June 2017 - August 2017

MCI (P) 102/11/2016 fb.com/heartfoundationmyheart.org.sg twitter.com/heartSG

Official Publication of the Singapore Heart Foundation

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新加坡心脏基金家庭心脏复健计划

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A dog could be yourheart's best friend

@singaporeheartfoundation

Cardiology for the Layman #4Cardiac rehabilitation puts

more patients on theroad to recovery

PATRONESM Goh Chok Tong

NATIONAL HEART COUNCIL

PRESIDENTDr Richard Hu

VICE PRESIDENTSMr Sat Pal KhattarMr Shaw Vee Meng

CHAIRMAN EMERITUSDr Low Lip Ping

SHF 45TH

BOARD OF DIRECTORS

CHAIRMANAdj Prof Terrance Chua

VICE-CHAIRMENDr Tan Yong SengMs Tan Lee-Chew

HONORARY SECRETARYProf Tan Huay Cheem

ASSISTANT HONORARYSECRETARYMr Goh Chiew Seng

HONORARY TREASURERMr Chong Chou Yuen

MEMBERSDr Chee Tek SiongMrs Elsie FohDr Goh Ping PingMdm Koh Teck SiewDr Bernard KwokMrs Regina LeeProf May LwinDr Mak Koon HouMr Peter SimDr C Sivathasan

HONORARY ADVISORSProf Koh Tian HaiMr Liak Teng LitMr Lim Soon HockA/Prof Lim Yean TengDr Lily NeoMr Tan Kin LianMr Wong Yew Meng

EDITORIAL COMMITTEE

EDITORMr Patrick Deroose

MEMBERSAdj Prof Terrance ChuaDr Chee Tek SiongDr C Sivathasan

SECRETARIATMr Vernon KangMs Stephanie HoMs Mabel Tang

2 Editor’s Note

heartline is a quarterly publication of the Singapore Heart Foundation.9 Bishan Place, #07-01 Junction 8 (Office Tower), Singapore 579837Tel: 6354 9340 • Fax: 6258 5240 • Email: info@heart.org.sg

The information provided in heartline is for educational purposes only. It should not be used for diagnosingor treating a heart problem or a disease, and should not be substituted for professional health care. Opinions expressed by contributors and advertisers do not necessarily reflect those of the SHF.The SHF does not endorse any products or services in heartline advertisements.

All rights reserved. Copyright is held by SHF.No portion of this publication can be reproduced without the permission of SHF.To advertise in heartline, please email info@heart.org.sg or call 6354 9340.Terms and conditions apply.

Want a copy of heartline delivered to your doorstep?Call 6354 9340 for a copy of the subscription form.Designed by: Vacain Design Pte Ltd • Printed by: A&D Printhub Pte. Ltd.

Patrick Deroose

DEAR READERS,

Every year, International Nurses Day is celebrated around the world on 12th May, to commemorate the birth of Florence Nightingale (born in 1820), the founder of modern nursing. The legend of the saintly nurse has long obscured the truth that she was a mathematical genius, who had saved many lives during the Crimean War in 1854. Florence Nightingale was far more than the ‘lady with the lamp’, she embodied the values of care and compassion. She served with her heart and soul.

And so do many others too, for instance the fire brigade in Aubenas (Southern France) has as their credo “Savoir et Servir” and the Lions Club International, who is celebrating their centennial this year, whose belief is also to serve. At the Foundation, we too serve by extending our rehabilitation services and support to our cardiac patients, delivering benefits to help improve their heart health and well-being.

Most rehabilitation programmes commence in a hospital setting, evaluating the patient’s Activities of Daily Living (ADL), identifying which activities can be done safely, educating the patient and his family on lifestyles changes and measuring his ability to exercise. The programme then extends into an outpatient setting at home or in a rehabilitation facility. It includes regular follow-ups with the doctor and a home/maintenance programme, to prepare the patient to return to work or resume leisure activities. At the same time, patients are advised on available counselling services, how to take care of their emotional health and when to start a safe home exercise routine.

However, due to inaccessibility, not all in need may be able to participate in these programmes. Hence, this presents a good opportunity to serve. We all have our talents and expertise, and you do not have to be a medical professional to support heart patients. Instead, there are others ways you can volunteer, such as attending to the children when a single mother goes for her rehabilitation programme, driving a friend to the hospital to receive follow-up treatments and many more.

My message to you is simple - get involved, follow the (big and small) examples of those who have served and are still serving, then make a decision to do so today!

3Feature

Cardiac rehabilitation (CR) reduces the risk of a future cardiac event by stabilising, slowing, or even reversing the progression of cardiovascular disease (CVD). Patients

with other cardiovascular diseases, such as valve repair and heart failure can also benefit from a CR programme that includes exercise rehabilitation. Clinical research has shown cardiac rehabilitation reduces mortality by over 50% compared with those patients who do not participate. Participation in CR can also reduce the likelihood of hospital readmissions (for all causes) by 25% and the use of medical resources. So, why aren’t patients and their physicians leaping at this life-saving/life-changing opportunity? Reasons for low participation in CR include: the lack of a referral or a strong endorsement from the patient’s physician; limited or no health insurance coverage; conflicts with work or home responsibilities; and the lack of programme availability and access. New delivery models for health care offer opportunities to address patient barriers and lower costs to close the treatment gap between the benefits obtained from CR and participation in these programmes.

WHAT IS CARDIAC REHABILITION? Cardiac rehabilitation is a medically supervised programme consisting of exercise training, education on heart-healthy living, counseling to reduce stress, and helping patients return to an active lifestyle and recover more quickly. CR offers a multifaceted and highly individualised approach to optimise the overall physical, mental, and social functioning of people with heart-related problems. It is recommended for both the inpatient and outpatient settings for the following conditions:

✹ Recent myocardial infarction (heart attack) ✹ Percutaneous coronary intervention (PCI) ✹ Coronary artery bypass grafting (CABG)✹ Chronic stable angina ✹ Stable, chronic heart failure ✹ Cardiac transplantation ✹ Valvular heart disease

HEALTH BENEFITSCardiac rehabilitation improves the health and recovery of those who suffer from CVD. The benefits of CR include:

✹ Decreased mortality at up to 5 years post participation.✹ Reduction in 10 year all-cause mortality following CABG.✹ Reduced symptoms (angina, dyspnea, fatigue).✹ Reduction in nonfatal recurrent myocardial infarction over

median follow-up of 12 months.✹ Improved adherence with preventive medication.✹ Increased exercise performance.✹ Improved health factors like lipids and blood pressure.✹ Increased knowledge about cardiac disease and its management.✹ Enhanced ability to perform daily living activities.✹ Improved health-related quality of life.✹ Improved psychosocial symptoms.✹ Reduced hospitalisations and use of medical resources.✹ Increased ability to return to work or engage in leisure

activities.

Cardiac Rehabilitationputs more patients on the road to recovery

Article adapted from the American Heart Association

Cardiology for the Layman #4

4 Feature

FINANCIAL BENEFITS Better health outcomes translate into reduced hospitalisations and use of medical resources. A study presented at the Canadian Cardiovascular Congress found that CR resulted in a 31% reduction in hospital readmissions and a 26% drop in cardiovascular mortality – reducing costs associated with hospital admissions from heart attack by $8.5 million a year for a 7% return on investment. The authors projected that if physician costs were included, the benefits would have been 15%-20% greater. A recent study conducted in Minnesota found that CR participation was associated with a 25% reduction in long-term readmission risk. Another study in Vermont found that hospitalisation costs over the follow-up period for cardiac admissions were roughly $900 less for patients who completed a CR programme.

BARRIERS TO UTILISATION✹ Lack of referral or strong encouragement to participate from the

patient’s physician ✹ Limited follow-up or facilitation of enrollment after referral ✹ Limited or no health care coverage (cost) ✹ Work or home responsibilities ✹ Hours of operation that conflict with work demands and lack of

facility capacity ✹ Distance to facility from patient’s home ✹ Access to public transportation or parking issues✹ Lack of perceived need for rehabilitation

REHABILITATION IN SINGAPOREAs a patient-focused and patient-centric service provider, SHF’s Heart Wellness Centre (Bishan) and the Heart Health Hub (Bugis) endeavour to make a difference in the lives of our patients through our highly subsidised Home Rehab Programme and in-house rehabilitation services that entail lifelong lifestyle modifications. Read more about the new Home Rehab Programme below.

Home-based Cardiac Rehabilitation Programme

Models: Ms Cindy Lim, Ms Junaidah, Mr Frank Fernando, Mr Gary Tham & Mr Sachi PPhotography: Mr William Ng

In February 2017, the SHF-Heart Wellness Centre (HWC) launched the first highly subsidised home-based cardiac

rehabilitation programme at $10 per session, known as the Home Rehab Programme.

The Home Rehab Programme aims to ensure that all cardiac patients in Singapore have an equal opportunity and access to receive affordable therapy, especially those who are mostly home-bound due to mobility issues or poor exercise tolerance. The programme also provides a safe and comfortable exercise experience for the frail and elderly patients, in the comfort of their homes.

Each home visit by the SHF physiotherapist lasts an hour and it includes a customised exercise regime, so as to guide and assist the patient to be independent in performing simple exercises at home. SHF firmly believes that family members and caregivers play an important role in the rehabilitation process of a patient and hence, they too are actively engaged during the session to assist their loved ones.

We would like to thank Mr Tang for allowing the heartline editorial team to interview him during his

rehabilitation session, to help our readers have a better

understanding of the Home Rehab Programme.

5Feature

Interview with a Home Rehab PatientMr Matthew Tang is an 80 years old Chinese male with a history of ischemic heart disease. He has undergone a balloon angioplasty and a coronary artery bypass surgery in 1988, as well as a stent procedure in 2005. To improve his quality of life aftermath,Mr Tang was referred to SHF by the National University Hospital in 2015, to commence the phase 3 and 4 of cardiac rehabilitation. However, due to his age, impaired strength & balance and a lack of caregiver support, Mr Tang faced difficulties travelling to the HWC. In order to help him continue with his rehabilitation, Mr Tang was recruited into the Home Rehab Programme.

Home Rehab Process

3. Are you able to do some exercises on your own after the rehabilitation session? If so, how and what kind of exercise.

Yes, I can do the resistance band exercise on my own and I will be happy to demonstrate for you.

4. How do you feel about your home rehabilitation sessions? My rehabilitation sessions with SHF physiotherapists are always enjoyable because

they are very friendly and patient.

5. Finally, what tips would you give to our readers, in order to lead a heart healthy lifestyle?

Diet plays an important role in maintaining a healthy lifestyle. Try to eat less fatty, salty and sweet food. Personally, I have gradually reduced my intake of fried food and now I do not enjoy eating them anymore.

1. How has home rehabilitation improved your body/health status/situation?

The rehabilitation programme is very helpful as I feel stronger now. I can walk a short distance on my own, using the walking frame.

2.What do you find different about doingrehabilitation in a hospital/HWC gym, as compared to home rehabilitation?

Home rehab is very convenient and comfortable, and I can exercise with the resistance bands to build my overall strength. In the HWC gym, there is a greater variety of exercises as there are more equipment such as the rower machine and treadmill.

For more information about the Home Rehab Programme and in-house rehabilitation services, contactthe SHF Heart Wellness Centre at 6354 9370 or email info@heart.org.sg.

Measure weight, blood pressure and blood glucose levels before the exercise

Warm-up Exercise**The exercise routine is on a case-by-case basis and suited to the patient’s profile. Please do not try these

exercises at home without supervision.

Step 1 Step 2 Step 3 Step 4

Cool down + measure weight blood pressure

and blood glucose levels

Fresh fru its consumption linked to lower risk of diabetes and diabetic complications

Fresh fruits and vegetables are two important components of a healthy diet because they provide essential health benefits for the body, but the sugar content of fruits has been uncertain. A study assessed 500,000 Chinese people over a period of 7 years, and found that those who ate more fresh fruits had an estimated 0.2% decreased risk of developing diabetes, while diabetic patients had a 1.9% lowered risk of mortality and reduced risks of microvascular and macrovascular complications. It is suggested to eat a colourful and balanced diet, for a healthier you.

Wrist-worn heart rate monitors less accurate than standard chest strapsWrist-worn fitness trackers have been gaining popularity of late, from recording steps taken to measuring the heart rate, which is often used to calculate calories loss during an exercise. However, an accurate heart rate reading is important for people with heart problems. Researchers at Cleveland Clinic have found that the old-fashioned chest strap monitor is the most accurate measurement tool, regardless of the intensity of the workout, as the readings match closest to that from an electrocardiogram (gold standard for measuring the heart’s activity). Wrist-worn devices can equally over- and underestimate the heart rate, with an error range from +/-34 beats per minute to +/-15 beats per minute, depending on the type of activity. Although the study is based on a small sample size, it is important to note that wrist-worn monitors are not intended to be medical devices, as they may not provide accurate heart rate readings.

Health BitesHealth Bites6

Do you wish to receive heart health related news on a regular basis? Subscribe to our e-newsletter Heart Mattersby emailing mabel@heart.org.sg with your name, email address and contact number.

Is running really good for the heart?Recent news stories of runners suffering from heart-related complications, might leave some worried about the possible risks of running. As with other high-intensity exercise, running puts a strain on the heart muscle as it does on the lungs and limbs. The likelihood of cardiac events is greatest in individuals who have a low baseline level of physical activity, and suddenly try out a moderate to high intensity exercise. However, if one trains in a progressive manner and listens carefully to his body, his heart and lungs will adapt at the same rate. This will help to minimise the risk of injury to the heart and other muscles, while continuing the training or incorporating more exercise into the routine. Researchers also concluded from a study that any amount of physical activity can lower the risk of death, specifically from heart disease by approximately 40%, as compared to those who lead a sedentary lifestyle. Thus, there is no need to reduce exercise, but instead, have a good understanding on how to improve your heart health.

The World Heart

Organization suggests

that adults (18 to 64

years old) do at lea

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150 minutes of moderate

exercise or 75 minutes

of high-intensity physical

activity weekly.

The Health

Promotion

Board, Singapore

recommends half of

your dining plate to

be f illed with fru its

and vegetables.

The American Heart Association has linked the ownership of pets, especially dogs, with a reduced risk for heart disease and greater longevity. Studies have also found that:

Dog owners are less likely to suffer from depression than those without pets.People with dogs have lower blood pressure in stressful situations than those without pets. One study even found that when people with borderline hypertension who adopted dogs from a shelter, their blood pressure declined significantly within five months.Playing with a dog or cat can elevate levels of serotonin and dopamine, which can help to calm and relax oneself.Pet owners have lower triglyceride and cholesterol levels (indicators of heart disease) than those without pets.Heart attack patients with dogs survive longer than those without.Pet owners over the age of 65 years old, make 30% fewer visits to their doctors than those without pets.

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Taking a dog for a walk, hike or run are fun and rewarding ways to incorporate daily exercise into your schedule. Studies have shown that dog owners are far more likely to meet their daily exercise requirements, and exercising every day is great for the animal as well. It will deepen the connection between you, eradicate most behavior problems in dogs, and keep your pet fit and healthy. In addition, dogs provide support in similar ways to a human exercise buddy, but with greater consistency and without any negative influence (Source: Harvard Health Publications).

However, it is important to note that even with a likely link between pet ownership and heart disease, one should not adopt, rescue or buy a pet solely to reduce cardiovascular risk, especially when you are unable to handle the demands of owning a pet. Instead, you may choose to walk your neighbour’s dog or volunteer at an animal shelter. It is of little use to own a pet and still continue with unhealthy habits. Hence, everyone is encouraged to lead a heart healthy lifestyle by exercising regularly, eating right, going for health screenings and quitting smoking.

If you have ever owned a pet, you already know how much fun and affection they can bring. But did you know that pets also come with some pretty

powerful mental and physical health benefits? Dogs in particular can reduce stress, anxiety, depression, ease loneliness, encourage exercise and playfulness, and even improve your cardiovascular health.

Article adapted from www.helpguide.orgAuthors: Lawrence Robinson and Jeanne Segal, Ph.D.

A Dog Could Be

Your Heart’sBest Friend

7Feature

The 2nd Singapore Preventive & Cardiac Rehabilitation Symposium (SPCRS) will provide contemporary updates and advances in prevention and cardiac rehabilitation in Singapore and within the Asia Pacific region, as well as a platform for networking, exchange of ideas and collaboration among healthcare professionals in the field.

Themed “Advances in Cardiac Rehabilitation for Improved Health”, this year’s symposium will place a special focus on eHealth.

Who should attend

This symposium will bring together cardiologists, trainees, general physicians, nursing and allied healthcare professionals, as well as those involved in the multidisciplinary cardiac rehabilitation team.

Highlights

• Symposium is helmed by renowned international experts Professor Hugo Saner,Professor John Buckley, Professor David Thompson, Professor Nizal Sarrafzadegan, and our local team of experts.

• Pre-symposiumworkshopswillprovideinteractivelearningthrough4clinicaltracks:e-Health,Policy&Strategy,Nursing&AlliedHealthandExercisePrescription.

• Aculinarycookingworkshopledbyachefandnutritionistsonhealthyfoodselectionand preparation techniques.

Calling all researchers and educators! If you would like to share your research outcome and stories, please submit your scientific abstracts for inclusion in the scientific programme of the SPCRS 2017 by 20 August 2017. Selected abstracts will be invited for the poster presentation.

Invitation to submit abstracts

Abstractswillbecategorisedunderthesespecificcategories:

1. Tele-HealthMonitoring2. ExerciseandSportsPhysiology3.NewandNovelCardiacRehabilitationMethodologies4.GeneralCardiacRehabilitation (AlliedHealth-Physiotherapy,OccupationalTherapy)

5.GeneralCardiacRehabilitation (AlliedHealth-Nursing,Pharmacy)6. Psychology and Psychiatry7.HeartFailureCardiacRehabilitation8. Preventive Rehabilitation

For enquiries on abstract submission and registration for the symposium, please contact Ms Jacqueline Leong at63549331oremailrehab@heart.org.sg.

spcrs.sg

Organised by:

Date: 20th & 21st October 2017 | Venue: Novotel Singapore Clarke Quay

Singapore Prevention &Cardiac Rehabilitation Symposium 2017

Keynote SpeakerProf Hugo SanerDepartment of Cardiac RehabiliationInselspital, Universitätsspita BernSwitzerland

Free exclusive 1 x Heart Smart Grocery Shopping Guide cardholder per registration!^^1 cardholder per registered participant only.

You are what you eat’ - the Great Supermarket Search (GSS) is a brand new initiative by the Singapore Heart Foundation that focuses on proper nutrition

consumption by choosing healthier options. You will learn how to shop for better health through an interactive guided supermarket tour. Then, complete the Supermarket Tic-Tac-Toe Challenge and stand to win the top prize worth $100!*

*Terms & conditions apply.

New Initiative 9

AGE: 18 years old and above

DATE: 29th July 2017

TIME: Please choose one time slot only

a) 9.30am - 10.30am b) 10.30am - 11.30am c) 11.30am - 12.30pm d) 12.30pm - 1.30pm

VENUE: FairPrice Xtra @ Changi Business Park

FEE: Free

REGISTRATION: Registration closes on 14th July 2017 (Friday) and is based on a first-come, first-served basis.

Contact Mr Lim Kiat at 6354 9350 (Monday-Friday, 9am-12pm or 2pm-5.30pm only) or email limkiat@heart.org.sg for more information.

5.GeneralCardiacRehabilitation (AlliedHealth-Nursing,Pharmacy)6. Psychology and Psychiatry7.HeartFailureCardiacRehabilitation8. Preventive Rehabilitation

Singapore Prevention &Cardiac Rehabilitation Symposium 2017

Congratulations to all winners* and

thank you for your participation!

*Winners have been notified via phone or email.

The DIRECT DONOR DEBIT PROGRAMME (DDDP) is designed toencourage individuals to give small donations to SHF on a regular basis, for our life-

saving programmes. SHF would like to thank the following DDDP Event Site Sponsors, who have generously provided their venues for our various roadshows.

TOGETHER, WE CAN WORK TOWARDS A HEART HEALTHIER NATION!

Nutrition

Back toHealthyEating!

1. Replacing spreads such as butter, margarine and kaya with ____________ is better for the heart.

2. Reduce _________ intake by consuming _________________ yoghurt instead of flavoured ones.

3. As compared to dry noodles, a bowl of clear soup noodles has reduced _______ content; you can also lower __________ intake by not drinking the soup.

4. To exhibit mindful eating, it is good to pick up __________________.

5. To encourage drinking water, especially for those who find water too bland, you can infuse it with fresh __________ and/or herbs, to make it more palatable.

6. I can increase my ________ intake by replacing refined grains with _________________ and having adequate servings of fruits and vegetables.

7. Choose _________________ rich in omega 3 instead of fatty/processed meat, to help manage cholesterol levels.

AVOCADO

SUGAR

FAT SODIUM

HOME-COOKING

FRUITS

FIBREWHOLE GRAINS

FATTY FISHES

UNFLAVOURED

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ANSWERS (Mar 2017 - May 2017)

Nutrition

Simply email/fax this page to heartline@heart.org.sg / 6258 5240 by 31 August 2017.

Name: ______________________________________________ NRIC: ______________________________________________

Email: ______________________________________________ Mobile: ______________________________________________

All winners will be notified via phone or email. Good luck!Look out for the answers in the next issue of heartline or visit www.myheart.org.sg after 1 September 2017.

The average intake of salt for an average Singaporean adult is 9g per day, which is 80% more than the daily

recommended amount of 5g. Guess the amount of salt content in the following foods below.

Are You ?Salty

Q1. What is the salt content in a small bowl of plain breakfast cereal with low fat milk?

a) 0.6gb) 1.0gc) 1.6g

Q3. What is the salt content in a ham & cheese sandwich (1 slice of cheddar cheese, 1 slice of ham and 2 slices of bread)?

a) 1.6gb) 3.0gc) 4.0g

Q4. What is the salt content in a bowl of minced meat & century egg porridge (without additional light soy sauce)?

a) 1.0gb) 2.1gc) 4.0g

Q2. What is the salt content in a bowl of fishball noodle soup (without additional light soy sauce)?

a) 3.5gb) 5.0gc) 7.3g

Submit your correct answers and 5 lucky winners will receive a limited edition SHF Heart Smart Eating Plate in our lucky draw!

Q5. What is the recommended amount of salt intake per day?

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Breakfast Lunch

DinnerAfternoonTea break

Answer:

Answer:

Answer:

Answer:

Answer:

Whole-grains have been associated with a reduced risk of developing chronic diseases (e.g. cardiovascular disease) and weight management. Aside from its dietary fibre content, whole-grains are also rich in vitamin E, selenium and phytic acid, which are

known to promote good health. Some examples of whole-grains include brown rice, oats, quinoa and millet.

However, with so many types of oats available in the market, which one should you choose?

Generally, steel cut, rolled and unflavoured instant oats have similar nutritional content, but they are processed differently.

Steel cut oats are simply cut into pieces and stay closest to their original state, while rolled oats are steamed before flattening. Instant oats undergo the most processes as they are partially cooked, rolled and pressed thinner to reduce the cooking time.

Food that are less processed, such as unflavoured rolled oats have a lower glycaemic index (GI), as compared to unflavoured instant oats.

As compared to instant oats, steel cut and rolled oats require a longer cooking time.

Individuals who prefer to mix in other ingredients such as fruits and milk, may prefer flavoured instant oats for its variety and convenience.

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nv

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nc

e

SUGGESTIONS

For the adventurous, try steel cut or regular rolled oats, for a nuttier taste and chewy texture.

For busy individuals and those who dine out frequently, instant oats is a great choice for a quick fix meal. It is as simple as mixing in some low-fat milk and unsalted baked nuts or fruits into a bowl of instant oats.

For beginners, choose the flavoured instant oats, as its flavour and texture would be more acceptable and easier to acquire. Read the label carefully and select the “healthier choice”. Once you have acquired the taste, you may give unflavoured oats a try.

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Scan here to read more about GI on P6

12 Editorial

13Event Reviews

Go for Women

To commemorate International Women’s Day on 8th March 2017, the Go Red for Women (GRFW) roadshow was held at The Cube @ Asia

Square, from 8am to 6pm to raise awareness for cardiovascular disease among women in Singapore.

Themed ‘Wear Red, Pledge Red, Go Red’, close to 700 professionals turned up at the event, with more than 300 of them supporting the campaign by donning a touch of red. Men and women who wore red, were eligible to redeem the exclusive GRFW towel and a goodie bag, which included a booklet on women’s heart health. Those who were not dressed in red, still walked away with a different goodie bag.

To promote healthy eating, SHF collaborated with Gardenia Foods (S) Pte Ltd and Ayam Brand™ to give away 250 sets of wholemeal sandwiches for the ‘early birds’ at the event, as well as an apple to each visitor during lunch.

Other activities included a skit on cardiopulmonary resuscitation (CPR), the CPR Challenge, complimentary finger prick cholesterol test (sponsored by Marigold) and heart health quizzes with attractive prizes to be won.

In celebration of Mother’s Day, SHF held the Healthy Mummy, Healthy Family Symposium 2017 at the Marina Mandarin Singapore, Taurus Ballroom on 6th May 2017. We were privileged to have Madam Halimah Yacob, Speaker of Parliament and MP for Marsiling-Yew Tee GRC, as our Guest of Honour and she also supported the campaign by dressing up in red.

More than 200 participants attended the symposium which featured two informative talks by guest speakers – Dr Goh Ping Ping (Cardiologist and Official Spokesperson for the GRFW campaign) and Ms Valerie Teong (Dietitian from the Women’s Heart Health Clinic, National University Heart Centre). They spoke about women’s risk for heart disease as well as nutrition for the heart and benefits for the family. Participants were able to pose questions during the Q&A segment after each talk.

After the symposium, 60 pre-registered participants stayed on for the special highlight of the day – a Hearty Bento Workshop conducted by Singapore’s top bento artist Ms Shirley Wong, better known by her online moniker “Little Miss Bento”. The interactive workshop provided participants with basic step-by–step techniques on how to create a healthy yet cute lunch box.

In addition, all guests were treated to a sumptuous buffet lunch and went home with a heart healthy goodie bag (worth more than $50) each! SHF would like to express our deepest appreciation to all our sponsors and partners for their support. Lastly, a big thank you to all of you who turned up for the event!

Wear Red, Pledge Red, Go Red

Healthy Mummy, Health Family Symposium 2017

Red

15Event Reviews

We CareWith childhood obesity on the rise, ‘Your Heart, We Care’ is the

first nutrition and fitness seminar organised by the Singapore Heart Foundation and supported by North Vista Secondary School

on 6th May 2017, for overweight and severely overweight lower secondary school students. The seminar aimed to educate both students and parents on the importance of weight management and a healthy lifestyle, so as to prevent the onset of serious health diseases like obesity, diabetes and cardiovascular disease later on in their child’s life.

Our Guest of Honour Mr Teo Ser Luck, Minister of State, Ministry of Manpower & Mayor of the North East CDC, launched the Nutrition and Fitness Guide Toolkit at the event, to equip students with the right knowledge and tools to help them cultivate healthy habits and stay active. The toolkit included a fitness tracker, a jumping rope, a beginner’s guide to healthy eating and a post-seminar Nutrition and Fitness Guide Progress Booklet to track their daily progress for 3 months.

To encourage physical activity and cooking at home, students and parents took part in a 0.8km walkabout around the school compound and a jump rope session, as well as a hands-on healthy cooking workshop.

Last but not least, we would like to thank our in-kind sponsors - Marigold HL, Gardenia, Nestlé Cheerios Oat Crisp, NuFresh, Good Salt, San Remo, Knife, HomeSoy and Naturel for their generosity. Not forgetting our partners, Jump Rope Federation Singapore and Kitchen Square LLP. Thank you for all your support!

Your Heart,

17Event Reviews

On 25th February 2017, SHF held its first Blood Pressure (BP) Initiative @ Schools Carnival out of a classroom

setting, to make learning more fun and hands-on. Close to 300 Primary 5 students from 9 primary schools in the west zone, gathered at Juying Primary School to participate in the carnival. SHF’s Junior BP Ambassadors from Juying Primary School, led the practical session by coaching participating students on how to measure their BP properly. Other highlights of the carnival included an informative talk on blood pressure by Dr Chee Tek Siong, Cardiologist and Member of the SHF’s Board of Directors, a nutrition talk and outdoor activities such as the SHF’s MEGA Heart Exhibition and an array of heart health games. The carnival was graced by Ms Low Yen Ling, Senior Parliamentary Secretary, Ministry of Education & Ministry of Trade and Industry, Mayor of South West District.

Robots have increasingly become a part of everyday life, and often incite curiosity from children. Seeing that robots can be a valuable tool to engage the children and impart health messages more effectively, SHF also signed a research collaboration agreement with the Nanyang Technological University (NTU) at the carnival, to explore the use of social robots to enhance the interactivity of the BP Initiative @ Schools programme. The implementation of the social robots will take place in the third or fourth quarter of 2017.

BP Initiative@ Schools Carnival 2017

The BP Initiative @ Schools programme is a 1-hour workshop, specially tailored for Primary 5 students, to raise their awareness on the importance of good blood pressure (BP) readings and to encourage positive behavioural changes towards better heart health. The programme is fully sponsored with complimentary health talks and practical sessions on proper blood pressure measurement.

For more information about the BP Initiative @ Schools programme, email bp_initiative@heart.org.sg or call6354 9372 / 78.

心脏复健(CR)通过稳定、减缓或甚至逆转心血管疾病(CVD)的发展来降低

未来发心脏病的风险。患有其他心血管疾病(如瓣膜修复和心力衰竭)的患者

也可以从包括运动复健的CR方案中获益。临床研究表明，与不参与的患者

相比，心脏复健将死亡率降低了50%以上。参与CR也可以将再入院(所有原

因)和使用医疗资源的可能性减少25%。那么，为什么病人和他们的医生不

欣然接受这个挽救生命和改变生活的机会呢？CR参与度低的原因包括：患

者医师转诊少或缺少强力认可；有限或无健康保险；与工作或家庭责任冲

突；以及计划普及性和便利性不足。卫生保健的新执行模式提供了解决患

者障碍并降低成本的机会，可弥补从CR获得的收益和参与这些计划之间的

治疗差距。

什么是心脏复健？承认是一项医学监督计划，包括运动训练、心脏健康生活教育、减轻压力咨询、帮助患者恢复积极的生活方式和更快恢复。CR提供了一种多方面和高度个性化的方法来优化有心脏相关问题的人士的整体身体、心理和社会功能。对于以下病症，建议住院与门诊相结合：

✹近期心肌梗死(心脏病发作)✹经皮冠状动脉介入术(PCI)✹冠状动脉旁路移植术(CABG)✹慢性稳定型心绞痛✹稳定的慢性心力衰竭✹心脏移植✹瓣膜性心脏病

对健康的益处心脏复健可改善患有心血管疾病的人士的健康和复健。CR的好处包括：

✹参加计划后5年内死亡率下降。✹减少CABG后10年内全因死亡率。✹症状减轻(心绞痛、呼吸困难、疲劳)。✹减少在中位数为12个月的跟进中的非致命性期复发性心肌梗死。

✹改善对预防性药物的遵医嘱服用。✹增加运动表现。✹改善健康因素，如脂质和血压。✹增强对心脏病及其管理的认识。✹提高日常生活活动的能力。✹改善与健康有关的生活质量。✹改善社会心理症状。✹减少住院和使用医疗资源。✹提高返回工作或从事休闲活动的能力。

外行人的心脏病学(四)

18 特写

心脏复健使更多的患者走上复苏的道路

文章转载自美国心脏协会

经济上的利益更好的健康结果，就可以减少住院和使用医疗资源。加拿大心血管大会上展示的一项研究发现，CR可将医院再入

院率下降31%，心血管死亡率下降26%，每年降低与心脏病发作相关的费用850万美元，投资回报率为7%。作者预

计，如果纳入医生费用，那么利益将会增加15%-20%。最近在美国明尼苏达州进行的一项研究发现，参与CR可以

将长期再入院风险降低25%。美国佛蒙特州的另一项研究发现，在完成CR计划的患者中，每个人在随访期内因心

脏病住院而产生的费用可大约降低900美元。

防止心脏病人参与CR的障碍✹患者医师转诊少或很少积极鼓励患者参与

✹转诊后没有跟进或鼓励参加CR

✹有限或无医疗保险

✹工作或家庭责任

✹运营时间与工作需求相冲突和设施能力不足

✹设施距患者家远

✹公共交通不便或停车问题

✹缺乏对复健需求的认识

新加坡的复健计划作为以患者为中心的服务提供商，新加坡心脏基金心脏复健中心

(HWC-Bishan)和心脏健康中心(HHH-Bugis)致力于通过高度补贴的

复健服务和家庭康复计划改变患者的生活，帮助他们做出终身受益的

生活方式调整。欲详细了解家庭复健计划，请阅读以下的文章。

家庭

模特儿: Ms Cindy Lim, Ms Junaidah, Mr Frank Fernando, Mr Gary Tham & Mr Sachi P摄影: Mr William Ng

2017年2月，新加坡心脏基金心脏复健中心(HWC)启动

了首个高补贴的家庭心脏复健计划，每期补贴10元，称

为家庭复健计划。

家庭复健计划旨在确保新加坡的所有心脏病患者都有机

会以可承受的费用获得治疗，尤其是行动不便或体力欠

佳的居家患者。该计划还让年迈体弱的患者可以在家中

安全舒适的运动。

SHF的理疗师每次上门拜访的时间为一小时，包括

为受访患者量身定制一份锻炼计划，以引导和帮

助患者独自在家进行简单的运动。SHF坚信家庭成

员和护理人员对患者的康复非常重要，因此会在

上门期间与他们积极互动，让他们可以帮助自己

所爱的人。

19特写

心脏复健计划

非常感谢邓

先生在康复锻炼期

间接受hear tl ine编辑团

队的采访，这将帮助我

们的读者更好地了解

家庭康复计划。

采访一位家庭复健患者

邓英祥先生是一位80岁高龄的华裔老人，有缺血性心脏病史。他曾在1988年接受过气囊血管成形术和冠状动脉绕

道手术，并在2005年接受了支架手术。为改善其术后的生活质量，新加坡国立大学医院在2015年为邓先生介绍了

SHF，邓先生自此开始进行3和4阶段的心脏复健计划。但因为年事已高、体力不支以及缺乏护理人员，邓先生无法前

往HWC。为了继续自己的复健计划，邓先生加入了家庭复健计划。

家庭康复流程

3.在进行复健锻炼后，您能独立进行一些锻炼吗？如果能，哪种锻炼？

怎样锻炼？

是的，我能独立使用阻力带进行锻炼，我很乐意给你们演示一下。

4.您觉得家庭复健锻炼怎么样？

与SHF理疗师进行锻炼总是非常愉快，他们很友好并有耐心。

5.最后，您觉得怎样有助于保持有益心脏健康的生活方式？

饮食对保持健康的生活方式非常重要。尝试少油、少盐、少糖。我自己就

在逐渐减少油炸食品的摄入，现在我已经不再喜欢吃油炸食品了。

1.家庭复健计划怎样提升您的体能或健康状况？

复健计划非常有效，我现在感到身体强壮多

了。我已经能独自用助行架走一小段路了。

2.您觉得在医院/HWC健身中心康复与在家中复健

有什么区别？

在家中复健非常方便舒适，我可以用阻力带进

行锻炼来增强我的整体肌肉力量。而HWC健身

中心有更多的设备(如划手机和跑步机)，可提

供更多的运动选择。

如需了解更多关于家庭心脏复健计划和其他复健服务的信息，

请致电6354 9370或发邮件至info@heart.org.sg来联系新加坡心脏基金心脏复健中心(HWC)。

锻炼前测量体重、

血压和血糖含量

热身 运动**训练计划根据患者的具体情况来制定，请不要在无

人监管的情况下独自在家试着锻炼。

第一步 第二步 第三步 第四步

放松+测量体重、

血压和血糖含量

20 特写

U

U

U

U

U

U

如果您拥有过宠物，就知道它们能带来许多的欢乐和

情感。不过您知道吗？宠物还能带来一些非常大的精

神和身体健康益处。尤其是狗的陪伴可以减少压力、

焦虑、抑郁，缓解孤独，鼓励锻炼和玩耍，甚至能够

增进心血管健康。

美国心脏协会已经将拥有宠物、尤其是宠物狗，与心

脏病风险降低及寿命延长联系在一起。研究还发现：

和不养宠物的人相比，宠物狗的主人患上抑郁的

可能性更低。

拥有宠物狗的人和不饲养宠物的人相比，其在压

力环境下血压更低。一项研究甚至发现，当血压

处于正常上限的人士从宠物收容所收养狗后，他

们的血压会在五个月内显著下降。

和狗或猫玩耍能够提高血清素和多巴胺水平，这

两种激素都能让人冷静和放松。

宠物主人的甘油三酯和胆固醇水平(心脏病指示

物)比不养宠物的人更低。

养狗的心脏病患者比不养狗的患者活得更长。

65岁以上的宠物主人和不养宠物的人相比，看

医生的次数少30%。

带着狗散步、徒步或跑步是一种将健康的日常锻炼融入

到生活中的有趣又有益的方式。研究已经证明宠物狗主

人更有可能满足他们的日常运动要求，而每天锻炼对动

物来说也是非常有益的。这能够加深你们之间的联系，

杜绝宠物狗的大部分行为问题，并让您的宠物保持健

康。而且，宠物狗还以同样类似的方式作为好伙伴为人

类的锻炼提供支持，而且拥有更高的持久性且没有任何

负面影响(来源:Harvard Health Publications)。

不过，有一点需要务必注意，尽管拥有宠物和心脏病

之间可能存在联系，但人们不应该单单通过收养、拯

救或购买宠物的方式来减少心血管风险，尤其是当您

没法照顾好你的宠物。相反，您可以选择带您邻居的

狗一同散步或在动物收容所当志工。切记，如果你拥

有宠物但仍持有不健康的生活习惯，那么其作用将微

乎其微。因此，应鼓励每个人通过定期锻炼、正确饮

食、接受健康检查和戒烟践行对心脏健康有益的生活

方式。

21特写

狗可以是

您保持健康心脏的好伙伴！

文章摘自www.helpguide.org作者：Lawrence Robinson和Jeanne Segal博士。

22 Recipes

Preparation Time 准备时间: 8 minutes 分钟

Serves 份量: 1

Grab & GoSandwich

三明治速成Recipe contributed by Mr Lim Kiat, Senior Nutritionist at Singapore Heart Foundation.本食谱由新加坡心脏基金(SHF)高级营养师林杰先生提供。

Method 做法: 1. In a medium microwave-safe bowl, whisk the egg, low fat milk, black pepper and Italian herbs

together. 将鸡蛋、牛奶、黑胡椒和意大利香草放入中等大小的微波炉专用碗中，充分搅拌。2. Tear the cheese into small pieces and add into the mixture. 把奶酪撕成小块，加入混合蛋液中。3. Cut the cherry tomatoes into half and add 8 halves into the mixture. Set the remainder aside. 将樱桃西红柿切成两半。把8片(4粒)西红柿加入混合蛋液并将剩余部分放在一边。4. Put the mixture into the microwave for about 80 seconds or until the egg has cooked

(duration may vary depending on the microwave model). 把混合蛋液的碗放入微波炉，运转约80秒钟或直到鸡蛋煮熟(持续时间可能因微波

炉型号而异)。5. Plate the rocket leaves and remaining cherry tomatoes. 放入芝麻菜和剩余的樱桃西红柿。6. Serve the egg mixture as a dip or spread it on the wholemeal bread as a on-the-go meal. 将混合蛋液作为酱汁，或将其均匀涂抹在全麦面包上。

Ingredients 材料:• Egg,1medium 鸡蛋, 1粒(中等)• Cheese(reducedfat,highcalcium),1slice 奶酪(低脂、高钙), 1片• Milk(lowfat,highcalcium),2tbsp 牛奶(低脂、高钙), 2汤匙• Cherrytomatoes,10whole 樱桃西红柿, 10粒• Blackpepper,Totaste 黑胡椒, 适量• Italianherbs,Totaste 意大利香草, 适量• Rocketleaves,20g 芝麻菜, 20克• Wholemealbread,2slices 全麦面包, 2片

Nutrients per Serving 每份营养

Energy 能量: 323 kcal 千卡

Protein 蛋白质: 21 g 克

Fat (Saturated fat) 脂肪(饱和脂肪): 9 g 克 (4 g 克)

Carbohydrate 碳水化合物: 38 g 克

Sodium 钠: 520 mg 毫克

Cholesterol 胆固醇: 185 mg 毫克

Dietary fibre 膳食纤维: 7 g 克

TIP!For a soft and fluffy texture, steam the egg mixture (until the egg is cooked) instead

of using the microwave.提示!如果喜欢更柔软蓬松的口感，你能考虑将混合蛋液蒸煮到熟为止。

23食谱

Preparation & Cooking Time 准备和烹饪时间: 20 minutes 分钟

Serves 份量: 2 人份

Spicy RedSnapper

香辣红鲷鱼Recipe contributed by Mr Lim Kiat, Senior Nutritionist at Singapore Heart Foundation.本食谱由新加坡心脏基金(SHF)高级营养师林杰先生提供。

Ingredients 材料:• Chilli(large),4whole 辣椒, 4个(大)• Garlic,3cloves 大蒜, 3瓣• Ginger,1inch 生姜, 1英寸• Lime,4whole 莱姆, 4粒 • Redsnapperfillet,200g 红鲷鱼片, 200克• Whitesesameseeds,Forgarnish 白芝麻, 装饰用• Driedparsley,Forgarnish 干香芹, 装饰用

Nutrients per Serving 每份营养Energy 能量: 107 kcal 千卡

Protein 蛋白质: 21 g 克

Fat (Saturated fat) 脂肪(饱和脂肪):0.8 g 克 (0.3 g 克)

Carbohydrate 碳水化合物: 4 g 克

Sodium 钠: 61.4 mg 毫克

Cholesterol 胆固醇: 16 mg 毫克

Dietary fibre 膳食纤维: 1 g 克

TIP!• Serve with ¼ plate of whole-grains

(e.g. brown rice) and ¼ plate of vegetables for a balanced meal.

• Instead of using the microwave, steam the fish (until cooked) for a

firmer texture.提示!

• 搭配¼盘全谷物(例如糙米)和¼盘蔬菜，以确保膳食平衡。

• 如果喜欢更扎实的口感，你能考虑将鱼蒸至熟为止。

Method 做法: 1. Washthechilliesandcutintosmallpieces. 清洗辣椒并切成小块。2. Cut the limes into half and squeeze the juice into a food blender. 将莱姆切成两半，将果汁挤入食物搅拌机。3. Remove the skin of the garlic and ginger. 去除大蒜和姜的外皮。4. Add the chilli pieces, garlic & ginger into the food blender and blend into a soft paste. 将辣椒、大蒜、姜放入食物搅拌器中，搅拌成软糊状物。5. Remove the scales from the snapper skin. 刮去鲷鱼的鳞片。6. Marinate the fish by spreading the chilli paste all over. Let it sit for at least 10 minutes. 将辣椒酱涂满鱼片，腌制至少10分钟。7. Set the marinated fish into a microwave-safe bowl and cover with baking paper. 将腌好的鱼放入微波炉专用碗中，并用烘培纸覆盖。8. Place the bowl into the microwave for about 3.5 minutes (duration may vary depending on the

microwave model and the thickness of the fish) or until the fish has cooked. 将碗放入微波炉运转约3.5分钟(烹饪时间可能因微波炉型号和鱼的厚度而异)或直到

鱼片熟透为止。9.Garnishthefishwithwhitesesameseedsanddriedparsleybeforeserving. 上菜前，用白芝麻和干香芹做装饰。