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Are My Arteries “On Fire”?

Heart Attack, Heart Disease and Stroke Prevention Program, , ,

Role of Inflammation in Plaque Formation and Rupture

Chronic inflammation in the body is the root cause of many medical conditions, including cardiovascular disease. Other diseases related to inflammation are diabetes, depression, hypertension, and Alzheimer’s disease. Inflammation attacks the walls of the arteries and increases the risk of plaque formation and plaque rupture: the cause of heart attacks and strokes. Inflammation is the body’s natural defense mechanism to fight off infection and toxins. If the natural balance of our immune system is disrupted, it can shift into a chronic state of inflammation, adversely affecting our entire body, including our arteries where cholesterol is then deposited and plaque buildup begins. (See ‘How Plaque Causes a Heart Attack or Stroke’ article)

The following three blood tests are independent predictors of risk factors for heart attacks and stroke:

  • CRP-hs (C-Reactive Protein-highly sensitive) is a simple blood test that measures the amount of inflammation in the body.   Lp-PLA2 is a blood enzyme that is released from vulnerable, rupture-prone plaque in the arteries.  Elevated levels of both Lp-PLA2 and CRP-hs increases the risk for a heart or stroke event of up to  5X the normal risk.
  • MPO (myeloperoxidase) is an enzyme in white blood cells that is linked to inflammation and plaque activity. MPO is a marker for vulnerable rupture-prone plaque. Elevated blood levels of MPO predict an early risk of heart attack in patients with chest pain.

For more information: www.clevelandheartlab.com/wp-content/uploads/…/MPO-Practice.pdf

Obvious causes of inflammation include arthritis, infection and injury. Other causes include:

  •  Diet high in sugars, refined flour, trans fats, saturated fats and processed foods
  •  Overweight, especially abdominal fat (Waist: Women – 35” and Men – 40”)
  •  Smoking
  •  Lack of exercise
  •  Stress, physical and emotional
  •  Sleep deprivation of less than 7 hours per night (possible Sleep Apnea)
  •  Toxins (mercury, lead)
  •  Food allergies, such as gluten and dairy
  •  Nutritional deficiencies including Vitamins D, B, C and Omega-3 fatty acids

How can inflammation be lowered?

  •  Diet: LOW in trans/saturated and low glycemic index carbohydrates, HIGH in monounsaturated fats,
  • fruits and vegetables.
  •  Aerobic Exercise – five days a weeks for 30 minutes/day
  •  Smoking cessation
  •  Weight loss – goal of BMI below 25
  •  Omega 3 fatty acid supplements (EPA & DHA)
  •  Fruits and vegetables
  •  Stress management techniques
  •  Adequate sleep
  •  Medications & Supplements, including Statins, Fibrates, Niacin, Vitamin D3, fiber

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology.  Don’t continue to suffer, call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas

 

Heart Disease & Stroke – Update 2014

Heart Disease and Stroke Prevention Program, Womens Health

Consider the Following Facts:

  •  Cardiovascular Disease (CVD) includes heart attacks, strokes and peripheral artery disease (abdomen and legs). CAD is the number one cause of death in the United States, resulting in over 900,000 deaths annually and representing nearly one half of ALL causes of death.
  • Additionally, hundreds of thousand of women and men survive their initial attack and frequently with varying degrees of disability.
  • For an excellent overview of cholesterol and the role of plaque in causing heart attacks, strokes and peripheral arterial disease visit: www.webmd.com/cholesterol-management/cholesterol-and-artery-plaque-buildup

Good News: Over the past two decades major advances in the research of cardiovascular
disease and the role of cholesterol and atherosclerotic plaque has demonstrated that this process
is potentially preventable and reversible, thereby preventing heart attacks and strokes.
In 2004 I began a clinical study using screening office vascular ultrasound testing to diagnose
the presence of cholesterol plaque within the carotid arteries to the brain, abdominal aorta and
the femoral arteris in the lower extremities. When any plaque is present, a complete diagnostic
carotid artery duplex ultrasound is performed to determine exactly what type and location of
the plaque is present as well as the amount of narrowing (stenosis) of the artery, blood flow
pressures and surface contour of the plaque. This diagnostic carotid artery study establishes a
baseline with which future ultrasounds can be compared for stability, progression or regression.
Results to date: In patients who have made significant changes in their lifestyle habits and have
followed my recommendations, the result has been very encouraging. In nearly 2000 patients
the progression of their disease (as measured by their carotid artery plaque) has been stopped,
stabilized and even reversed. And to my knowledge no events have occurred to date. In fact,
there are a number of patients who NO longer have any evidence of their previous plaque. The
ramifications of these findings are monumental for the potential of significantly reducing the
mortality and the morbidity caused by this disease.
Remember: Plaque may be common as we age, but it is NOT normal. It is a disease and is still
is the Number 1 cause of death and disability in the U.S. However, it has been clearly
demonstrated that plaque can be stopped and even reversed.
 The Key:
o Diagnosing the presence of plaque before it ruptures, causing a heart attack or stroke.
o Treating patients with asymptomatic (subclinical) disease (plaque) in the same manner as
those patients who have had a heart attack or stroke (clinical) and survived.

What Every Women Needs to Know About Heart Attacks | Fullerton, CA

Heart Attack, Heart Disease and Stroke Prevention Program, Stroke, , ,

overactive bladder, fullertonThere’s always been a debate about women and heart disease: Are their symptoms different from those of men? Ask any woman that has had a heart attack and they will tell you no. Symptoms in women who are having a heart attack are generally not that different than those experienced by men, say cardiologists.  In a heart attack, men feel heaviness in their chests, shortness of breath, nausea or other general discomfort — just the same as women do.

There’s definitely some confusion out there about the differences between men and women and heart attacks but women are more similar to men than different when it comes to their hearts. When it comes to a heart attack the most common symptom for women experiencing a heart attack is still chest pain.

It has long been believed that the story that women’s symptoms are different is a myth. Where the real difference is is how women communicate and report on heart disease. If a heart attack is not at the top of your list when it comes to the symptoms, many women generally pass off symptoms as indigestion. Women need to start realizing that this is their health and the threat is real.

How real is it, you may be thinking?  On average, every 4 minutes someone dies of a stroke or heart disease and stroke & heart disease are equal opportunity killers. The scariest fact is that the death rate from cardiovascular disease in women is on the rise. The reasons are not entirely clear, but there are suggestions that there may be a difference in the care some women receive. Women may not be treated by a cardiovascular specialist when they experience symptoms.

It’s not unusual for women to put everything before themselves and their health.  It’s deeply concerning that many women would rather complete the last five items on their to-do list than go to an emergency room when they need one the most.  In fact, it was during a recent study that it was brought to light again how women prioritize. When surveyed on their priorities the results were suprizing:

  1. Children
  2. Their homes
  3. Their workplace relationships
  4. Pets!
  5. Husbands

Women didn’t even place themselves on the list! These results make the point that while women may have symptoms that are similar to those of men, those symptoms may not be taken seriously, especially by themselves.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology and womens health. Don’t continue to suffer and make yourself a priority, call his office today for an appointment at 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas.

200,000 heart disease, stroke deaths a year are preventable | Fullerton, CA

Heart Disease and Stroke Prevention Program, ,
Rates of avoidable deaths due to heart disease, stroke, and high blood pressure by U.S. county, 2008 to 2010. (Source: Centers for Disease Control and Prevention)
Rates of avoidable deaths due to heart disease, stroke, and high blood pressure by U.S. county, 2008 to 2010. (Source: Centers for Disease Control and Prevention)

It’s easy to think of heart disease and stroke as an almost inevitable part of aging in a developed country like the United States. After all, they are our leading causes of death and disability. But the truth is that these are largely preventable conditions.

New estimates from the Centers for Disease Control and Prevention (CDC) indicate that one-quarter of all deaths from heart disease and stroke are preventable. And that is almost certainly an underestimate.

According to a report, published September 2, 2013 in Morbidity and Mortality Weekly Report, among American adults under age 75, approximately 200,000 of deaths caused each year by heart disease, stroke, and high blood pressure (hypertension) are avoidable and preventable. Surprisingly, more than half of those preventable deaths occurred among individuals under age 65.

During a press conference to present the study results, CDC director Dr. Tom Frieden said, “As a doctor, I find it heartbreaking to know that the vast majority of people who are having a heart attack or stroke, under the age of 65 in particular, and dying from it didn’t have to have that happen.”

It’s possible that the rate of preventable deaths is lower among those over age 65 because they are covered by Medicare, and so may be more likely to see doctors and receive preventive treatment.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology and women’s health.  Don’t continue to suffer, call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas.

Do-it-yourself approach No matter what your age and how good things look today, your future risk of heart disease, stroke and other related diseases is high. It’s true for all of us. That’s why it’s so important to do all you can to lower your risk: Don’t smoke. If you smoke, it’s never too late to quit. Your risk of a heart attack starts to decrease within weeks of quitting. Aim for or maintain a healthy weight. Take steps to help keep your blood pressure in the healthy range. Eat a diet rich in fruits and vegetables and limit salt intake. If lifestyle changes aren’t enough to do the job, there are a number of medicines that work. Reduce your consumption of saturated and trans fats. This will help improve your LDL (bad) cholesterol level. Instead, use more olive oil and other unsaturated oils. Some people may also need a statin drug to lower LDL. Over the next 10 years, we have the knowledge and means to greatly increase the number of preventable deaths from heart disease, stroke, and from many other diseases as well. As a nation, we could take a huge step forward by becoming more physically active and adopting other healthy lifestyle changes.

New Model to predicting cancer in Women | Fullerton, CA

Breast Cancer, Gynecology, Womens Health, ,

Branch of dogwood blossoms against a dark backgroundScientists have developed a new model that can predict a woman’s risk of developing breast, ovarian and endometrial (womb) cancer.

The model uses easily obtainable information on known risk factors for these cancers, according to the researchers.

Researchers developed these models by using data from two large US studies that included white, non-Hispanic women aged over 50 years and by including commonly known risk factors, such as parity (the number of children a women delivered), body mass index (an indicator of the amount of body fat), use of oral contraceptives, and menopausal status and use of menopausal hormone therapy.

Researchers said the new models are able to predict individual women’s risk of each cancer.  For instance, individual women’s risk for endometrial cancer calculated using this model ranged from 0.5% to 29.5% over the next 20 years depending on their exposure to various risk factors.

“These models predict absolute risks for breast, endometrial, and ovarian cancers from easily obtainable risk factors and may assist in clinical decision-making,” researchers wrote.

“Limitations are the modest discriminatory ability of the breast and ovarian models and that these models may not generalize to women of other races,” they added.

The findings are published in the journal PLOS Medicine.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology.  Don’t continue to suffer, call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas

Story written by Christine Hsu for www.counselheal.com.  Story is dated July 30, 2013

 

A Safer Alternative: Minimally Invasive Gynecology Robotic Surgery | Fullerton, CA

Gynecology, Womens Health, , ,

B&W nude womanOne of the main priorities for Dr. Gordon Gunn is to provide a safer alternative to traditional open surgery by offering Gynecology Robotic Surgery.  This approach is used when indicated and whenever possible based on the disease we are treating, the patients’ anatomy, and the overall medical condition of the patient. Gynecology Robotic Surgery offers the following benefits to our patients:

  • Faster recovery
  • Less pain
  • Smaller incisions
  • Early return to normal activities
  • Shorter hospital stay
  • Decreased risk of infection

Putting a surgeon’s hands at the controls of a state-of-the-art robotic platform

The Gynecology Robotic Surgery provides Dr. Gordon Gunn with a state of the art alternative to both traditional open surgery and conventional laparoscopy. The Gynecology Robotic Surgery enables Dr. Gordon Gunn to perform even the most complex and delicate procedures through very small incisions with great precision.

It is important to discuss these options with Dr. Gordon Gunn. Gynecology Robotic Surgery is not available to all patients; however we are able to offer Gynecology Robotic Surgery to a large number of our patients.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology. Don’t continue to suffer, call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas.

Do you suffer from an Overactive Bladder? | Fullerton, CA

InterStem Therapy, Urinary Incontinence, , , ,

 overactive bladder, fullerton

Do you have to get up more than once in the middle of the night to use the bathroom? When you are in public do you find yourself always looking for the restroom? Having an overactive bladder can make daily life hard. However, there is hope. With dietary changes and therapy, overactive bladder can be treated.

Dietary Changes can help manage your overactive bladder. Avoiding caffeine, alcohol and artificial sweeteners can help decrease bladder activity.

Other treatments include:

Pelvic Muscle Exercises

These type of exercises help prevent and/or alleviate symptoms since they strengthen the pelvic floor. They send a signal to the bladder to relax and resume filling. Through regular exercises, you can build strength and endurance to help regain and maintain bladder control.

InterStim Therapy

The process of delivering electrical stimulation directly to the sacral nerves. It is shown to be successful in 4 out of 5 patients. InterStim therapy involves two stages. First, a test. Second, a permanent implant. The implant delivers electrical stimulation without having to revisit the doctor. It is an outpatient procedure. The implant is surgically placed under the skin in the upper buttock or abdomen. It stimulates the sacral nerve using electric pulses.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology. Don’t continue to suffer with overactive bladder. Call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas.

Stress: Symptoms, Causes and Managing | Fullerton, CA

Womens Health, , , ,

womens wellness-stress

 

 

 

 

 

Wellness is a dynamic process and it changes with age and circumstance. Understanding your current state of wellness improves your knowledge, helps you set goals and empowers you to make better choices for a healthier life.  Stress can greatly affect your wellness. Understanding more about stress and how to limit your stress can help lead you to a path of wellness.

Common Symptoms of Stress:

  • Headaches
  • Backaches
  • Rapid heartbeat
  • Fatigue
  • Difficulty sleeping
  • Recurring nightmares
  • Irritability
  • Loss of concentration

Common Causes of Stress:

  • Health problems
  • Financial concerns
  • Communication issues at work and home
  • Social isolation

It is important to investigate symptoms of stress as prolonged stress poses a potential health threat. Chronic stress is believed to raise the risk of increased blood pressure (hypertension), heart disease, irritable bowel syndrome (IBS), chronic back pain, depression and a reduced immune response.

Effective steps for dealing with stress:

  • Discuss your symptoms and your feelings about them
  • Keep a diary to gain insight into your concerns and emotional patterns
  • Exercise regularly engaging in both aerobic and weight training
  • Practice relaxation techniques such as yoga, meditation deep breathing exercises
  • Maintain your immune system by eating well balanced meals, exercising regularly and getting sufficient sleep.
  • Avoid destructive behaviors, including overindulgence of alcohol, caffeine or smoking
  • Seek professional help if any of your symptoms persist, interfering with your sense of well-being and/or your personal/work relationships.
  • Medications
    • Recurrent acute anxiety (episodic anxiety): Diazepam (Valium), Lorazepam (Ativan), or Alprazolin (Xanax). These drugs work very rapidly to alleviate symptomatic anxiety and should not be taken for more than two weeks.
    • Depression: When anxiety is part of an underlying depression or a more generalized anxiety disorder the following medications may be considered: Selective serotonin-uptake inhibitors: Fluoxetin (Prozac), or Paroxetine (Paxil) or other antidepressant medication. These drugs can take up to six weeks to achieve their full therapeutic effect.
    • Insomnia: Zaleplon (Sonata), Zolpiden (Ambien) or Temazapan (Restoril), short term use.

    Contact Gordon C. Gunn, M.D. in Fullerton, CA for more information on stress, women’s wellness or for any other gynecological or urology needs. Call 714-912-2211 or visit his website www.gordongunnmd.com.

Cholesterol and Plaque | Fullerton, CA

Heart Disease and Stroke Prevention Program, Womens Health, , ,

Pure, Natural, BeautyWhat is the Role of Cholesterol?

  • Cholesterol is an essential building block for the normal metabolism of the body.
  • Cholesterol is a lipid (fat). The liver produces 90% of the body’s cholesterol (usually during sleep). This is primarily a genetic factor; only 10% comes from food.
  • Problem: Lipids cannot circulate alone in the blood stream (fat and water do not mix).

They require a transport system.

  • Solution: ‘Water-soluble’ proteins called lipoproteins transport cholesterol in the blood.

Think of ‘dump trucks’ designed to carry specific types of cholesterol. The amount of

These lipoprotein ‘dump trucks’ determines how much cholesterol can be transported.

  • There are three main types of lipoproteins that transport cholesterol:

-HDL–high-density lipoprotein. Referred to as “good” cholesterol, because it removes cholesterol from arterial plaque and transports it back to the liver to be metabolized.

-LDL–low-density lipoprotein. Referred to as “bad” cholesterol, because it deposits cholesterol into the inflamed plaque of the artery wall.

-VLDL-very low-density lipoprotein. This lipoprotein is directly related to the level of   triglycerides.

-Total Cholesterol is the sum of all three types of lipoproteins. Measuring these and the triglyceride level produces a lipid profile. The Ratio is the total cholesterol divided by the HDL level (the lower, the better).

  • Women are frequently told by their physicians that their cholesterol levels and “ratio” are either normal, or if abnormal, their ‘good’ cholesterol is ‘OK’. The problem with this message is the fact that 50% of women who suffer their first heart attack or stroke have ‘normal’ cholesterol levels, according to the American Heart Association criteria.

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

Heart Attacks & Strokes in Women | Fullerton, CA

Heart Attack, Heart Disease and Stroke Prevention Program, Stroke, , ,

Grandparent and daughterUpdated Information That Could Save Your Life

Consider this:

50% of American women die as a result of a heart attack or stroke. Heart attacks and strokes are preventable, according to new medical evidence. Many women underestimate their personal risk level. By participating in the Heart Disease and Stroke Prevention Program you will gain an understanding of your risk, increase your awareness for heart disease, and be empowered with healthy solutions.

Be proactive! Prevent disease!

What Determines Your Risk of Having Heart Attack or Stroke?

  • Heredity: Family history is an important indicator of your future risks, especially if your father had a heart attack before the age of 45 or your mother before the age of 55.
  • Personal:  Factors that contribute to an elevated LDL, an elevated CRP-HS, and the amount of atherosclerotic plaque within your arteries (determined by vascular ultrasound)include:

-Aging, existing heart disease, diabetes, high blood pressure, smoking, metabolic syndrome, obesity, stress, excessive alcohol, sedentary lifestyle, and poor nutrition.

-Menopause (estrogen deficiency) raises LDL and lowers HDL. Estrogen replacement is preventative.

-Low thyroid function will increase cholesterol levels.

  • Presence of Atherosclerotic plaque within your coronary or carotid arteries, regardless of your hereditary or personal risk profile. Plaque is a disease of the arteries and can rupture at any stage and cause a potential heart attack or stroke.

Good News! All risk factors, except age, can be reduced with lifestyle changes and proper medical care.

What Causes a Heart Attack or Stroke?

  • Over 90% of heart attacks and strokes are due to plaque within the walls of arteries supplying blood and oxygen to the vital organs of the body.
  • Atherosclerosis (“hardening of the arteries”) occurs when the immune system tries to heal the inflammation within the arterial wall. LDL or ‘bad’ cholesterol is deposited within the inflamed lining. The body’s defense mechanisms attempt to reverse the process. However, during the ‘healing’ process LDL cholesterol continues to be deposited forming a plaque with a thin cap (like a cholesterol blister).
  • When the surface capsule of the cholesterol plaque ruptures, releasing cholesterol core material directly into the blood stream, a significant and sudden event occurs: a blood clot is formed causing a potentially fatal blockage of blood flow and oxygen supply.
  • If plaque rupture occurs in the coronary arteries of the heart, the result is a heart attack. If a plaque rupture occurs in the carotid arteries supplying the brain, a stroke occurs. The size and location of the resulting clot determines the severity of the attack and frequently results in death.
  • It is important to understand that plaque rupture can occur with only mild disease and not just with advanced blockage (stenosis). The presence of any amount of plaque is a diagnosis of disease. This explains the frequently heard story of the friend or neighbor that suffered a fatal heart attack the day after a normal EKG Stress Test.
  • Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

    Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.