Seres Heart Disease Manual (EN)

Acknowledgements Thank you to the people who helped create this book: • People living with heart disease — your personal experiences are helpful to people facing similar challenges. • Care partners — you bring an important point of view to the story of living with heart disease. • Healthcare providers and experts — your expertise, insight and care ensure current and accurate information in this guide. Thank you for sharing your time, energy and talent.

Content REVIEWERS CARDIAC SURVIVORS Caroline Lavallйe (Quйbec) Vincent Daignault (Quйbec) Louise Boivin (Quйbec) Cendrine Mathews (Quйbec) Linda Vardy (Ontario) Hannah Wilansky (Ontario) Hasnain Mawji (Ontario) Shishir Lakhani (Ontario) Anselm Fok (Ontario) Sandra Thornton (Alberta) Susan Burns (Saskatchewan) Heather Eby (Saskatchewan) Kevin Vinding (Saskatchewan) Norm Normand Pearce (Nova Scotia) Barbara Ellison (British Columbia) RISK FACTORS Co-LEAD Karen Throndson , R.N., MN Clinical Nurse Specialist Cardiac Sciences Program, Health Sciences Centre, Manitoba Martine Montigny , M.D., M.Sc.

Cardiologist Directrice mйdicale, Programme santй physique gйnйrale et spйcialisйe, CISSS de Laval Professeure adjointe de clinique au dйpartement de mйdecine et spйcialitйs mйdicales, Facultй de mйdecine, Universitй de Montrйal (Quйbec) Co-LEAD Kathryn King-Shier , R.N., Ph.D. Professor and Guru Nanak Dev Ji DIL (Heart) Research Chair Faculty of Nursing and Department of Community Health Sciences University of Calgary, Alberta Thao Huynh , M.D., M.Sc., FRCPC, Ph.D. Cardiologist and epidemiologist Division de cardiologie, Centre universitaire de santй de McGill (CUSM) (Quйbec) Living Well with Heart Disease | I

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Dennis T. Ko , M.D., M.Sc. Senior Scientist, Institute for Clinical Evaluative Sciences (ICES), Sunnybrook Research Institute (SRI) Interventional Cardiologist, Schulich Heart Centre, Sunnybrook Health Sciences Centre Associate Professor, Dept. of Medicine and the Institute of Health Policy, Management & Evaluation (IHPME), University of Toronto, Ontario Lucie Girouard , R.D. Spйcialiste en йvaluation de soins Service de rйadaptation cardiaque-CICO CISSSO Hфpital de Hull (Quйbec) Bertha Hughes , NP-Adult, MN, RVT, CCN(c), CDE Vascular Surgery Nurse Practitioner St. Michaels Hospital, Toronto, Ontario Lorraine J.

Avery , R.N., Ph.D., CNCC(C) Regional Clinical Nurse Specialist Winnipeg Regional Health Authority Cardiac Sciences Program Johanne Roy , R.N., B.Sc.N., M.Sc. Cardiology Clinical nurse specialist CHU de Quйbec- Universitй Laval (Quйbec) MEDICATION LEAD Travis Warner , BSP, ACPR, BCPS, EPPh Pharmacist St. Boniface Hospital, Manitoba Lucy Turri , R.N., B.Sc.N. Clinical Drug Research Nurse (Cardiology) Interior Clinical Research Consultants Living with Stroke Coordinator (Volunteer) Kelowna, British Columbia Luc Poirier , B. Pharm. M.Sc. Pharmacist Dйpartement de pharmacie, CHU de Quйbec, et Facultй de pharmacie, Universitй Laval (Quйbec) NUTRITION LEAD Kathleen Turner , R.D.

Cardiac Rehabilitation University of Ottawa Heart Institute, Ontario Louise Gagnon , R.D., M.Sc. Pavillon de prйvention des maladies cardiaques (PPMC) Institut universitaire de cardiologie et de pneumologie de Quйbec (IUCPQ) (Quйbec) Йlise Latour , R.D. Centre Йpic Institut de cardiologie de Montrйal (ICM), (Quйbec) Chantal Blais , R.D. Institut de recherches cliniques de Montrйal (Quйbec) PHYSICAL ACTIVITY Co-LEAD Sarah Neil , B.Sc. PT.

ACSM Clinical Exercise Physiologist Cardiac Rehabilitation Program Royal Jubilee Hospital, Victoria, British Columbia Ann Parkinson , M.Sc., ACSM Clinical Exercise Specialist Manager, YMCA Healthy Heart Program New Westminster, British Columbia Taira Birnie , B.Sc.Kin. Case Manager VGH Centre for Cardiovascular Health Vancouver General Hospital, Vancouver, British Columbia Co-LEAD Judy Wilson , R.N., BA, CNN(c) Case Manager, Patient Educator Cardiac Rehabilitation Program St. Paul’s Hospital, Vancouver, British Columbia II | Heart and Stroke Foundation

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John C. Spence , Ph.D. Professor Faculty of Physical Education & Recreation University of Alberta, Alberta Paul Oh , Ph.D. Medical Director and GoodLife Fitness ChairCardiovascular Prevention and Rehabilitation Program Toronto Rehabilitation Institute, University Health Network Liam Kelly , M.Sc., NLCK, CEP Coordinator, Allied Health Services Memorial University of Newfoundland, Newfoundland Sarah Rapko , BMR PT Senior Physiotherapist, Cardiology St. Boniface Hospital, Winnipeg, Manitoba Susan Marzolini , Ph.D.

Exercise Physiologist and Scientific Associate, Rehab Supervisor Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network Kelly Codispodi , BMR PT Senior Physiotherapist, Cardiac Sciences St. Boniface Hospital, Winnipeg, Manitoba Marcy Fengler , BMR OT Occupational Therapist, Cardiology St. Boniface Hospital, Winnipeg, Manitoba Tracey JF Colella , R.N., Ph.D. Research Scientist, Cardiovascular Prevention and Rehabilitation Program, Associate Professor, Bloomberg Faculty of Nursing, University of Toronto Toronto Rehabilitation Institute, University Health Network PSYCHOLOGY LEAD Pascale Lehoux , Ph.D.

Psychologist, Centre cardiovasculaire du Centre hospitalier de l’Universitй de Montrйal (CHUM) (Quйbec) Robert D. Reid , Ph. D., MBA Deputy Chief, Division of Prevention and Rehabilitation University of Ottawa Heart Institute, Ontario Michael Vallis , Ph.D. R. Psych. Psychologist, CDHA Behaviour Change Institute Associate Professor, Dalhousie University, Nova Scotia Peter Prior , Ph.D. Clinical Psychologist St. Joseph’s Hospital Cardiac Rehabilitation and Secondary Prevention Program Scientist, Lawson Health Research Institute Adjunct Clinical Professor, Dept.

Psychology, Western University, Ontario The appearance of advertising in this publication, is neither a guarantee nor an endorsement of claims made for a product or service. Heart and Stroke Foundation of Canada shall not be liable for any damages, claims, liabilities, costs or obligations arising from the use or misuse of the advertising material that appear, whether such obligations arise in contract, negligence, equity or statute law. No guarantee or warranty is made as to the quality, accuracy, completeness, timeliness, appropriateness or suitability of the advertising material or information provided.

No advertising material is intended to substitute for the advice of a physician, and readers are advised always to consult their doctor for specific information on personal health matters. Living Well with Heart Disease | III

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How TO USE THIS GUIDE Living Well with Heart Disease is written for adults with coronary artery disease. But your care partners, family and friends will find it helpful too. Coronary artery disease can lead to: • Chest pain (angina) • Heart attack (myocardial infarction) • Sudden stopping of the heart (cardiac arrest) “When I first faced heart disease, I really felt like my body had betrayed me. It took me a long time to feel confident again. A guide like this will help people in the early days.” ~ Sandra You may feel worried and afraid. These are normal feelings. You may also have questions, such as: • Why did this happen to me? • How will this change my life? • What can I eat?

• Can I be physically active? • What are these medications for? • What about my future? • Where can I go for more information or for help to get better? This guide answers your questions and gives you tools to help your recovery. There is even space for you to write down your ideas and questions. You can read Living Well with Heart Disease from cover to cover, or you can just look at the parts you need when you need them. Share the guide with family, friends and your healthcare team (the health professionals who are helping you). Knowing how you are doing will help them to support you.

Join our online survivor community for the latest research news, information, tips and strategies to help you manage your recovery. Visit heartandstroke.ca/connect to receive the Supporting Your Recovery e-newsletter. IV | Heart and Stroke Foundation

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