LET S GET EDUCATED! Men s Health. By: Dr. Alfred Sparman

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1 HAPPY FATHER S DAY!

2 LET S GET EDUCATED! Men s Health By: Dr. Alfred Sparman

3 About me. Cardiology Fellowship University of Florida, College of Medicine Medical Residency St. Luke s Roosevelt Hospital, New York Medical Internship St. Luke s Roosevelt Hospital, New York Surgery Brooklyn Hospital, New York Doctor in Medicine New York Medical College BSc. Chemistry Long Island University, New York

4 5 Facts Men Need to Know #1. Heart disease is the leading cause of death for men averaging 1 in every 4 male deaths in the USA #2. Half of the men who die suddenly of coronary heart disease have no previous symptoms. Even if you have no symptoms, you may still be at risk for heart disease. #3. More younger men are being diagnosed with Prostate Cancer #4. Men who exercise may lower age-related cholesterol #5. Yes, Male Menopause is real!

5 Just a note The term "male menopause" is sometimes used to describe decreasing testosterone levels or a reduction in the bioavailability of testosterone related to aging. Female menopause and so-called male menopause are two different situations, however. In women, ovulation ends and hormone production plummets during a relatively short period of time. In men, hormone production and testosterone bioavailability decline over a period of many years and the consequences aren't necessarily clear. It is also called Andropause

6 WHERE DO WE BEGIN?

7 MATTERS OF THE HEART!

8 Anatomy Of The Heart The heart is a muscular organ that acts like a pump to continuously send blood throughout the body. It is pear shaped and about the size of a fist. The heart has 4 chambers. They are the left ventricle, right ventricle, left atria and right atria. There are 4 valves which keep the blood moving in the right direction of the heart. They are the tricuspid, pulmonic, mitral and aortic.

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11 A woman s average heartbeat is FASTER than a man s by almost 8 beats a minute!

12 WHAT IS HEART DISEASE?

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14 What is an Aneurysm? An aneurysm is an excessive localized enlargement of an artery caused by weakness in the arterial wall. Aneurysms may remain silent or rupture, causing serious problems and even death.

15 What is Coronary Artery Disease (CAD)? It develops when your coronary arteries (the blood vessels that supply your heart with blood, oxygen and nutrients ) become damaged and diseased. It is caused by plaque build up. It narrows your coronary arteries, causing your heart to receive less blood. Eventually, diminished blood flow may cause chest pain (angina), shortness of breath or other coronary artery disease symptoms. A complete blockage can cause a heart attack.

16 Coronary Artery Disease

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18 What is a Heart Arrhythmia? Heart disease symptoms caused by abnormal heartbeats Your heart may beat too quickly, too slowly or irregularly. Symptoms: Fluttering in your chest Racing heartbeat Slow heartbeat Chest pain Shortness of breath Lightheadedness Dizziness Fainting

19 What is Cardiomyopathy? Heart disease symptoms caused by thick heart muscle. It is the thickening & stiffening of heart muscles. Symptoms: Breathlessness with exertion or even at rest Swelling of legs, ankles and feet Bloating of the abdomen with fluid Fatigue Irregular heartbeats that feel rapid, pounding or fluttering Dizziness, lightheadedness and fainting

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21 What is Pericarditis? Inflammation of the lining around the heart (the pericardium) that causes chest pain and accumulation of fluid around the heart (pericardial effusion). There are many causes of pericarditis, including infections, injury, radiation treatment, and chronic diseases.

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23 ATHEROSCLEROSIS Progression to a Heart Attack, Stroke or Pulmonary Embolism

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25 HEART ATTACK

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27 call for help!

28 STROKE

29 What is a Stroke? A stroke is a "brain attack". It can happen to anyone at any time. It occurs when blood flow to an area of the brain is cut off. When this happens, brain cells are deprived of oxygen and begin to die. When brain cells die during a stroke, abilities controlled by that area of the brain such as memory and muscle control are lost. How a person is affected by their stroke depends on where the stroke occurs in the brain and how much of the brain is damaged.

30 3 Types of Stroke Hemorrhagic A brain aneurysm burst or a weakened blood vessel leak (hemorrhagic) Ischemic A blood vessel carrying blood to the brain is blocked by a blood clot (ischemic) Transient Ischemic Attack When blood flow to part of the brain stops for a short period of time, also called transient ischemic attack (TIA), it can mimic stroke-like symptoms. These appear and last less than 24 hours before disappearing.

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33 PULMONARY EMBOLISM

34 What is a Pulmonary Embolism? Pulmonary embolism is a blockage in one of the pulmonary arteries in your lungs. In most cases, a pulmonary embolism is caused by blood clots that travel to the lungs from the legs or, rarely, other parts of the body (deep vein thrombosis).

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36 HEART DISEASE RISK FACTORS

37 Key Risk Factors High Blood Pressure High LDL Cholesterol Smoking Diabetes Overweight and Obesity Poor diet Physical inactivity Excessive alcohol use Family History

38 So Now That We Understand The Heart

39 LET S MOVE ON TO THE PROSTATE

40 What is the Prostate & where is it? The prostate is a small gland in men. It is part of the male reproductive system. The prostate is about the size and shape of a walnut. It sits low in the pelvis, below the bladder and just in front of the rectum. The prostate helps make semen, the milky fluid that carries sperm from the testicles through the penis when a man ejaculates. The prostate surrounds part of the urethra, a tube that carries urine out of the bladder and through the penis.

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42 Women Carry a similar organ to the prostate. The Skene's gland, also known as the paraurethral gland, found in females, is homologous to the prostate gland in males. However, anatomically, the uterus is in the same position as the prostate gland.

43 What happens to the Prostate as men age? The prostate gland tends to grow larger with age It may squeeze the urethra and cause problems in passing urine. Sometimes men in their 30s and 40s may begin to have these urinary symptoms and need medical attention. For others, symptoms aren't noticed until much later in life. Growing older raises your risk of prostate problems. Note: An infection or a tumor can also make the prostate larger.

44 3 Most Common Prostate Problems #1. Inflammation or prostatitis #2. Enlarged prostate (BPH, or benign prostatic hyperplasia) #3. Prostate cancer

45 Prostatitis & its Symptoms Prostatitis is an inflammation of the prostate gland that may result from a bacterial infection. It affects at least half of all men at some time during their lives. Having this condition does not increase your risk of any other prostate disease. Symptoms: Trouble passing urine A burning or stinging feeling or pain when passing urine Strong, frequent urge to pass urine, even when there is only a small amount of urine Chills and high fever Low back pain or body aches Pain low in the belly, groin, or behind the scrotum Rectal pressure or pain Urethral discharge with bowel movements Genital and rectal throbbing Sexual problems and loss of sex drive Painful ejaculation (sexual climax)

46 BPH & its Symptoms BPH stands for benign prostatic hyperplasia. Benign means "not cancer," and hyperplasia means abnormal cell growth. The result is that the prostate becomes enlarged. BPH is not linked to cancer and does not increase your risk of getting prostate cancer yet the symptoms for BPH and prostate cancer can be similar. Symptoms: Trouble starting a urine stream or making more than a dribble Passing urine often, especially at night Feeling that the bladder has not fully emptied A strong or sudden urge to pass urine Weak or slow urine stream Stopping and starting again several times while passing urine Pushing or straining to begin passing urine

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48 Prostate Cancer & it s Symptoms Prostate cancer means that cancer cells form in the tissues of the prostate. Prostate cancer tends to grow slowly compared with most other cancers. Cell changes may begin 10, 20, or even 30 years before a tumor gets big enough to cause symptoms. Eventually, cancer cells may spread (metastasize). By the time symptoms appear, the cancer may already be advanced. By age 50, very few men have symptoms of prostate cancer, yet some precancerous or cancer cells may be present. More than half of all American men have some cancer in their prostate glands by the age of 80. Most of these cancers never pose a problem. They may never cause symptoms or become a serious threat to health. Symptoms: Trouble passing urine Frequent urge to pass urine, especially at night Weak or interrupted urine stream Pain or burning when passing urine Blood in the urine or semen Painful ejaculation Nagging pain in the back, hips, or pelvis

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50 Prostate Cancer Risk Factors Age. Men who are 50 or older have a higher risk of prostate cancer. Race. African-American men have the highest risk of prostate cancer the disease tends to start at younger ages and grows faster than in men of other races. After African-American men, prostate cancer is most common among white men, followed by Hispanic and Native American men. Asian-American men have the lowest rates of prostate cancer. Family history. Men whose fathers or brothers have had prostate cancer have a 2 to 3 times higher risk of prostate cancer than men who do not have a family history of the disease. A man who has 3 immediate family members with prostate cancer has about 10 times the risk of a man who does not have a family history of prostate cancer. The younger a man's relatives are when they have prostate cancer, the greater his risk for developing the disease. Prostate cancer risk also appears to be slightly higher for men from families with a history of breast cancer. Diet. The risk of prostate cancer may be higher for men who eat high-fat diets.

51 HOW DO WE PROTECT OURSELVES?

52 Lifestyle Modification! Get your scheduled medical check ups Blood Pressure Screening Cholesterol Screening And Heart Disease Prevention Diabetes Screening Colon Cancer Screening Dental Exam Eye Exam Prostate Cancer Screening Physical Exam Quit Smoking Eat Healthier Exercise Properly Manage any pre-existing health conditions

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55 Any Questions? Please feel free to ask.

56 A Snippet of our Services General Practitioner Consultations available 24hrs a day 24HR Ambulance Service 24HR Hospital Admissions (Semi- Private Ward, Private Rooms & ICU Care) Gym & Cardiac Rehab Laboratory Services e.g. Kidney Function, Trop T Non Invasive Lab i.e. stress testing, echocardiograms, holter monitoring Dietary Consultations Invasive & Interventional Cardiac Procedures (e.g. angiograms, angioplasty) Pharmacy Services (prescription & OTC over the counter medications) Internal Medicine Consultations Contact us Tel: 62-HEART( ) Fax: /80 officeadmin@thesparmanclinic.com Website: &

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