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| Introduction | |
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| Why This Book? | |
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| How This Heart Owner's Manual Is Organized | |
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| The Heart and Heart Health | |
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| Heart Health and You | |
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| One Heart, One Life | |
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| A pump that makes beautiful music | |
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| When the music dies | |
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| It's your life | |
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| Why Care About Heart Health? | |
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| The good news | |
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| So, who should care? | |
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| Why care, if you are a woman? | |
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| Why care, if you're African American? | |
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| Why care, if you already have heart disease? | |
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| Why care, if you're a parent? | |
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| Why care, if you are older? | |
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| So what's the bottom line? | |
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| Benefits of Heart Health | |
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| Anatomy and Destiny: The Heart and Cardiovascular System | |
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| The Heart | |
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| The heart muscle | |
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| The heart as a pump | |
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| The heart valves | |
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| The coronary arteries | |
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| The electrical system | |
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| The pericardium | |
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| The Rest of the Cardiovascular System | |
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| The lungs | |
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| The arteries | |
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| The capillaries | |
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| The veins | |
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| What Determines Your Heart Rate? | |
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| Sympathetic nervous system | |
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| Parasympathetic nervous system | |
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| The Heart at Rest and at Work | |
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| The view from the couch | |
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| The view from the track | |
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| Anatomy Is Destiny | |
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| The conditioned heart | |
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| The deconditioned heart | |
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| The diseased heart | |
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| Life's Risky Business: Minimizing Your Risk of Coronary Heart Disease | |
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| What Is a Risk Factor Anyway? | |
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| Emerging risk factors | |
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| Double trouble and more--multiplying risks | |
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| Heading trouble off--controlling risk factors | |
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| Interpreting risk factors--one size does not fit all | |
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| Six Risk Factors That You Can Control | |
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| Hypertension | |
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| Elevated cholesterol | |
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| Tobacco use | |
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| Physical inactivity | |
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| Obesity | |
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| Diabetes mellitus | |
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| Risk Factors for Heart Disease That You Cannot Modify | |
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| Emerging Risk Factors for Coronary Heart Disease | |
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| Clustering of Risk Factors | |
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| Assessing Your Risk Factors -- a Quiz | |
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| Leading a Cardiac-Healthy Lifestyle | |
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| The Healthy Heart Lifestyle Plan | |
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| Nutrition for a Healthy Heart | |
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| Nutrition Is Not a Four-Letter Word | |
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| You are what you eat - the bad news | |
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| You are what you eat - the good news | |
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| Choose Healthy Pleasures | |
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| Guidelines for Eating Right While Eating Well | |
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| Lower the amount of fat in your diet | |
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| Lower cholesterol consumption | |
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| Increase the amount of carbohydrates in the diet to 50-55 percent of total calories | |
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| Limit sodium intake | |
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| Limit protein intake to 15 percent of your total calories | |
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| If you consume alcohol, do so in moderation | |
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| Do not consume more calories than required to maintain your best body weight | |
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| Consume a variety of foods | |
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| Three Key Rules for Healthy Eating | |
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| Eat a healthy low-fat breakfast | |
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| Eat at least five servings of fruits and vegetables every day | |
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| Drink pure water | |
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| Special Issues in Nutrition for Heart Health | |
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| Other Components of a Healthy Lifestyle | |
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| Personal Nutrition: Designing Your Own Menu | |
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| What Are Your Challenges to Success? | |
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| Evaluating How You Eat Now | |
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| Set up a daily log | |
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| What to record on the log | |
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| Analyze your current eating pattern | |
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| Set Goals for Improvement | |
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| Plan Your Personal Menu | |
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| Schedule your prioritized goals and modifications for action | |
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| Plan actual menus for several days | |
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| Use a model eating plan for guidance | |
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| Every two or three months, prepare a Menu Rut Buster | |
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| Is Ketchup a Vegetable? Tips for Heart-Healthy Dining Out | |
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| Exercise and the Heart: Keep It Pumping | |
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| Why Exercise? | |
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| Most of us are couch potatoes! | |
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| What's in it for me? | |
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| Isn't exercise more important for young people than old people? | |
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| The Difference between Physical Activity and Exercise | |
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| How Much Physical Activity Is Enough? | |
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| The two keys: accumulate and moderate | |
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| No pain, no gain? No way! | |
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| Ease on down the road -- for a great start | |
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| The Right Way to Get Started | |
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| What's the Best Activity? | |
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| Start your program with aerobic exercise | |
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| Mix and match activities | |
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| Involve Your Physician | |
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| Develop a Personal Plan for Physical Activity | |
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| Stay Motivated: Five Tips to Stick with It | |
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| If You Already Have Heart Disease, What Then? | |
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| Planning Your Personal Heart Healthy Exercise Program | |
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| Choosing Your Exercise Activity | |
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| Walk On By | |
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| A fish tale with a moral | |
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| Why walking is the best heart healthy exercise | |
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| Getting Started | |
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| Testing, testing, testing - determine your current level of fitness | |
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| Get the right gear for walking | |
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| Develop an exercise plan that fits your lifestyle | |
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| Step by Step through a Session of the Healthy Heart Walking Program | |
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| The Healthy Heart Walking Programs | |
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| Selecting the right walking program | |
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| Getting started with the appropriate program | |
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| Other Forms of Physical Activity | |
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| Six Signs of Over-Exercising | |
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| Medic Alert: Symptoms to Watch for During Exercise | |
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| Coping with the Environment | |
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| Health Considerations | |
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| Heart and Soul: Mind/Body Connections, Stress Reduction, and Cardiac Health | |
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| Stress and the Heart | |
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| What is stress? | |
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| Positive versus negative stress | |
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| Stress and heart disease | |
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| Stress and high blood pressure | |
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| Are you Type A? | |
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| Why anger kills | |
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| Friendship, Intimacy, and Cardiac Health | |
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| The lonely heart | |
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| The healing power of love | |
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| Make the connection | |
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| Can You Be "Scared to Death"? The Psychological Bases of Arrythmias and Sudden Death | |
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| Hardwired: The psychological-physiological link | |
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| Who's most at risk? | |
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| But can you "drop dead" from stress? | |
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| What About Stress Caused by Heart Problems? | |
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| The Heart Attack That Isn't: Emotional Disorders That Mimic Heart Disease | |
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| Psychotropic Medications and the Heart | |
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| A Four-Part Plan for Controlling Stress | |
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| Five Simple Steps for Controlling Anger | |
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| Preventing Heart Disease: The Big Four | |
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| Combating High Blood Pressure to Reduce Your Cardiac Risk | |
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| Hypertension: The Silent Killer | |
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| What Is Blood Pressure? | |
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| What Is High Blood Pressure, or Hypertension? | |
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| Categories of blood pressure | |
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| High blood pressure | |
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| Optimal blood pressure | |
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| Is it possible to have blood pressure that is too low? | |
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| How Dangerous Is Hypertension? | |
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| What Causes Hypertension? | |
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| Ganging Up - Other Conditions That Contribute to Hypertension | |
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| Hypertension in Specific Groups of People | |
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| Children and adolescents | |
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| The elderly | |
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| African Americans | |
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| Persons with diabetes mellitus | |
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| Pregnancy | |
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| Take Charge of Controlling Your Blood Pressure | |
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| Manage your weight | |
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| Get regular physical activity | |
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| Eat a low-sodium, heart-healthy diet | |
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| Avoid tobacco use | |
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| Limit alcohol intake | |
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| Chill out - reduce stress | |
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| Working with Your Doctor to Control Your Blood Pressure | |
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| Medical evaluation | |
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| Treatment | |
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| Self-monitoring | |
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| To Medicate or Not to Medicate? That Is the Question | |
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| Classes of medications for hypertension | |
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| Ten Tips for Controlling Your Blood Pressure for a Lifetime | |
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| What if Hypertension Doesn't Respond to Treatment? | |
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| Controlling Cholesterol | |
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| Good News/Bad News About Cholesterol and the Risk of Heart Disease | |
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| What Is Cholesterol Anyway? The Lowdown on Lipids | |
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| Lipoproteins: The good, the bad, and the ugly | |
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| Don't hang these plaques on your walls | |
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| The trying problem of elevated blood triglycerides | |
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| Testing Your Cholesterol and Other Lipid Levels | |
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| What are those mystery numbers? Decoding the test results | |
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| What do my cholesterol levels mean in terms of risk of heart disease? | |
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| Cholesterol in Context: Managing Your Cholesterol | |
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| Overview of typical cholesterol treatment | |
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| Individual situations that affect cholesterol treatment plans | |
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| Manage Your Cholesterol with Three Key Steps Daily | |
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| Eat "heart smart" to control cholesterol | |
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| Get at least 30 minutes of physical activity daily | |
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| Maintain a healthy weight | |
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| Drug Treatment for High Cholesterol | |
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| Medications used to treat high cholesterol | |
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| Estrogen Replacement Therapy as cholesterol therapy | |
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| General considerations regarding drug therapy | |
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| Special Issues in Controlling Cholesterol | |
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| Lowering triclyceride levels | |
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| High blood cholesterol and hypertension | |
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| Elevated blood cholesterol accompanied by diabetes | |
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| Other conditions associated with cholesterol | |
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| Severe and/or hereditary forms of elevated blood cholesterol | |
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| Stamp Out Smoking! | |
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| Why Stop Smoking? | |
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| Cigarette smoking and heart disease | |
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| Cigarette smoking and other diseases | |
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| Smoking and women | |
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| Smoking and children and youth | |
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| Smoking and African Americans | |
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| Second-hand smoke | |
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| The Good News About Quitting Smoking | |
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| Nicotine Addiction: The Chain That Binds | |
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| What does nicotine do to the body? | |
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| What are the effects of nicotine on the heart? | |
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| What's the difference between nicotine in smoke and in nicotine patches and gum? | |
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| Are Other Forms of Tobacco as Dangerous? | |
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| Smokeless tobacco | |
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| Cigars | |
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| Pipes | |
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| What You Can Do to Stop Smoking | |
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| Aids to Help You Stop Smoking | |
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| Developing a Specific Plan to Quit | |
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| Relapse Is Not Collapse | |
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| Quitting for Keeps | |
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| Resources | |
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| Overcoming Obesity: Healthy Weight Loss | |
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| A Look in the Mirror | |
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| The next generation at risk | |
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| It's about health! Not looking good | |
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| Establishing the Link between Obesity and Heart Disease | |
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| What Causes Obesity? | |
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| Do your genes make you fat? | |
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| What about our social environment? | |
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| Why Is Obesity So Dangerous to the Heart? | |
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| How Do You Know If You Are Obese? | |
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| Mirror, mirror on the wall | |
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| Double and Triple Trouble: Obesity's Cluster Effect on Risk Factors | |
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| Why It Is Worse to Be an "Apple" Than a "Pear" | |
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| Middle-Aged Weight Gain: Time for the Yellow Caution Flag | |
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| Will Losing Weight Lower the Risk of Heart Disease? | |
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| What Is the Best Way to Treat Obesity? | |
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| Are Any Good Medical Treatments for Obesity Available? | |
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| Anti-obesity medicines | |
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| Surgery | |
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| What About Those "Miracle" Diets? | |
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| Developing an Eating Plan for Weight Loss | |
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| Setting weight loss goals | |
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| Using food exchange systems for a weight loss plan that works | |
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| Make peace with yourself - the final key | |
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| Tips for Lifelong Maintenance of Weight Loss | |
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| Understanding and Controlling Heart Disease | |
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| Tests and Procedures: When Each Is Used and What They Tell Us | |
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| Diagnostic Tests | |
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| Hands before scans: The history and physical examination | |
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| Electrocardiogram | |
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| Exercise tolerance test | |
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| Holter monitoring | |
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| Echocardiography | |
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| Nuclear medicine | |
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| Alphabet soup - other noninvasive tests | |
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| Plumbing 101: Heart catheterization and angiography | |
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| Emergency Procedures | |
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| Cardiopulmonary resuscitation (CPR) | |
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| Defibrillation | |
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| Medical and Surgical Procedures | |
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| The electric company | |
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| Angioplasty | |
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| Cardiac surgery | |
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| Monitoring heart performance and pressure in hospital | |
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| Coronary Artery Disease, Angina, and Unstable Angina | |
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| What Is Coronary Artery Disease? | |
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| A blood cell's view of the causes and progression of CAD | |
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| What are the symptoms, or manifestations, of CAD? | |
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| What Is Angina? | |
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| What causes angina? | |
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| Does angina damage the heart? | |
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| How is angina diagnosed? | |
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| Are there other types of angina? | |
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| Are there other causes of chest pain? | |
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| What Is Unstable Angina? | |
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| What causes unstable angina? | |
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| How is unstable angina treated? | |
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| How is unstable angina treated in the emergency room? | |
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| Tests for unstable angina | |
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| How is unstable angina treated? | |
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| Fighting the Good Fight | |
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| Heart Attack! | |
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| What Is a Heart Attack? | |
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| What complications are associated with heart attacks? | |
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| Are a heart attack and sudden cardiac arrest the same thing? | |
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| What Causes a Heart Attack? | |
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| What Are the Symptoms of a Heart Attack? | |
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| Timing Is Everything | |
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| What to Do If You Think You Are Having a Heart Attack | |
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| What Medical Treatment Occurs in the Emergency Room? | |
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| What Medical Treatment Occurs When You Are Admitted to the Hospital? | |
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| Typical medical treatments used in the CCU | |
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| Typical tests given in the CCU | |
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| Other procedures that may be needed | |
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| What Are the Possible Complications of a Heart Attack? | |
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| How Long Will You Stay in the Hospital? | |
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| What to Expect During Recuperation | |
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| Cardiac Rehabilitation | |
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| What Is Cardiac Rehabilitation? | |
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| What Are the Goals and Benefits of Cardiac Rehabilitation? | |
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| Where Does Cardiac Rehabilitation Take Place? | |
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| What Does a Cardiac Rehabilitation Program Include and How Long Does It Last? | |
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| Rehabilitation while you're in the hospital | |
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| Rehabilitation during recovery | |
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| Maintenance | |
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| The Role of Education in Cardiac Rehabilitation | |
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| The Role of Exercise Training and Physical Activity | |
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| Understanding the benefits of exercise training | |
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| Getting started on an exercise program and cardiac rehabilitation | |
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| Rehabilitative exercise training for specific conditions | |
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| The Role of Lifestyle Modifications to Reduce Risk Factors for Heart Disease | |
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| The Role of Counseling and Support | |
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| Returning to Work | |
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| Forming a Partnership with Your Physician | |
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| Strategies for Long-Term Success | |
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| Further Resources and Information | |
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| I Got Rhythm: The Heart's Electrical System | |
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| What Are Arrhythmias? | |
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| What's Electricity Got to Do with the Causes of Arrhythmia? | |
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| The heart's electric company at work | |
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| When the heart's electric company goes haywire | |
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| What Are the Symptoms of Cardiac Arrhythmias? | |
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| How Are Cardiac Rhythm Problems Diagnosed? | |
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| Specific Rhythm Problems | |
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| Rhythm problems arising in the atria | |
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| Rhythm disturbances arising in the ventricles | |
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| Passing the Beat on - Conduction Problems | |
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| How Are Rhythm Problems Treated? | |
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| Lifestyle measures | |
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| Treating underlying illnesses | |
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| Medications | |
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| Electrical therapy | |
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| Heart Failure | |
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| What Is Heart Failure? | |
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| Are there different types of heart failure? | |
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| Does heart failure affect some groups of people more than others? | |
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| What Causes Heart Failure? | |
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| Direct damage to the heart muscle | |
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| Overloading the heart | |
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| Inability of the heart to fill adequately | |
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| Underlying conditions that stress the heart | |
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| What Are the Symptoms of Heart Failure? | |
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| Shortness of breath | |
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| Fatigue | |
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| Edema and coughing | |
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| Can other conditions mimic the symptoms of heart failure? | |
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| How Is Heart Failure Diagnosed? | |
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| How Is Heart Failure Treated? | |
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| Steps you can take | |
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| Medical treatment of heart failure | |
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| How to Work with Your Doctor to Fight Heart Failure | |
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| Other Cardiac Conditions | |
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| Stroke | |
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| What is a stroke? | |
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| What are the symptoms of a stroke? | |
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| How is stroke treated? | |
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| For more information on stroke | |
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| Peripheral Vascular Disease | |
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| What causes peripheral vascular disease? | |
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| How is peripheral vascular disease treated? | |
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| Valvular Heart Disease | |
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| What are some common valve malfunctions and their causes? | |
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| How are valve problems treated? | |
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| Diseases of the Aorta | |
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| What causes aorta problems? | |
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| How are these conditions treated? | |
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| Diseases of the Pericardium | |
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| What causes pericarditis? | |
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| How is pericarditis treated? | |
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| Diseases of the Heart Muscle | |
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| What are cardiomyopathies? | |
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| How are cardiomyopathies treated? | |
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| Pulmonary Embolism | |
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| What causes pulmonary embolism? | |
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| How is this condition treated? | |
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| Cor Pulmonale | |
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| Congenital Heart Disease | |
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| What are common congenital defects? | |
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| How are these defects treated? | |
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| Cardiac Tumors | |
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| Cardiac Trauma | |
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| Non-Cardiac Surgery in Patients with Heart Disease | |
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| When It's Time for Two: Pregnancy and the Heart | |
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| What about pregnancy when you have heart disease? | |
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| What about exercise and other heart-healthy lifestyle practices during pregnancy? | |
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| For More Information | |
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| Reversing Heart Disease: Hope or Hype? | |
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| Back To The Future: Can You Turn Coronary Artery Disease Around? | |
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| A look at the evidence on regression of CAD | |
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| The evidence for diet or diet plus other lifestyle interventions | |
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| The evidence for single drug interventions | |
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| The evidence for using combinations of drugs | |
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| The evidence for other interventions | |
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| A promising outlook and a caution | |
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| How Does Coronary Artery Disease Regress? | |
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| How therapy attacks the most dangerous plaque -- the "culprit lesion" | |
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| How do you know if regression has occurred? | |
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| A Practical Approach to Regression of Coronary Artery Disease | |
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| Alternative Therapies: Are They for You? | |
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| What Is Alternative Medicine Anyway? | |
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| Placebo versus Proof: Caveat Emptor | |
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| Positive Lifestyle: The Proven Alternative | |
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| The big three: Exercise, sound nutrition, weight management | |
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| Mind/body connections | |
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| Spirituality | |
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| Volunteerism | |
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| Can Any Natural Supplements Lower Your Risk of Heart Disease? | |
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| Phytosterols | |
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| Monascus purpureus | |
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| Garlic | |
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| Niacin | |
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| Folate | |
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| Fiber | |
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| Soy protein | |
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| Fish oil | |
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| Antioxidants | |
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| The Wisdom of the Willow: An Aspirin a Day May Keep the Cardiologist Away | |
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| Working with Your Doctor: The Rules of Engagement | |
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| The Fundamentals of Partnership | |
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| Choosing a Primary Care Doctor | |
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| What traits to look for in a physician | |
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| Interviewing a potential physician | |
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| Matching your needs | |
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| Choosing a Cardiologist | |
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| Choosing and Working with a Managed Care Plan | |
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| Choosing a Hospital | |
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| Establishing a Partnership with Your Physician | |
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| What do you have a right to expect of your physician? | |
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| What does your physician have a right to expect of you? | |
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| Helping Your Primary Care Doctor and Cardiologist Communicate | |
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| Optimizing Office Visits: The Nuts and Bolts | |
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| Testing Made Easier | |
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| Special Issues in the Doctor-Patient Relationship | |
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| Research | |
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| What to do when you can't get your physician's attention? | |
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| When to get a second opinion | |
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| What about switching doctors? | |
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| The Part of Tens | |
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| Ten Myths about Heart Disease | |
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| The Myth of Modern Maturity | |
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| The Myth of the Old Boy Network | |
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| The Myth of Thomas Wolfe | |
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| The Eisenhower Myth | |
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| The Myth of No Pain, No Gain | |
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| The Myth of Marathon Monday | |
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| The Myth of Pleasingly Plump | |
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| The Cave Man Myth | |
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| The Myth of the Stiff Upper Lip | |
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| The Myth of Jupiter | |
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| Ten Great Heart-Healthy Foods | |
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| Olive Oil | |
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| Fish | |
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| Soy Foods | |
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| Soluble Fiber | |
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| Whole Grains | |
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| Fruits and Vegetables | |
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| B Vitamins - Folate and B6 | |
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| Monascus Purpureus | |
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| Tea | |
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| Alcohol | |
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| Ten Cardiac Signs and Symptoms: Which Are Worrisome and Which Are Not | |
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| Chest Pain | |
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| Shortness of Breath | |
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| Loss of Consciousness | |
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| Cardiovascular Collapse | |
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| Palpitations | |
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| Edema | |
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| Cyanosis | |
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| Cough | |
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| Hemoptysis | |
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| Fatigue | |
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| Ten Secrets of Long-Term Success | |
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| Educate Yourself | |
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| Accumulate, Accumulate | |
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| Be Prepared | |
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| Mix and Match | |
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| Be Specific and Prioritize | |
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| Include Family and Friends | |
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| Be Optimistic | |
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| Seize the Day | |
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| Form Partnerships | |
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| Reward Yourself | |
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| Heart-Healthy Cookbook: Great Heart-Healthy Recipes by America's Leading Chefs | |
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| Index | |
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| Book Registration Information | |