early heart attack that may have nothing 161 00:08:29,840 --> 00:08:31,520 Speaker 5: to do with how much shape you're in, and maybe 162 00:08:31,680 --> 00:08:35,439 Speaker 5: entirely genetically driven, and it's important to be screened. So 163 00:08:35,480 --> 00:08:38,720 Speaker 5: I tell women, talk to your mothers, talk to your siblings, like, 164 00:08:38,800 --> 00:08:40,600 Speaker 5: try to talk about it with your friends. 165 00:08:40,640 --> 00:08:42,040 Speaker 4: Don't have it be embarrassing. 166 00:08:42,080 --> 00:08:45,040 Speaker 5: You know somehow it's not embarrassing to talk about breast 167 00:08:45,120 --> 00:08:49,959 Speaker 5: cancer or other kinds of cancers, but heart disease feels shameful, in. 168 00:08:49,920 --> 00:08:52,839 Speaker 4: Which we as a community are really trying to reverse that. 169 00:08:53,679 --> 00:08:58,079 Speaker 3: Is there a way to override your genetic predisposition? I'm 170 00:08:58,120 --> 00:09:03,000 Speaker 3: thinking obviously lifestyle facts. But can people with a family 171 00:09:03,160 --> 00:09:06,480 Speaker 3: history reduce their risks significantly by doing anything? 172 00:09:07,240 --> 00:09:08,160 Speaker 4: So it depends. 173 00:09:08,480 --> 00:09:14,280 Speaker 5: So if you are inheriting a significant like autosomal dominantly 174 00:09:14,320 --> 00:09:17,959 Speaker 5: inherited genetic abnormality that leads to certain kinds of heart 175 00:09:18,000 --> 00:09:23,920 Speaker 5: failure syndromes like no, probably not, You're maybe predisposed like 176 00:09:24,000 --> 00:09:27,960 Speaker 5: hypertrophic cardimiapathy, you are going to get hypertrophic cardomampathy. But 177 00:09:28,080 --> 00:09:33,320 Speaker 5: what you can do is be screened early so that 178 00:09:33,400 --> 00:09:37,280 Speaker 5: you don't miss it and have a catastrophic event. Know 179 00:09:37,400 --> 00:09:41,840 Speaker 5: what you have, there are medications available like start treatment 180 00:09:41,960 --> 00:09:44,720 Speaker 5: sooner and be aware of it. It's always better to 181 00:09:44,760 --> 00:09:47,920 Speaker 5: be prepared than to have something catastrophic or sudden happen. 182 00:09:48,280 --> 00:09:52,680 Speaker 5: Then you're in much sicker situation. There is a huge 183 00:09:52,720 --> 00:09:55,600 Speaker 5: amount you can do, though, if your genetics predispose you 184 00:09:55,640 --> 00:09:59,480 Speaker 5: to more like athrosclerosis. So if your father was thirty 185 00:09:59,480 --> 00:10:02,800 Speaker 5: five and drop dead, or your mother and was running 186 00:10:02,920 --> 00:10:05,640 Speaker 5: and was otherwise a totally fit person, you know, that 187 00:10:05,679 --> 00:10:08,920 Speaker 5: makes you wonder there's some genetic predisposition. And there's certainly 188 00:10:08,960 --> 00:10:12,840 Speaker 5: some cultures that have much earlier cornary vascular disease than 189 00:10:12,880 --> 00:10:16,280 Speaker 5: other cultures. And so what I recommend for those people is, 190 00:10:16,280 --> 00:10:20,360 Speaker 5: besides you know, eating healthy and taking pills for your 191 00:10:20,400 --> 00:10:23,280 Speaker 5: blood pressure and taking cholesterol medication and making sure you 192 00:10:23,320 --> 00:10:27,080 Speaker 5: don't smoke and exercise, you also should get screened because 193 00:10:27,440 --> 00:10:30,599 Speaker 5: even if you're doing all those things, you can still progress. 194 00:10:30,720 --> 00:10:33,600 Speaker 5: And so if you catch that early and treat it, 195 00:10:33,720 --> 00:10:36,880 Speaker 5: you will be okay, okay and fine. 196 00:10:37,240 --> 00:10:40,920 Speaker 2: So in addition to genetics, when we think about our 197 00:10:40,960 --> 00:10:44,680 Speaker 2: anatomy as women, when we think about our hormones as women, 198 00:10:45,040 --> 00:10:47,960 Speaker 2: what role does all of that play in heart disease. 199 00:10:48,800 --> 00:10:52,880 Speaker 5: So we know that women seem to be protected from 200 00:10:53,000 --> 00:11:00,160 Speaker 5: athoskerotic heart disease until postmenopause, which prompted a big study, 201 00:11:00,400 --> 00:11:03,600 Speaker 5: you know, over twenty years ago now where they looked 202 00:11:03,720 --> 00:11:07,080 Speaker 5: at the use of hormone replacement in women as a 203 00:11:07,160 --> 00:11:10,840 Speaker 5: mechanism to prevent heart disease. You know. The feeling was 204 00:11:11,360 --> 00:11:14,360 Speaker 5: that there was something about estrogen that was protective and 205 00:11:14,400 --> 00:11:17,120 Speaker 5: that once women went through menopause their risk for heart 206 00:11:17,120 --> 00:11:21,120 Speaker 5: disease was the same as men. And so they did 207 00:11:21,160 --> 00:11:23,960 Speaker 5: that study and then they found a higher risk of 208 00:11:24,360 --> 00:11:27,920 Speaker 5: cardiovascular events and the women who were taking estrogen. So 209 00:11:28,200 --> 00:11:31,080 Speaker 5: after that everybody said, oh my god, we can't use 210 00:11:31,120 --> 00:11:33,679 Speaker 5: hormone replacement in women. It kills women, actually gives them 211 00:11:33,720 --> 00:11:36,080 Speaker 5: heart attacks and strokes. And so for like the last 212 00:11:36,160 --> 00:11:39,760 Speaker 5: twenty years, they've taken away hormone replacement for a long time, 213 00:11:40,280 --> 00:11:44,400 Speaker 5: until a few vocal doctors and scientists said, well, actually 214 00:11:44,480 --> 00:11:49,720 Speaker 5: the study was really misinterpreted, and yes, if you have 215 00:11:50,920 --> 00:11:55,559 Speaker 5: risk factors for heart disease, strong family history, hypertension, diabetes, obesity, 216 00:11:55,679 --> 00:12:00,240 Speaker 5: high cholesterol, smoking, and then you take hormone replacement, may 217 00:12:00,280 --> 00:12:00,880 Speaker 5: be increased. 218 00:12:01,280 --> 00:12:03,000 Speaker 4: But if you are a fifty five year. 219 00:12:02,880 --> 00:12:06,480 Speaker 5: Old woman who's otherwise healthy, doesn't have a lot of 220 00:12:06,480 --> 00:12:10,600 Speaker 5: cardiac risk factors or any and you're suffering from horrible 221 00:12:10,600 --> 00:12:16,520 Speaker 5: hot flashes and insomnia, that taking hormone replacement is totally safe. 222 00:12:17,080 --> 00:12:20,120 Speaker 5: Whether or not it's going to prevent you from developing 223 00:12:20,160 --> 00:12:23,600 Speaker 5: heart disease maybe still be up for some debate, but 224 00:12:23,760 --> 00:12:27,760 Speaker 5: its safety is certainly clear. And that you know, I 225 00:12:27,800 --> 00:12:31,000 Speaker 5: think we deprived women of hormone replacement for a long 226 00:12:31,040 --> 00:12:35,439 Speaker 5: time because of sort of this misinterpreted study, and people 227 00:12:35,480 --> 00:12:38,600 Speaker 5: are recognizing that now. So you guys are a little young, 228 00:12:38,800 --> 00:12:42,439 Speaker 5: but when you hit like your late forties, early fifties, 229 00:12:42,679 --> 00:12:45,520 Speaker 5: you'll see, you know, my friends are all asking me, like, 230 00:12:45,559 --> 00:12:46,960 Speaker 5: what do you think about hormone replaces? When you think 231 00:12:46,960 --> 00:12:49,360 Speaker 5: about hormone replace and then tell them like, if you don't, 232 00:12:49,400 --> 00:12:51,200 Speaker 5: you know, we go through their risk factors, and if 233 00:12:51,240 --> 00:12:55,800 Speaker 5: their risk factors, okay, it's definitely okay and can cause 234 00:12:55,800 --> 00:12:59,040 Speaker 5: a lot of relief from a lot of horrible symptoms 235 00:12:59,040 --> 00:12:59,800 Speaker 5: of metopause. 236 00:13:01,080 --> 00:13:04,880 Speaker 2: Okay, let's talk symptoms, especially for heart attacks. This part 237 00:13:04,880 --> 00:13:08,400 Speaker 2: of this conversation is so important. I've heard that women 238 00:13:08,440 --> 00:13:11,520 Speaker 2: are less likely to experience some of the same symptoms 239 00:13:11,559 --> 00:13:13,760 Speaker 2: as men, some of the classic symptoms that we've been 240 00:13:13,800 --> 00:13:16,920 Speaker 2: trained to look for. So what should we be looking for? 241 00:13:17,280 --> 00:13:19,960 Speaker 5: So the number one symptom for a heart attack in 242 00:13:20,040 --> 00:13:23,520 Speaker 5: men or women is going to be chest pain and pressure. Remember, 243 00:13:23,559 --> 00:13:27,240 Speaker 5: it can be a sharp pain, but the traditional what 244 00:13:27,280 --> 00:13:30,200 Speaker 5: we call angina or angenal chest pain of a heart 245 00:13:30,200 --> 00:13:33,679 Speaker 5: attack is often described as like a pressure on the chest, 246 00:13:34,000 --> 00:13:36,160 Speaker 5: like an elephant sitting on your chest, and it's this 247 00:13:36,360 --> 00:13:39,920 Speaker 5: heaviness that you can't quite like, never felt before, but 248 00:13:40,200 --> 00:13:43,320 Speaker 5: also can have pain. So women are more likely to 249 00:13:43,400 --> 00:13:46,720 Speaker 5: have these atypical symptoms, which I say they're not really 250 00:13:46,760 --> 00:13:49,760 Speaker 5: atypical because women can also be typical, but they call 251 00:13:49,800 --> 00:13:50,560 Speaker 5: them a typical. 252 00:13:51,000 --> 00:13:54,800 Speaker 4: So pain in your left arm radiating up to your jaw. 253 00:13:54,920 --> 00:13:57,880 Speaker 5: The reason why we always hear about that, and people 254 00:13:57,920 --> 00:14:01,640 Speaker 5: always don't understand it is that the nerve bundles. 255 00:14:01,120 --> 00:14:04,680 Speaker 4: From your arm and into your jaw. They travel with 256 00:14:04,760 --> 00:14:06,160 Speaker 4: the cardiac nerve bundles. 257 00:14:06,160 --> 00:14:09,559 Speaker 5: So it's not that your arm actually hurts, it's that 258 00:14:10,040 --> 00:14:14,240 Speaker 5: your brain is confusing the pain from the nerves traveling 259 00:14:14,240 --> 00:14:16,640 Speaker 5: from your heart with the nerves traveling from your arm 260 00:14:16,640 --> 00:14:20,880 Speaker 5: and your jaw, So you're feeling a sensation of pain 261 00:14:20,920 --> 00:14:22,960 Speaker 5: in your arm and your jaw, but it's really just 262 00:14:23,480 --> 00:14:26,920 Speaker 5: it's originating really from the heart and it's being misinterpreted. 263 00:14:26,960 --> 00:14:30,520 Speaker 5: Does that make sense, So we call it like referred pain. 264 00:14:32,040 --> 00:14:35,360 Speaker 5: Women are very likely to feel short of breath. I 265 00:14:35,480 --> 00:14:37,400 Speaker 5: try to tell people. It's the kind of thing where 266 00:14:37,760 --> 00:14:40,560 Speaker 5: every day, let's say you walk three blocks to get 267 00:14:40,560 --> 00:14:42,840 Speaker 5: to the subway, you go down the subway stairs, you 268 00:14:42,880 --> 00:14:45,880 Speaker 5: come up the subway stairs. Sometimes everyone feels a little 269 00:14:45,920 --> 00:14:48,200 Speaker 5: short breath when they go upstairs. But if you start 270 00:14:48,200 --> 00:14:50,680 Speaker 5: to say, like the last couple days, or when today 271 00:14:50,720 --> 00:14:53,160 Speaker 5: I walked to the subway and I just couldn't catch 272 00:14:53,200 --> 00:14:55,240 Speaker 5: my breath and I went up the stairs, I couldn't 273 00:14:55,240 --> 00:14:58,440 Speaker 5: catch my breath, that is when I feel worried. 274 00:14:58,600 --> 00:14:59,720 Speaker 4: Take it really seriously. 275 00:15:00,080 --> 00:15:04,480 Speaker 5: Another thing that women feel more commonly is mid epigastric pain. 276 00:15:05,200 --> 00:15:08,360 Speaker 5: So you know, sometimes when you're having a heart attack 277 00:15:08,360 --> 00:15:09,920 Speaker 5: and a certain part of your heart, it can be 278 00:15:10,000 --> 00:15:12,400 Speaker 5: referred to the mid epigastric region. So they were like, 279 00:15:12,480 --> 00:15:14,320 Speaker 5: you'll hear people say, like I didn't feel well. I 280 00:15:14,320 --> 00:15:17,520 Speaker 5: felt the little nauseous. I felt like this kind of 281 00:15:17,560 --> 00:15:21,320 Speaker 5: like I thought I had reflux again. That's also an 282 00:15:21,320 --> 00:15:27,760 Speaker 5: atypical symptom back pain, chest pain, lightheadedness, whoa palpitations. And 283 00:15:27,880 --> 00:15:30,520 Speaker 5: also this, I think this is always an interesting one, 284 00:15:30,560 --> 00:15:33,280 Speaker 5: like a feeling of doom. 285 00:15:32,600 --> 00:15:36,560 Speaker 4: Which feels very strange and sort of like a little. 286 00:15:36,280 --> 00:15:40,560 Speaker 2: Bit sounds like a Sunday to me, like, yeah, Sunday scaries's. 287 00:15:39,880 --> 00:15:42,760 Speaker 5: Exactly, but there is something about this, like I feel 288 00:15:42,760 --> 00:15:45,080 Speaker 5: like there's something not right with me, and I can't 289 00:15:45,200 --> 00:15:47,880 Speaker 5: quite figure out what it is, but I know something's wrong. 290 00:15:48,760 --> 00:15:50,760 Speaker 4: I tell people to take those things seriously. 291 00:15:50,960 --> 00:15:53,640 Speaker 5: So if you don't feel okay, go to a doctor, 292 00:15:53,720 --> 00:15:56,600 Speaker 5: and if you're not happy with what that doctor provider 293 00:15:56,680 --> 00:15:59,560 Speaker 5: told you, get another opinion, or take yourself to the 294 00:15:59,600 --> 00:16:03,040 Speaker 5: emmergence sea room. You know, I've seen a lot of people, 295 00:16:03,120 --> 00:16:06,760 Speaker 5: women in particular, be told that they're having an anxiety attack, 296 00:16:06,800 --> 00:16:09,040 Speaker 5: they're having a panic attack, and maybe some of them 297 00:16:09,040 --> 00:16:11,800 Speaker 5: may be having a panic attack. But before we decide 298 00:16:11,840 --> 00:16:15,720 Speaker 5: it's a panic attack, let's do an EKG and let's 299 00:16:15,800 --> 00:16:18,600 Speaker 5: check your blood work, and let's do a proper evaluation. 300 00:16:19,280 --> 00:16:22,640 Speaker 5: And then only then say it's maybe anxiety or panic. 301 00:16:22,720 --> 00:16:24,920 Speaker 5: Before jumping to that conclusion. 302 00:16:24,760 --> 00:16:28,800 Speaker 3: I want to double down on the anxiety part. I've 303 00:16:28,840 --> 00:16:31,960 Speaker 3: done several interviews in the past about heart health, and 304 00:16:32,360 --> 00:16:35,560 Speaker 3: most of the doctors or researchers that I've talked to 305 00:16:36,240 --> 00:16:39,240 Speaker 3: have said, if there's one thing that you could take 306 00:16:39,280 --> 00:16:41,920 Speaker 3: away from today, it's that if you feel like you 307 00:16:42,000 --> 00:16:45,440 Speaker 3: are having an anxiety attack, make sure that you are 308 00:16:45,480 --> 00:16:48,280 Speaker 3: also making the hospital look at your heart. 309 00:16:48,320 --> 00:16:50,640 Speaker 5: It could save your life one hundred percent. You can 310 00:16:50,840 --> 00:16:53,840 Speaker 5: message of the day, yes, and not always the hospital, 311 00:16:54,320 --> 00:16:56,000 Speaker 5: even if you go to your regularly. If you wait 312 00:16:56,040 --> 00:16:59,360 Speaker 5: and make an appointment with your regular doctor, make sure 313 00:16:59,360 --> 00:17:02,400 Speaker 5: that they're taking you seriously too well. 314 00:17:02,440 --> 00:17:07,280 Speaker 3: A lot of times they dismiss you if you ask 315 00:17:07,359 --> 00:17:10,400 Speaker 3: for that because they're busy or other reasons, and it's 316 00:17:10,400 --> 00:17:12,800 Speaker 3: hard to stand up for yourself in that moment, but 317 00:17:12,880 --> 00:17:16,720 Speaker 3: you really I've now learned anxiety check for heart health. 318 00:17:17,760 --> 00:17:20,520 Speaker 3: I've known a woman who saved her life because of. 319 00:17:20,440 --> 00:17:23,560 Speaker 5: That, and I know people who've lost their lives because 320 00:17:23,600 --> 00:17:27,399 Speaker 5: they haven't done that. And it's sad and terrible, But 321 00:17:27,800 --> 00:17:32,520 Speaker 5: if you don't feel right, go and see someone, and 322 00:17:32,560 --> 00:17:37,440 Speaker 5: then if that person doesn't make you feel like they're 323 00:17:37,560 --> 00:17:40,440 Speaker 5: really taking your symptoms seriously, or you still don't feel 324 00:17:40,480 --> 00:17:43,119 Speaker 5: good after you see that person, go somewhere out go 325 00:17:43,160 --> 00:17:46,440 Speaker 5: to the er, like, yeah, please call nine one one 326 00:17:46,600 --> 00:17:48,600 Speaker 5: and have them take you to the emergency room. If 327 00:17:48,600 --> 00:17:51,159 Speaker 5: you're sitting in your house and you can't breathe and 328 00:17:51,200 --> 00:17:54,520 Speaker 5: you're having pain and you're like nervous, just call numb 329 00:17:54,520 --> 00:17:57,760 Speaker 5: one one. Put yourself first for once, you know it's 330 00:17:57,840 --> 00:17:59,200 Speaker 5: really it is life or death. 331 00:18:00,320 --> 00:18:04,040 Speaker 3: Haith, I just want to underscore everything you just said 332 00:18:04,080 --> 00:18:06,800 Speaker 3: with a statistic I came across that seventy two percent 333 00:18:06,800 --> 00:18:09,399 Speaker 3: of women who had a heart attack waited more than 334 00:18:09,480 --> 00:18:12,000 Speaker 3: ninety minutes to go to the hospital or call nine 335 00:18:12,040 --> 00:18:17,800 Speaker 3: one one. In your experience, I can't imagine that all 336 00:18:17,840 --> 00:18:18,560 Speaker 3: of that is shame. 337 00:18:18,760 --> 00:18:20,760 Speaker 1: Why are women not calling for help? 338 00:18:21,359 --> 00:18:22,679 Speaker 4: I think there's also fear. 339 00:18:23,240 --> 00:18:25,439 Speaker 5: I mean I think there's a you know, there is 340 00:18:25,520 --> 00:18:29,040 Speaker 5: a shame part or a I don't want to bother anybody, 341 00:18:29,520 --> 00:18:32,720 Speaker 5: or I have other stuff to do and I'll deal 342 00:18:32,760 --> 00:18:36,320 Speaker 5: with it later. But I think people are scared, right, Like, 343 00:18:36,359 --> 00:18:39,840 Speaker 5: having a heart attack is scary. And what I think 344 00:18:39,880 --> 00:18:44,000 Speaker 5: is important for me to convey to your audience is 345 00:18:44,000 --> 00:18:47,359 Speaker 5: that there's all different kinds of heart attacks. Right, there's 346 00:18:48,640 --> 00:18:51,720 Speaker 5: really big heart attack that could chill you right on 347 00:18:51,760 --> 00:18:54,160 Speaker 5: the spot, but there's also small heart attacks. 348 00:18:54,200 --> 00:18:54,360 Speaker 4: Right. 349 00:18:54,400 --> 00:18:57,720 Speaker 5: The heart has three big arteries, but there's branches of 350 00:18:57,800 --> 00:18:59,879 Speaker 5: vessels off of all of those arteries, and some of 351 00:18:59,880 --> 00:19:02,399 Speaker 5: them can be small and they can do damage. But 352 00:19:03,080 --> 00:19:05,920 Speaker 5: I don't want people to be scared that the outcome 353 00:19:05,960 --> 00:19:07,879 Speaker 5: may be that they go to the hospital and that 354 00:19:07,920 --> 00:19:10,360 Speaker 5: they get a stent and that they have to take 355 00:19:10,400 --> 00:19:13,000 Speaker 5: some medication, you know, for their cholesterol and a baby 356 00:19:13,040 --> 00:19:16,359 Speaker 5: aspen for the rest of their life, or a few medications. 357 00:19:16,359 --> 00:19:18,960 Speaker 4: And I think there's this avoidance and denial of what 358 00:19:19,040 --> 00:19:20,080 Speaker 4: those symptoms are. 359 00:19:21,480 --> 00:19:24,320 Speaker 5: And so it's really important to try to push that 360 00:19:24,400 --> 00:19:27,640 Speaker 5: to the side and recognize that if you keep doing that, 361 00:19:27,760 --> 00:19:31,200 Speaker 5: either you could have a catastrophic event or over time, 362 00:19:31,280 --> 00:19:33,440 Speaker 5: even if it's little heart attacks, like for instance, in 363 00:19:33,520 --> 00:19:37,040 Speaker 5: diabetics who may not feel this heart attack the same 364 00:19:37,080 --> 00:19:40,520 Speaker 5: way as other people because of how diabetes works, that 365 00:19:40,800 --> 00:19:43,240 Speaker 5: even though the heart attack may not be actually killing 366 00:19:43,320 --> 00:19:46,200 Speaker 5: them on the spot, they are developing a heart failure syndrome. 367 00:19:46,560 --> 00:19:49,000 Speaker 4: And so what our goal is in taking care of 368 00:19:49,000 --> 00:19:51,480 Speaker 4: people is really we want you. 369 00:19:51,560 --> 00:19:55,720 Speaker 5: To be like super healthy, healthy, exercise and then like 370 00:19:56,000 --> 00:19:58,480 Speaker 5: drop dead when you're ninety five, right, like fall die 371 00:19:58,480 --> 00:19:59,080 Speaker 5: in your sleep. 372 00:19:59,119 --> 00:20:00,520 Speaker 4: That would be everybody goal, right. 373 00:20:00,520 --> 00:20:03,560 Speaker 5: They don't want to suffer with some kind of chronic 374 00:20:03,600 --> 00:20:07,240 Speaker 5: illness and they want to be active. I mean, another 375 00:20:07,280 --> 00:20:10,040 Speaker 5: important thing that I want to tell women about being 376 00:20:10,080 --> 00:20:13,560 Speaker 5: active is that it's so important to start when you're 377 00:20:13,600 --> 00:20:17,119 Speaker 5: young and stay active through your life. I understand that 378 00:20:17,119 --> 00:20:19,960 Speaker 5: there are times where you can't always be as active 379 00:20:20,000 --> 00:20:24,239 Speaker 5: as other times, but even just practicing standing up from 380 00:20:24,280 --> 00:20:26,600 Speaker 5: a seated position in a chair. You know, we know 381 00:20:26,720 --> 00:20:30,600 Speaker 5: that women and men who have more core strength and 382 00:20:30,720 --> 00:20:33,560 Speaker 5: can do activities in their seventies and eighties like stand 383 00:20:33,640 --> 00:20:35,800 Speaker 5: up by themselves from a chair with no hands or 384 00:20:36,280 --> 00:20:39,000 Speaker 5: you know, have that inner strength, have a longer life 385 00:20:39,040 --> 00:20:42,359 Speaker 5: expectancy and do better. And so that is also really, 386 00:20:42,400 --> 00:20:46,000 Speaker 5: really maybe the most important thing for people to be 387 00:20:46,000 --> 00:20:46,399 Speaker 5: aware of. 388 00:20:48,160 --> 00:20:49,760 Speaker 2: We've got to take a quick break, but we'll be 389 00:20:49,840 --> 00:21:01,479 Speaker 2: right back to our conversation with doctor Jennifer Haith and 390 00:21:01,480 --> 00:21:04,080 Speaker 2: we're back to Wellness Wednesday with doctor Jennifer Haith. 391 00:21:04,760 --> 00:21:07,919 Speaker 3: Well, I want to speak next about something that I 392 00:21:07,960 --> 00:21:11,920 Speaker 3: know you get excited about talking about which is prevention, 393 00:21:12,200 --> 00:21:13,840 Speaker 3: so exercise food. 394 00:21:13,880 --> 00:21:15,399 Speaker 1: Can we get into the nitty gritty of that. 395 00:21:15,920 --> 00:21:17,879 Speaker 4: Yeah, I mean, it's funny what you said before. 396 00:21:17,920 --> 00:21:19,600 Speaker 5: But like I was like one day, I was like, 397 00:21:19,600 --> 00:21:21,280 Speaker 5: I think I'm going to write a book that's called 398 00:21:21,359 --> 00:21:23,480 Speaker 5: like eat Less, Move More. 399 00:21:23,680 --> 00:21:25,840 Speaker 4: And then I was like, but that's kind of like 400 00:21:25,920 --> 00:21:28,080 Speaker 4: that's it. I don't know what I put in the rest. 401 00:21:27,920 --> 00:21:28,320 Speaker 2: Of the book. 402 00:21:28,880 --> 00:21:31,040 Speaker 4: I don't know how many pages there are for that story. 403 00:21:31,760 --> 00:21:35,080 Speaker 5: I just I think my message for people is, well, 404 00:21:35,119 --> 00:21:38,040 Speaker 5: first of all, we haven't even talked about the whole 405 00:21:38,080 --> 00:21:41,600 Speaker 5: glip one, Munjaro and all of these you know, ozembic 406 00:21:41,680 --> 00:21:44,119 Speaker 5: and these drugs, which, by the way, you know, I 407 00:21:44,200 --> 00:21:49,800 Speaker 5: know some people feel are controversial, but from a cardiovascular perspective, 408 00:21:50,600 --> 00:21:54,760 Speaker 5: the data suggests an incredible mortality morbidity benefit. 409 00:21:55,040 --> 00:21:58,480 Speaker 4: So really, yes, very. 410 00:21:58,440 --> 00:21:59,520 Speaker 1: That's wonderful to hear. 411 00:21:59,600 --> 00:22:04,840 Speaker 5: Yeah, very protective cardiovascular, so they have a lot of 412 00:22:04,960 --> 00:22:08,439 Speaker 5: cardiovasterlar benefit. Weight loss, I know is very hard for people, 413 00:22:09,000 --> 00:22:11,600 Speaker 5: and I think the concept of exercise is very hard 414 00:22:11,600 --> 00:22:12,919 Speaker 5: for people who are overweight. 415 00:22:13,400 --> 00:22:15,000 Speaker 4: But there are ways to do it, you know. 416 00:22:15,040 --> 00:22:17,119 Speaker 5: I don't expect anyone to jump on a treadmill and 417 00:22:17,160 --> 00:22:19,199 Speaker 5: do forty five minutes of running. I tell people to 418 00:22:19,240 --> 00:22:21,760 Speaker 5: start really slow and try to incorporate it with something 419 00:22:21,800 --> 00:22:26,480 Speaker 5: they'd like. So if you like to listen to podcasts, 420 00:22:26,680 --> 00:22:28,760 Speaker 5: or if you like to listen to books on tape, 421 00:22:28,880 --> 00:22:30,760 Speaker 5: or if you have a really best friend that you 422 00:22:30,880 --> 00:22:33,760 Speaker 5: like to talk to, like start with just all you 423 00:22:33,800 --> 00:22:37,000 Speaker 5: really need is a pair of sneakers and just start 424 00:22:37,040 --> 00:22:37,919 Speaker 5: by taking a walk. 425 00:22:38,400 --> 00:22:41,160 Speaker 4: And if you're really obese or really out of shape. 426 00:22:40,880 --> 00:22:43,320 Speaker 5: It can be ten minutes and then make it, you know, 427 00:22:43,400 --> 00:22:46,000 Speaker 5: fifteen minutes and it's just you got to just start 428 00:22:46,040 --> 00:22:48,280 Speaker 5: somewhere and it can take a long time, but you 429 00:22:48,359 --> 00:22:51,000 Speaker 5: will see a dramatic effect over time. 430 00:22:51,240 --> 00:22:53,440 Speaker 1: Does it matter how high you get your heart rate? 431 00:22:54,280 --> 00:22:56,240 Speaker 5: Well, I mean, you know, look not in the beginning, 432 00:22:56,320 --> 00:22:58,399 Speaker 5: Like my goal is to first get people off the 433 00:22:58,440 --> 00:23:01,080 Speaker 5: couch and just moving a little bit. If we're talking 434 00:23:01,160 --> 00:23:04,240 Speaker 5: about peak fitness, you know, to twenty minus your age 435 00:23:04,400 --> 00:23:08,240 Speaker 5: is supposed to be your peak heart rate during max exercise. 436 00:23:08,320 --> 00:23:10,520 Speaker 5: You know, everybody has I wear this whoop. You know, 437 00:23:10,600 --> 00:23:14,440 Speaker 5: everybody has a different bringing on or Apple Watch or 438 00:23:14,480 --> 00:23:17,280 Speaker 5: whatever they like. And it can tell if you want 439 00:23:17,280 --> 00:23:19,480 Speaker 5: to wear one of those fitbits or one of those devices. 440 00:23:19,520 --> 00:23:20,760 Speaker 4: It can check your heart rate. 441 00:23:21,240 --> 00:23:24,320 Speaker 5: So you're you said you're thirty four, so your you know, 442 00:23:25,040 --> 00:23:27,960 Speaker 5: max predicted heart rate is two twenty minus thirty four. 443 00:23:28,520 --> 00:23:31,400 Speaker 5: And then you know you're not supposed to stay at 444 00:23:31,400 --> 00:23:34,639 Speaker 5: that the whole time. That's your max. So if you 445 00:23:34,680 --> 00:23:37,119 Speaker 5: go for a run or you do a hard hit class, 446 00:23:37,359 --> 00:23:39,800 Speaker 5: you want to hit that maybe a couple times, but 447 00:23:39,840 --> 00:23:41,840 Speaker 5: you're probably going to settle in somewhere a little bit 448 00:23:41,920 --> 00:23:46,200 Speaker 5: lower as you're sustained, you know, high level activity. You know, 449 00:23:46,320 --> 00:23:49,639 Speaker 5: the American Heart Association they want people to exercise, you know, 450 00:23:49,880 --> 00:23:52,760 Speaker 5: five times a week, you know, forty five minutes. 451 00:23:52,840 --> 00:23:54,960 Speaker 3: But yeah, I was reading it said one hundred and 452 00:23:55,040 --> 00:23:58,000 Speaker 3: fifteen minutes a week of moderate exercise or seventy five 453 00:23:58,040 --> 00:24:01,959 Speaker 3: minutes of vigorous exercise. Which that's I mean, that's considerable. 454 00:24:02,040 --> 00:24:02,800 Speaker 3: That's a commitment. 455 00:24:02,960 --> 00:24:03,720 Speaker 4: It's a commitment. 456 00:24:03,880 --> 00:24:06,919 Speaker 5: But I don't like to say that to people who 457 00:24:06,920 --> 00:24:09,679 Speaker 5: are doing nothing, because I'd rather you do something and 458 00:24:09,760 --> 00:24:13,719 Speaker 5: build up to that. So if you even get if 459 00:24:13,760 --> 00:24:15,840 Speaker 5: you have a peloton or you want to sit and 460 00:24:15,880 --> 00:24:18,000 Speaker 5: watch your favorite TV show on an exercise spoke. It 461 00:24:18,040 --> 00:24:19,960 Speaker 5: doesn't even have to be a fancy one and just 462 00:24:20,200 --> 00:24:23,439 Speaker 5: sit there and get on it and just like pedal 463 00:24:23,560 --> 00:24:26,000 Speaker 5: for twenty minutes. That makes me happy, you know, because 464 00:24:26,560 --> 00:24:30,000 Speaker 5: people actually feel so much better when they do exercise. 465 00:24:30,040 --> 00:24:32,240 Speaker 5: And my husband I always have this joke when we're 466 00:24:32,240 --> 00:24:34,720 Speaker 5: talking about whether or not to work out, and I 467 00:24:34,720 --> 00:24:36,800 Speaker 5: don't want to work out, I'm tired, and then we 468 00:24:36,800 --> 00:24:39,600 Speaker 5: have this joke like no one ever regrets a run. 469 00:24:40,000 --> 00:24:42,160 Speaker 5: You don't come back and be like, damn, I shouldn't 470 00:24:42,160 --> 00:24:44,480 Speaker 5: have taken it. Yeah, it just like never happens. It 471 00:24:44,520 --> 00:24:46,720 Speaker 5: always ends up where you're like, I'm so glad I 472 00:24:46,720 --> 00:24:49,160 Speaker 5: did the run, you know. So I try to rewind 473 00:24:49,160 --> 00:24:51,880 Speaker 5: myself of that, but you know, it's hard to motivate. 474 00:24:51,920 --> 00:24:52,719 Speaker 4: I get it. You know. 475 00:24:53,320 --> 00:24:56,000 Speaker 3: Is there a hierarchy of exercise if we're talking about 476 00:24:56,000 --> 00:24:58,639 Speaker 3: the next level here and not just like trying to 477 00:24:58,720 --> 00:25:00,720 Speaker 3: get up off the couch and and make a little 478 00:25:00,760 --> 00:25:05,280 Speaker 3: bit happen. Is it jogging, swimming, walking? Like, what's your 479 00:25:05,359 --> 00:25:08,879 Speaker 3: hierarchy cardiovascular fitness? I mean, there's a lot of different 480 00:25:08,920 --> 00:25:11,200 Speaker 3: ways to get your heart rate up. There's all different 481 00:25:11,200 --> 00:25:12,400 Speaker 3: philosophies about it. 482 00:25:12,440 --> 00:25:15,439 Speaker 5: You know, we want someone to have to be like 483 00:25:15,480 --> 00:25:18,000 Speaker 5: in a sustained high heart rate, you know, for at 484 00:25:18,080 --> 00:25:20,679 Speaker 5: least like what thirty five minutes. But it can be running, 485 00:25:20,760 --> 00:25:25,160 Speaker 5: it could be swimming, it could be tennis, it could 486 00:25:25,200 --> 00:25:28,160 Speaker 5: be playing basketball, it could be you know, anything where 487 00:25:28,200 --> 00:25:30,720 Speaker 5: you're running around and being physically active. 488 00:25:30,760 --> 00:25:32,560 Speaker 4: It could be on the rowing machine, it could be 489 00:25:32,640 --> 00:25:33,280 Speaker 4: a hit class. 490 00:25:33,320 --> 00:25:36,040 Speaker 5: It's not the same as lifting weights, right, Lifting weights 491 00:25:36,119 --> 00:25:38,760 Speaker 5: is not going to make your heart rate be sustained. 492 00:25:39,480 --> 00:25:40,800 Speaker 4: Lifting weights is good for. 493 00:25:40,720 --> 00:25:44,160 Speaker 5: Core strength, but that's not as a cardiologist my main focus. 494 00:25:44,920 --> 00:25:49,000 Speaker 1: That's what I was curious about. How about frequency? 495 00:25:49,320 --> 00:25:51,960 Speaker 3: What if you are a person who doesn't like to 496 00:25:52,000 --> 00:25:53,679 Speaker 3: work out during the weeks, but you go hard on 497 00:25:53,720 --> 00:25:54,320 Speaker 3: the weekends. 498 00:25:54,880 --> 00:25:57,000 Speaker 1: Is does that matter for your heart? 499 00:25:57,600 --> 00:25:59,840 Speaker 5: I mean it's hard because the week it's only two 500 00:26:00,720 --> 00:26:04,520 Speaker 5: But yes, I think as I would I take any exercise. 501 00:26:04,560 --> 00:26:06,480 Speaker 5: I'm happy if you're doing anything, so I'm not going 502 00:26:06,560 --> 00:26:08,520 Speaker 5: to judge. I think, you know, if you could get 503 00:26:08,520 --> 00:26:10,920 Speaker 5: in three days a week would be great. The other 504 00:26:10,960 --> 00:26:12,960 Speaker 5: thing to remember is that on the other days that 505 00:26:13,000 --> 00:26:15,440 Speaker 5: you're not maybe going to the gym per se, can 506 00:26:15,480 --> 00:26:18,280 Speaker 5: you stay like moving a lot? Like I work at 507 00:26:18,320 --> 00:26:20,520 Speaker 5: a hospital, I don't sit at a desk. I mean 508 00:26:20,560 --> 00:26:22,119 Speaker 5: I'm sitting at desk right now to talk to you. 509 00:26:22,160 --> 00:26:23,720 Speaker 5: But for the most part, I'm not at a desk. 510 00:26:23,800 --> 00:26:26,040 Speaker 5: I'm like walking through the hospital. I'm seeing patients, I'm 511 00:26:26,080 --> 00:26:27,919 Speaker 5: on rounds, I'm standing up. I mean, at the end 512 00:26:27,920 --> 00:26:30,600 Speaker 5: of my day with doing zero exercise, I'm at like 513 00:26:30,680 --> 00:26:34,440 Speaker 5: fifteen thousand steps sometimes yeah, and I haven't broke a sweat. 514 00:26:34,880 --> 00:26:38,000 Speaker 5: So if I'm doing that three days a week, and 515 00:26:38,040 --> 00:26:39,480 Speaker 5: then three days a week I go and ride the 516 00:26:39,480 --> 00:26:42,440 Speaker 5: peloton for thirty five minutes, that's pretty good, you know. 517 00:26:42,400 --> 00:26:43,920 Speaker 4: Like I'm moving around a lot. 518 00:26:44,440 --> 00:26:46,720 Speaker 5: I don't think people need to get this is where 519 00:26:46,760 --> 00:26:48,400 Speaker 5: we get into the obsessive culture. 520 00:26:48,720 --> 00:26:50,159 Speaker 4: We go like all or nothing. 521 00:26:50,359 --> 00:26:52,840 Speaker 5: It's very hard for us to stay in the middle, 522 00:26:52,840 --> 00:26:54,960 Speaker 5: which is actually what's probably the best for you. Right 523 00:26:55,080 --> 00:26:58,600 Speaker 5: Like eat it, eat like a normal healthy diet, and 524 00:26:58,640 --> 00:26:59,920 Speaker 5: then every now and then you can have a beat 525 00:27:00,160 --> 00:27:02,880 Speaker 5: that and you get on this and exercise, like. 526 00:27:02,960 --> 00:27:05,480 Speaker 4: Do thirty five minutes of exercise a couple days a week. 527 00:27:05,840 --> 00:27:09,000 Speaker 5: Instead people are like become crazy. They go, you know, 528 00:27:09,040 --> 00:27:11,080 Speaker 5: they have to do fitness freaks. 529 00:27:11,119 --> 00:27:13,200 Speaker 4: You know, it's like you don't have to get so crazy. 530 00:27:14,600 --> 00:27:16,040 Speaker 1: It's time for another short break. 531 00:27:16,080 --> 00:27:18,399 Speaker 3: But we'll be right back to Wellness Wednesday with doctor 532 00:27:18,440 --> 00:27:27,600 Speaker 3: Jennifer Haith, and we're back with doctor Jennifer Haith. 533 00:27:28,320 --> 00:27:30,760 Speaker 1: So, doctor Hath, my dad was a dentist. 534 00:27:30,520 --> 00:27:33,800 Speaker 3: And growing up, he would come home for dinner and 535 00:27:33,840 --> 00:27:36,639 Speaker 3: we would ask him about his day, and probably about 536 00:27:36,760 --> 00:27:39,400 Speaker 3: once a week or once every two weeks, he would 537 00:27:39,440 --> 00:27:43,160 Speaker 3: say that he caught some form of cancer in somebody's mouth, 538 00:27:43,440 --> 00:27:49,280 Speaker 3: or some indication of much larger illness. And I learned 539 00:27:49,280 --> 00:27:52,920 Speaker 3: that there's actually a link between oral health and heart disease. 540 00:27:53,480 --> 00:27:55,920 Speaker 3: Why is taking care of your mouth so important to 541 00:27:55,960 --> 00:27:56,600 Speaker 3: your heart. 542 00:27:57,320 --> 00:27:58,399 Speaker 4: Well, there's a couple things. 543 00:27:58,480 --> 00:28:03,399 Speaker 5: One is that that gingivitis and gum disease is like 544 00:28:03,440 --> 00:28:06,080 Speaker 5: a chronic problem, right, and so it's associated with a 545 00:28:06,160 --> 00:28:09,560 Speaker 5: high level of inflammation, and there is a link between 546 00:28:09,600 --> 00:28:14,320 Speaker 5: this chronic inflammatory state and cardiovascular disease. There may even 547 00:28:14,359 --> 00:28:17,040 Speaker 5: be a link between certain bacteria that grow in your 548 00:28:17,040 --> 00:28:20,680 Speaker 5: mouth and cardiovaster disease. And also we know that when 549 00:28:20,680 --> 00:28:24,280 Speaker 5: you go to the dentist, if you have existing certain 550 00:28:24,359 --> 00:28:27,640 Speaker 5: kinds of heart disease, you need to take prophylactic antibiotics 551 00:28:27,720 --> 00:28:29,959 Speaker 5: because when you get your teeth cleaned or have your 552 00:28:30,000 --> 00:28:34,200 Speaker 5: teeth worked on, bacteria is transiently released into your bloodstream 553 00:28:34,520 --> 00:28:37,600 Speaker 5: and a normal person clears that bacteria and you don't 554 00:28:37,600 --> 00:28:40,200 Speaker 5: get a horrible infection. It's just to get your teeth cleaned. 555 00:28:40,280 --> 00:28:43,280 Speaker 5: There was maybe a little bacteria for a second. Your 556 00:28:43,760 --> 00:28:47,120 Speaker 5: natural white blood cells take care of that and it's fine. 557 00:28:47,880 --> 00:28:51,280 Speaker 5: If you have had rheumatic heart disease, or you have 558 00:28:51,320 --> 00:28:56,280 Speaker 5: a defibrillator wire, or you have a valve replacement, your 559 00:28:56,320 --> 00:29:00,640 Speaker 5: doctor should have instructed you to take prophilactic antima biotics 560 00:29:00,680 --> 00:29:04,160 Speaker 5: prior to getting your teeth cleaned so that when that 561 00:29:04,280 --> 00:29:07,720 Speaker 5: bacteria is released into the bloodstream that the antibiotics will 562 00:29:07,720 --> 00:29:10,360 Speaker 5: take care of it and it won't stick, because that 563 00:29:10,400 --> 00:29:13,320 Speaker 5: bacteria can sometimes stick onto the valves and cause a 564 00:29:13,320 --> 00:29:16,880 Speaker 5: condition called endocarditis, which is an infection of the heart valves. 565 00:29:16,960 --> 00:29:21,880 Speaker 3: So yeah, is there a link between alcohol and heart disease? 566 00:29:22,120 --> 00:29:23,400 Speaker 4: That is such a hard question. 567 00:29:24,080 --> 00:29:27,320 Speaker 5: As a heart failure doctor, we know that alcohol can 568 00:29:27,360 --> 00:29:30,320 Speaker 5: cause heart failure syndromes. If you're an alcoholic, like if 569 00:29:30,320 --> 00:29:33,120 Speaker 5: we have an alcohol use disorder, as we say now, 570 00:29:33,760 --> 00:29:36,560 Speaker 5: you can develop a heart failure syndrome that can reverse 571 00:29:36,600 --> 00:29:40,480 Speaker 5: if you stop using alcohol. So for heart failure perspectives, 572 00:29:40,520 --> 00:29:43,239 Speaker 5: I tell patients not to drink. We also know that 573 00:29:43,400 --> 00:29:46,840 Speaker 5: using a lot of alcohol leads statial fibrillation now in 574 00:29:46,880 --> 00:29:51,320 Speaker 5: the Mediterranean diet, and there is a lot of data 575 00:29:51,360 --> 00:29:54,240 Speaker 5: that one glass of red wine a day is okay 576 00:29:54,280 --> 00:29:57,200 Speaker 5: for you, and that it may actually be protective. So 577 00:29:57,640 --> 00:30:02,520 Speaker 5: there's conflicting data. My advice, you know, rather than being 578 00:30:02,520 --> 00:30:05,240 Speaker 5: a teetotaler, is to tell if you have a real 579 00:30:05,280 --> 00:30:07,520 Speaker 5: heart problem. I tell you people that they shouldn't drink, 580 00:30:07,560 --> 00:30:10,720 Speaker 5: but if you're otherwise healthy, I stick to the guideline 581 00:30:10,760 --> 00:30:13,960 Speaker 5: recommendations and minimize excessive alcohol use. 582 00:30:14,000 --> 00:30:15,560 Speaker 4: But it's okay to have a drink. 583 00:30:15,600 --> 00:30:18,480 Speaker 3: Now in that this is not necessarily having to do 584 00:30:18,600 --> 00:30:19,240 Speaker 3: with heart health. 585 00:30:19,240 --> 00:30:20,400 Speaker 1: It's more about longevity. 586 00:30:20,440 --> 00:30:22,680 Speaker 3: But I'm obsessed with this study I read years ago 587 00:30:22,800 --> 00:30:27,480 Speaker 3: about centurians who were they studied their sleep, and people 588 00:30:27,520 --> 00:30:30,200 Speaker 3: that lived to one hundred basically slept on average seven 589 00:30:30,240 --> 00:30:34,880 Speaker 3: point twenty five hours a night. And sleep is super 590 00:30:34,920 --> 00:30:38,520 Speaker 3: important for longevity. Is sleep important for your heart health? 591 00:30:38,680 --> 00:30:40,400 Speaker 3: Is there a recommended number of hours? 592 00:30:40,920 --> 00:30:44,880 Speaker 4: Yes? So actually the AHA just changed this. 593 00:30:45,160 --> 00:30:47,720 Speaker 5: Yes, they want you to get like more sleep than 594 00:30:47,760 --> 00:30:49,960 Speaker 5: they use to, and they will include naps in that. 595 00:30:50,560 --> 00:30:52,960 Speaker 5: So sleep is now listed as one of like the 596 00:30:53,000 --> 00:30:58,160 Speaker 5: big cardiovascular important risk factors that we know that lack 597 00:30:58,200 --> 00:31:01,560 Speaker 5: of sleep earned some yet now general sleep is a 598 00:31:01,800 --> 00:31:06,320 Speaker 5: time to repair and restore and it is really important 599 00:31:06,320 --> 00:31:06,960 Speaker 5: for stress. 600 00:31:07,040 --> 00:31:09,080 Speaker 4: And you know when you wake up in the morning. 601 00:31:09,080 --> 00:31:10,640 Speaker 5: You know a lot of heart attacks happen in the 602 00:31:10,680 --> 00:31:13,080 Speaker 5: early morning because as you come out of sleep, your 603 00:31:13,080 --> 00:31:16,080 Speaker 5: heart rate comes up, your your cortisol levels increase, your 604 00:31:16,080 --> 00:31:19,840 Speaker 5: blood pressure goes up. So when you're asleep, you're in 605 00:31:19,920 --> 00:31:24,080 Speaker 5: a relaxed what we call your parasympathetic nervous system is 606 00:31:24,680 --> 00:31:25,440 Speaker 5: in control. 607 00:31:26,040 --> 00:31:27,280 Speaker 4: Your heart rate is slower. 608 00:31:27,440 --> 00:31:29,160 Speaker 5: You know, people might say, like when I'm asleep, my 609 00:31:29,200 --> 00:31:32,040 Speaker 5: heart rate went down to forty and like I'm like 610 00:31:32,120 --> 00:31:36,360 Speaker 5: that's normal because you're like really relaxed. Or my blood 611 00:31:36,360 --> 00:31:39,000 Speaker 5: your blood pressure is much lower. So all of those 612 00:31:39,000 --> 00:31:41,160 Speaker 5: things are protective of your heart and important. 613 00:31:41,640 --> 00:31:47,520 Speaker 3: So the Mediterranean diet, some movement during the week, no 614 00:31:47,640 --> 00:31:53,280 Speaker 3: process foods and moderation in alcohol, dessert, all those types 615 00:31:53,280 --> 00:31:55,040 Speaker 3: of things, all that common sense stuff. 616 00:31:55,680 --> 00:31:57,680 Speaker 1: Is it ever too late to start. 617 00:31:58,040 --> 00:32:01,160 Speaker 4: No, definitely not too late. You can always start. 618 00:32:01,280 --> 00:32:03,360 Speaker 5: You can always go to the doctor, you can always 619 00:32:04,120 --> 00:32:06,920 Speaker 5: start treating whatever your risk factors are. You can always 620 00:32:06,920 --> 00:32:08,880 Speaker 5: start doing more activity and get stronger. 621 00:32:09,840 --> 00:32:12,480 Speaker 1: My grandmother at eighty nine years old, it's not too late. 622 00:32:12,360 --> 00:32:14,840 Speaker 4: For her, No, definitely not. 623 00:32:14,960 --> 00:32:18,720 Speaker 5: If anything, well, actually, her life expectancy is probably higher 624 00:32:18,760 --> 00:32:20,920 Speaker 5: than it was a few years ago. So if you 625 00:32:20,960 --> 00:32:24,160 Speaker 5: make it to eighty five, your life expectancy actually goes 626 00:32:24,240 --> 00:32:26,960 Speaker 5: up because it's a J curve, So if you make 627 00:32:27,000 --> 00:32:29,200 Speaker 5: it to a certain age, your chances of living are 628 00:32:29,240 --> 00:32:34,840 Speaker 5: higher than your chances of dying in the next year. Yeah, yeah, cool, Yeah, 629 00:32:34,960 --> 00:32:38,000 Speaker 5: I mean, I'll think you should put her on like 630 00:32:38,040 --> 00:32:40,760 Speaker 5: a rowing machine, but depending on how fit she is. 631 00:32:40,880 --> 00:32:45,600 Speaker 5: Always walking and practicing strength exercises is good. And you know, 632 00:32:46,120 --> 00:32:48,360 Speaker 5: we didn't talk about depression as a risk factor, but 633 00:32:48,600 --> 00:32:50,840 Speaker 5: you know, being depressed is also a risk factor for 634 00:32:50,880 --> 00:32:54,280 Speaker 5: heart disease. And actually sometimes people after they have heart 635 00:32:54,280 --> 00:32:56,840 Speaker 5: disease and a diagnosis of it, or have a heart 636 00:32:56,840 --> 00:32:59,960 Speaker 5: attack and become very depressed. So it's important to treat 637 00:33:00,080 --> 00:33:02,880 Speaker 5: that and help people get through that. 638 00:33:03,920 --> 00:33:06,040 Speaker 1: I'm so glad you brought that up. Thank you for 639 00:33:06,080 --> 00:33:06,600 Speaker 1: adding that. 640 00:33:06,840 --> 00:33:10,640 Speaker 3: I was at a health panel years ago and people 641 00:33:10,680 --> 00:33:14,640 Speaker 3: were talking about the health of meat and one of 642 00:33:14,680 --> 00:33:17,320 Speaker 3: the experts said something I'll never forget somebody asked what 643 00:33:17,400 --> 00:33:20,200 Speaker 3: type of cows or meat do we need? Is it organic? 644 00:33:20,240 --> 00:33:22,360 Speaker 3: What should we be looking for? And the expert said, 645 00:33:23,240 --> 00:33:26,400 Speaker 3: you need to eat a happy cow. And I thought 646 00:33:26,440 --> 00:33:28,480 Speaker 3: that was the weirdest answer at the time, and now 647 00:33:28,520 --> 00:33:33,200 Speaker 3: I understand what she means, because the happier the cow 648 00:33:33,360 --> 00:33:37,000 Speaker 3: was in their life, the healthier the cow is, and 649 00:33:37,040 --> 00:33:39,160 Speaker 3: then the healthier the meat is for you when you're 650 00:33:39,200 --> 00:33:43,000 Speaker 3: eating it. My question for you is is a happy 651 00:33:43,040 --> 00:33:44,160 Speaker 3: heart a healthy heart? 652 00:33:44,640 --> 00:33:45,560 Speaker 1: Is there a link there? 653 00:33:46,320 --> 00:33:49,120 Speaker 5: I think there is a link, and the mind heart 654 00:33:49,160 --> 00:33:54,120 Speaker 5: connection is major. There is actually a condition called stress cardiomyopathy, 655 00:33:54,520 --> 00:33:57,480 Speaker 5: and what it is is someone who's had a severe 656 00:33:58,560 --> 00:34:01,680 Speaker 5: traumatic emotional experience, could be the death of a child, 657 00:34:01,800 --> 00:34:06,120 Speaker 5: a breakup, a horrible fight with someone. They develop chest pain, 658 00:34:06,480 --> 00:34:08,920 Speaker 5: their EKG looks like they're having a heart attack like 659 00:34:09,000 --> 00:34:10,040 Speaker 5: the same changes. 660 00:34:10,520 --> 00:34:12,280 Speaker 4: They are rushed to the hospital. 661 00:34:12,360 --> 00:34:16,200 Speaker 5: They do a cardiac catheterization, but they don't have any blockages, 662 00:34:16,360 --> 00:34:20,200 Speaker 5: but their heart has this ballooned out appearance and it's 663 00:34:20,239 --> 00:34:25,560 Speaker 5: actually caused purely by stress. It usually recovers with good 664 00:34:25,640 --> 00:34:27,360 Speaker 5: treatment and it doesn't stay forever. 665 00:34:27,600 --> 00:34:30,200 Speaker 4: But so yes, if breaking up. 666 00:34:30,120 --> 00:34:34,000 Speaker 5: With a significant other or having some loved one die 667 00:34:34,120 --> 00:34:37,799 Speaker 5: can cause a heart failure syndrome. Then we know that 668 00:34:37,840 --> 00:34:41,320 Speaker 5: there's a link, and so yes, happiness keeps your heart happy. 669 00:34:43,239 --> 00:34:46,040 Speaker 3: Doctor Hey, thank you so much for joining us today. 670 00:34:46,320 --> 00:34:47,400 Speaker 4: Thanks for having me. 671 00:34:48,000 --> 00:34:50,120 Speaker 3: I can't tell you how much I enjoyed this conversation. 672 00:34:50,200 --> 00:34:52,000 Speaker 3: You're such an excellent communicator. 673 00:34:52,160 --> 00:34:54,520 Speaker 5: Well, I hope we can help women out there get 674 00:34:54,560 --> 00:34:56,480 Speaker 5: what they need and get treated properly. 675 00:35:00,600 --> 00:35:03,799 Speaker 3: Doctor Jennifer Haith is a cardiologist and associate professor at 676 00:35:03,800 --> 00:35:06,120 Speaker 3: Columbia University Irving Medical Center. 677 00:35:08,520 --> 00:35:10,799 Speaker 2: That's it for today's show. Tomorrow, we're keeping our Week 678 00:35:10,840 --> 00:35:13,879 Speaker 2: of Love going strong with writer Elana Kaplan. She joins 679 00:35:13,960 --> 00:35:16,360 Speaker 2: us to talk all about the legacy of Nora Efron, 680 00:35:16,600 --> 00:35:19,279 Speaker 2: aka the Queen of rom Coms, in her new book 681 00:35:19,440 --> 00:35:24,080 Speaker 2: called Nora Efron at the Movies. Join the conversation using 682 00:35:24,120 --> 00:35:26,840 Speaker 2: hashtag the bright Side and connect with us on social 683 00:35:26,880 --> 00:35:30,319 Speaker 2: media at Hello Sunshine on Instagram and at the bright 684 00:35:30,360 --> 00:35:33,319 Speaker 2: Side Pod on TikTok oh, and feel free to tag 685 00:35:33,400 --> 00:35:36,239 Speaker 2: us at Simone Boyce and at Danielle Robe. 686 00:35:36,560 --> 00:35:39,480 Speaker 3: Listen and follow The bright Side on the iHeartRadio app, 687 00:35:39,560 --> 00:35:42,239 Speaker 3: Apple Podcasts, or wherever you get your podcasts. 688 00:35:42,400 --> 00:35:46,520 Speaker 2: See you tomorrow. Folks keep looking on the bright side.