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February 2005 Vol.7 No.2   Conference/Workshop Calendar
 Editorial

As I began to think about this month’s theme, which is “Healthy Hearts,” I did some web searches and realized that even though there is a lot of information regarding this topic, I wanted to draw some attention to other heart issues that children may be facing.

As I navigated through the American Heart Association website, I found that there are two broad areas of heart defects that affect children - congenital and acquired. For this month’s elementary section, I have decided to talk about these two topic areas, but have also included information about a normal, healthy heart.

Since the majority of the population is born with healthy hearts there is a lot of information about ways to improve or maintain your cardiovascular health. However, according to the American Heart Association 40,000 children are born with heart defects, and after gaining this knowledge I felt compelled to share the information that I found about heart defects with you.

Dawn Sakaguchi
Elementary Section Editor

Speed Stacks      
 Congenital Heart Defect
What is Congenital Heart Defect?

According to the American Heart Association and Virtual Children’s Hospital, congenital heart defect refers to structural problems of the heart and occurs shortly after conception when there is a mishap during the development of the heart.

Congenital heart defect is usually detected in the first few months after birth, or if the defect is minor is found during a routine medical checkup. The severity of the defect ranges from simple “such as holes between chambers of the heart, to very severe malformations, such as complete absence of one or more chambers or valves.”
Causes of Congenital Heart Disease

The causes of congenital heart defects are unknown. However, the American Heart Association states that the cause could be hereditary but cases of more than one person having congenital disease in a family are rare. The AHA also mentions that drugs or other conditions could be attributed to the causation of congenital heart disease but these are still uncertain. Ultimately, the reasons why congenital heart disease develops is unknown.

Resources for More Information:

Common types of congenital heart defects - slide show
Digiwalker
 Contribute Your Ideas
If you have ideas, comments, letters to share, or questions about particular topics, please email one of the following Elementary PE Section Editors:

What is your school or PE program doing to celebrate Heart Month? Please share your ideas on the forum.
 Acquired Heart Disease

Unlike congenital heart defects, acquired heart disease usually occurs during a child’s development. It is considered more common in adults than in children, however, there are a few conditions that are more prevalent in children. Those conditions are Rheumatic heart disease and Kawasaki disease.

Rheumatic Heart Disease

Rheumatic heart disease is a condition where permanent damage is done to the heart valve caused by complications of rheumatic fever. The process usually starts with a strep throat infection caused by the streptococcus A bacteria.

If strep throat is left untreated, it may result in rheumatic fever. In Rheumatic heart disease, the heart valve has trouble completely opening or closing, which could result in disabling problems or even congestive heart failure. Effective treatment of strep throat must take place in order to prevent rheumatic heart disease.

Resources for More Information:

Kawasaki Disease

The leading acquired heart disease, Kawasaki disease, is usually found in children younger than 5 years old. Discovered in Japan by pediatrician Dr. Tomisaku Kawasaki in 1967, the disease affects the lining of the mouth and the breathing passages, skin and lymph nodes, and is also referred to as mucocutaneous lymph node syndrome.

Kawasaki disease is described by a high fever, rash, swelling of the hands and feet, redness and mucous in the eyes (conjunctivitis), and irritation to the lips, throat, and mouth.

Kawasaki disease is found more frequently in Asian-American children, however infection can occur in children of any racial or ethnic background. The disease is also twice as likely to happen in boys. Causes of the Kawasaki disease are unknown, however, if left untreated the disease can affect the heart.
Sporttime 
According to the American Heart Association: “The heart may be affected in as many as one of five children who develop Kawasaki disease. Damage sometimes occurs to the blood vessels that supply the heart muscle (the coronary arteries) and to the heart muscle itself. A weakening of a coronary artery can result in an enlargement or swelling of the blood vessel wall (an aneurysm).

Infants less than 1 year old are usually the most seriously ill and are at greatest risk for heart involvement. The acute phase of Kawasaki disease commonly lasts 10 to 14 days or more. Most children recover fully. The likelihood of developing coronary artery disease later in life is not known, and remains the subject of medical investigation.”

Resources for More Information:

 Healthy Heart Web Resources

The Normal Heart and How it Works: Information from the American Heart Association

KidZone on PediHeart! Website for kids who want to learn more about the heart.

For Kids growing up with medical problems: Bandaides & Blackboards

Healthy Hearts for Kids - "this website is full of fun learning activities about cardiovascular health! You can find out more about physical activity, nutrition, and tobacco use while completing interactive learning games, quizzes, writing activities and math problems, and more! You can earn points and win prizes for participating!"

This is an informative site for kids, teachers, and parents.

Nutrition and Exercise: Healthy Balance for a Healthy Heart. An interesting and informative site.

Here's to Your Heart - download for teachers

Nutripoints
 Resources

Kawasaki Disease Breakthrough (2001)
An article, published by the BBC, talks about how the combination of medication and exercise can increase blood vessel circulation.  

HeartPower!
"Online is your free resource for educational materials for preschool, elementary and middle school students. Free, printable lesson plans, activity sheets, poems and stories for Pre-K (bilingual), K–2, 3–5 and 6–8. HeartPower!'s four key messages about heart health have been categorized by curriculum, lifestyle message, format and grade level. You can use these science-based online resources to introduce your students to healthy habits and choices that can improve their quality of life for many years. You can even help them learn decision-making skills that can save lives, including their own!" - American Heart Association Know Your Fats
Knowing which fats raise LDL cholesterol and which ones don't is the first step in lowering your risk of heart disease. Also see this site.

AboutYourCholesterol.com
Everything you need to know about cholesterol and ways you can reduce or control high cholesterol to minimize your risk of heart attack or stroke.

Lowering Cholesterol Levels
Very helpful information on how you can lower your cholesterol level, how to decrease LDLs, increase the HDL level, and foods to eat and avoid.

Benefits of Aerobic Exercise
"There are three major levels of benefits to be reaped from your aerobic lifestyle: your looks, your health and your mental fitness." Read more, and how this also ties in with cholesterol levels.

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