Be Good to Your Heart- Small Business Stress and Health

 Manage four risk factors, work on stress level- preventive medicine is key to achieving optimal health



Benjamin  Franklin said,An Ounce of Prevention is Worth a Pound of Cure”

Author’s note: This is part 2 of 2 of Small Business Owners Not All Chest Pain is Created Equal

Many causes of chest pain and cardiac related symptoms commonly seen in the health care setting are defined as “psychosomatic”.    These symptoms are real, uncomfortable and cause us great distress, and may be caused by a multitude of untoward circumstances that affect us every day. 

Thta impact of Stress

Primary among these causes is our nemesis “STRESS!”   

This underappreciated but highly important personal risk factor for chronic disease affects everyone at some time or another.  Acute crushing chest pain from whatever cause will get your attention quickly and along with unexplained dizziness are the most common “non-cardiac” reasons we visit a health care provider or emergency room.   It may be that at that moment you are not experiencing a life threatening ischemic cardiac event (heart attack), however we must recognize the long term effects of stress hormones on our bodies and overall health.

Stress or an acute “sympathetic nervous system” discharge, also known as the “Fight or Flight” response is a physiologic state that we have inherited during the evolution of man.  A barrage of stress hormones, epinephrine, norepinephrine, cortisol, and interferon (and many more) are liberated in large quantities allowing us to react seemingly in a super human fashion and deal with stressful situations. 

Our eyes will dilate, our heart rate and blood pressure increases, and blood is purposefully shunted away from non-essential organs (gut, kidneys, and brain) to provide increased blood flow to muscles and the heart, allowing us to “fight or flee”.  Often we will hyperventilate, causing difficulty swallowing, chest tightness, dizziness and possibly fainting (syncope).  Anyone who has experienced this knows the forceful effect of a true sympathetic surge. 

It deserves to be mentioned that anger is a similar physiologic reaction, and because of the decrease in blood flow to critical areas of the brain during a “fight or flight” response, our judgment is often impaired and may cause one to act irresponsibly or unusual.  Controlling one’s temper and managing anger at work, with employees, our family and especially are spouses are lessons often learned the hard way.   Recognition of our own physiologic limitations under stress is the first step to effectively managing them.

Any medical professional worth his salt would tell you that good preventive health care by your primary care provider, including annual history and physicals combined with appropriate preventive screening labs or imaging studies is the best way to assure that you avoid a true cardiovascular event and live to walk your 8 year old daughter down the aisle or take that trip you always dreamed of to the Taj Mahal.

Next- Managing the four risk factors

Eduardo Montana
Eduardo Montana
Dr. Eduardo Montaña is a Preventive Pediatric Cardiologists and Lipidologist who in 2001 founded Children’s Cardiovascular Medicine, a private practice in the Metropolitan Atlanta area covering the needs of the infants, children and adolescents throughout the State Georgia. He currently serves as a National Hispanic Medical Association (NHMA)/National Hispanic Medical Foundation (NHMF) Physician Leadership Fellow in Washington DC where he participates in developing policy initiatives related to Culturally and Linguistically Appropriate healthcare Services (CLAS) for Latino Communities. He serves as Chair of the Board of Directors of the Hispanic Health Care Coalition of Georgia (HHCCG) supporting initiatives at addressing Obesity and Diabetes in Latino Communities through Health Education and Promotion Services. Dr. Montaña completed both his training in Preventive Medicine and Pediatric Cardiology at the Emory University School of Medicine as well as his Masters of Public Health at the Rollins School of Public Health. In the early nineties, Dr. Montaña was awarded and completed an appointment at the Centers for Disease Control and Prevention, Center for Environmental Health and Health Promotion in the Epidemiology Intelligence Service in Birth Defects Surveillance. He later served on faculty at Emory University School of Medicine, Department of Pediatrics and Pediatric Cardiology. Dr. Montaña earned his MBA in Healthcare Administration and Management from University of Colorado Executive Health Care Business School. He remains committed to positively impacting educational and health care disparities in Latin American youth.