Last night, as I was staring at a bottle of KABOOM! in our kitchen, I asked the medical professional boyfriend for an explanation of how Billy Mays died. While Mays was no Michael Jackson, I still liked the guy. I've never purchased Mighty Putty, OxiClean or ZorbEEZ, but those corny commercials are certainly stuck in my head. Corny or not, that's the sign of a successful ad campaign.
In the article I read about Mays' death, the coroner stated Mays had hypertensive heart disease. So I said, "What does that mean in layman's terms?"
I didn't exactly get layman's terms, but I will try to convey the lengthy and technical explanation I did receive. Obviously, we don't know Mays personally or the details of his death, but there might be a good lesson in his passing for all of us.
Essentially, hypertensive heart disease means you have some serious high blood pressure issues. The higher your blood pressure is, the harder your heart pumps. The heart, being a muscle, increases in size the more it works out (just like a weighlifter). The walls of the heart actually thicken in hypertensive heart disease.
The problem with this kind of high blood pressure workout, as opposed to a jog or bike ride, is that the heart never gets to take a rest. Uncontrolled high blood pressure works the heart out 24 hours a day.
In everybody, the heart contracts and pumps blood out to the body. After this contraction, the heart relaxes and refills itself for the next pump. If the heart walls are thick, the heart has a hard time relaxing and thus has a hard time refilling.
Since it can't refill, the heart muscle itself starts starving for oxygenated blood. No oxygenated blood equals a muscle cramp.
If the heart is cramping up (which is what a heart attack is), it can't pump blood and that in turn can end life as we know it.
Some people survive heart attacks because only a part of the heart muscle is affected and the rest of the heart can either keep things going or recover quickly enough to keep them alive. Or the big hunk of cholesterol that is blocking blood flow to their heart passes through. Or they get the hospital and receive medication, etc.
With hypertensive heart disease, the entire heart is overworked and struggling. The entire heart cramps up, quits pumping blood and you fall over. If the heart can recover from this cramp, it will start pumping blood back to your brain first, which is the organ that tells your body to breathe. But if the heart is down for the count, then the brain is down for the count and that means you are down for the count.
The boyfriend made two interesting remarks at the end of my cardiac care lecture.
1) 25% of adults don't know they have heart disease until they fall over dead from a heart attack.
2) Most folks don't see a doctor on a regular basis between the time they leave their pediatrician in high school and find themselves in the care of a cardiologist in middle age.
Obviously, this post is not meant to be taken as serious medical advice and I'm sure my more knowledgeable friends will have corrections, but it might make us all think about how to avoid falling over dead at 50.
Now where did I store those dusty workout videos...