America has a serious weight problem. Two-thirds of adults and nearly one-fifth of children in the United States are overweight, placing them at greater risk for heart disease, diabetes, and other chronic diseases including cancer and arthritis. Furthermore, obesity and its related health problems are placing a major strain on the U.S. health care…

Exercise training increases functional capacity and improves symptoms in selected patients with chronic heart failure and moderate-to-severe left ventricular systolic dysfunction. Aerobic training forms the basis of such a program. This paper describes contributors to exercise intolerance, responses to exercise training, favorable outcomes with…

Hypertrophic cardiomyopathy (HCM) is a rare cause of death among athletes, with deaths occurring in young, apparently healthy people. Differentiating HCM from conditioning hypertrophy is challenging. Routine detection involves family history, physical examination, electrocardiography, and echocardiography. Keys to differential diagnosis include…

Saunas, steam baths, and whirlpools--popular fixtures at health clubs--are safe means of relaxation if used properly. Ignoring the recommendations for moderate, commonsense enjoyment of these baths may expose users to health risks, including sudden death, arrhythmias, and skin infections. A guide to safe use of such baths is presented. (Author/CB)

Basic information about heart disease and functional capacity assessment and its application to activity/job counseling are presented in this handbook for vocational rehabilitation counselors. Sections include the following: impact of heart disease; basic anatomy and physiology (e.g., the heart, pulmonary circulation, causes of cardiac pain, and…

Advises schools on how to establish an automated external defibrillator (AED) program. These laptop-size devices can save victims of sudden cardiac arrest by delivering an electrical shock to return the heartbeat to normal. Discusses establishing standards, developing a strategy, step-by-step advice towards establishing an AED program, and school…

A primary goal of the cardiovascular evaluation of exercisers is to identify conditions that carry the risk of exercise-related sudden death. These conditions, which are found in a careful evaluation of the patient, are identifed and described in detail. (Author/JL)

Describes how a Connecticut school learned to work with a ninth-grade student who was terminally ill. The school developed a plan of action through the help of a private counselor paid from special funds approved by the superintendent. (MD)

Ways to overcome classroom restrictions, equipment costs, and a lack of knowledge or training in the teaching of cardiopulmonary resuscitation are discussed. (CMJ)

This fact sheet on blood cholesterol examines the connection between cholesterol and heart disease, lists risk factors for heart disease that can and cannot be controlled, points out who can benefit from lowering blood cholesterol, distinguishes between blood and dietary cholesterol, describes low density lipoprotein and high density lipoprotein…

The article provides information on medical problems (including seizures, nutrition, atlantoaxia instability, and congenital heart disorders), and guidelines for training (including weight management, acclimation, heat related problems, and warm-up) for volunteers working with mentally retarded participants in Special Olympics. (DB)

Provides practical guidelines for a strength training program for cardiac patients which may be modified to fit a particular program. The recommendations include criteria for admission, procedures for orientation and instruction, and techniques for supervision. (SM)

Guidelines for cardiac evaluation of the child and adolescent prior to sports participation are presented including taking a history, physical examination, special testing, and stress testing. (JMF)

Maintains that the prevention of heart disease begins in childhood with good dietary habits and health care. Provides parents and child care professionals with guidelines they can use to help prevent heart disease in children. (BB)

A step-by-step guide to auscultating young athletes helps physicians identify normal heart murmurs as well as sounds that might signify underlying cardiac pathology. Rapid, thorough preparticipation screening can help differentiate athletes who may require treatment or activity restriction from those with normal murmurs who can remain active. (SM)