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2007 Article

The Decade of Health November Half-Page Ad.A Deadly Relationship: High Blood Pressure and Its Companion, Stroke
By LTC Jose Ortiz, M.D., Courtesy of Decade of Health

While Heart Disease remains the # 1 Killer of both Men and Women in the United States, Stroke is the 3rd most common cause of death in the United States. High Blood Pressure (HBP) is a major risk factor for both Heart Disease and Stroke and is easily detected through simple screening. According to the Centers for Disease Control and Prevention, Stroke caused over 163,000 deaths (or 6.8 % of all deaths due to chronic disease) in the U.S. in 2001.¹

  • Among adults 20 and older, there were 5.7 million strokes in 2004.
  • Someone in the US has a stroke every 45 seconds.
  • The death rate from strokes is about 50% (varies by race and gender).²

  • Here are some key preventive actions to take to help cut the fatal ties between High Blood Pressure and the Stroke:
    1. Monitor your own blood pressure periodically. If your number is above normal (NORMAL = BELOW 120/80) then seek medical advice from your local health provider.

    2. Prehypertension is ANY number between 120/80 and 139/89, and HBP is ANY number EQUAL to or GREATER THAN 140/90 and either may need more frequent monitoring or treatment, per the advice of your healthcare provider.

    3. Take simple steps to minimize key risk factors for heart attack or stroke:

      1. Stop any tobacco use.
      2. Exercise regularly - at least 30 minutes of moderate aerobic activity on most days of the week.
      3. Make healthy eating an everyday habit.
      4. Learn your overall risk for Heart Attack and Stroke.
    Sounding the Alarm About Stroke

    What exactly is a Stroke? Stroke is a type of cardiovascular disease. It affects the arteries leading to and within the brain. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or the blood vessel bursts. When that happens, part of the brain cannot get the blood (and oxygen) it needs, so it starts to die.³

    Stroke may occur at any age, although increasing age is one key factor for actually having a Stroke or a Transient Ischemic Attack (TIA or mini-stroke), which may ultimately result in significant disability or even death. According to the American Stroke Association, learning to recognize Stroke symptoms is critical. Stroke is a medical emergency. Know these warning signs of Stroke and teach them to others. Every second counts:

  • 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
  • The American Stroke Association's Heart and Stroke Encyclopedia.
  • Sudden, severe headache with no known cause

  • Any one of the above signs or symptoms or combination thereof may be an indication of a Stroke developing and should prompt you to make an IMMEDIATE call to 911 for a trip to the Emergency Room. Time is critical and any delay may result in missing the critical 3-hour window for LIFE SAVING STROKE THERAPY in the hospital. Time lost is brain lost!

    The relationship between High Blood Pressure and Stroke is very clear. Getting blood pressure treatment, if you need it puts you in control of a major risk factor for Stroke! YOU are the best steward of your own health.

    What is the Army National Guard Doing to Combat High Blood Pressure and Stroke?

    The ARNG is reinforcing the messages of its 2007 Get Cuffed! High Blood Pressure Awareness Campaign to help promote and sustain health and wellness for all our Citizen Soldiers, Civilians, and their Families. ARNG Health Professionals in every State and Territory have been provided several essential tools to help establish and promote local programs to fight the “Silent Killer” known as HBP.

    Blood Pressure Awareness Card
  • 420 Automated Blood Pressure Kiosks have been fielded to the 54 States, Territories, and to the ARNG Readiness Center.
  • Downloadable Get Cuffed! Campaign materials are available at the Decade of Health web site, www.decadeofhealth.com.
  • A 30-minute Get Cuffed! phone card will be mailed out to every ARNG Soldier in the fall of 2007, with key Preventive Health messages about the “Silent Killer” known as HBP.
  • An alliance with the American Heart and American Stroke Associations offers expert education and guidance about HBP and Stroke at www.heart.org and www.strokeassociation.org
  • Information and feature articles are available regularly to Citizen Soldiers and Families via media outlets including, GX Magazine, Soldier Radio and TV, the Pentagon Channel, and AHA’s new Heart Insight magazine.
  • The Decade of Health Exhibit and support team bring annual campaigns to customers at National Guard Leadership, National Guard Family, and Army Medical Conferences across the Nation.

  • So keep it simple and REMEMBER: “Get Cuffed” at a nearby ARNG Blood Pressure Kiosk, know YOUR Blood Pressure Numbers and what they mean and seek medical advice on how to do your part in the ARNG’s fight against the “Silent Killer”!

    View this article as it appeared in GX Magazine

    About the author: LTC Jose Ortiz. M.D., MPH, is the Chief of Preventive
    Medicine, Office of the Chief Surgeon, NGB-ARS.

    ¹ Centers for Disease Control web site (www.cdc.gov), Section II, “The Burden of Heart Disease, Stroke, Cancer, and Diabetes, United States. http://www.cdc.gov/nccdphp/burdenbook2004/Section02/stroke.htm.
    ² American Heart Association, Heart Disease and Stroke Statistics – 2007 Update, http://www.americanheart.org/downloadable/heart/1166711577754HS_StatsInsideText.pdf ³ Source: The American Stroke Association web site www.strokeassociation.org, http://www.strokeassociation.org/presenter.jhtml?identifier=3030066.
    &sup4; Source: The American Stroke Association web site www.strokeassociation.org, http://www.strokeassociation.org/presenter.jhtml?identifier=1020, September 2007.

    For more information, email: jose.mari.ortiz@ng.army.mil or visit: www.DecadeofHealth.com