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THE BULLETIN

The Ottawa Heart Institute Alumni Bulletin
Volume 15 Issue 1 - Spring 2006



"This is not a drill"
Alumni president tries out STEMI program

catheterization lab photoAfter listening to Dr. Marino Labinaz' lecture on the subject last spring, and then summarizing it for the newsletter (see The Bulletin, Fall 2005) Heart Institute Alumni president Dennis Doucette was well acquainted with how the Institute now responds in the case of an "ST segment Elevation Myocardial Infarction" (STEMI).

But he didn't plan to try out the system himself.

In early January, however, he experienced the special response plan for real:

"It was around 2 o'clock in the afternoon, on a Tuesday. There was a little dusting of snow on the driveway and I was pushing it, which I shouldn't have, I guess. But I hadn't had a problem with that before," said Denny. "And then I started getting what I would call real chest pain. So I came straight into the house and went and grabbed my nitro. The pain got worse. I waited for a few minutes, and took another shot. The pain got a little less but it wasn't going away, so I called 911."

Calling 911 is the recommended procedure in such a situation for Ottawa residents, because the system is designed for the ambulance paramedics to determine if a STEMI case is involved, and if it is, to get the patient into the Heart Institute on a priority basis. If the patient goes independently to a hospital emergency department, valuable time may be lost in initial transport, admission, diagnosis and later transfer to the Institute.

And time is of the essence: the goal is for reperfusion (re-establishing blood flow) within 60 to 90 minutes, to minimize heart muscle damage. This involves the Heart Institute's specialized catheterization capabilities.

Denny continued: "They said, can you get all your medications, so I grabbed all of those and put them in a bag, then lay down on the floor by the front door (to wait for the ambulance.) I was able to move around and that, but it was certainly the worst chest pain I've ever experienced. The ambulance got there pretty quickly. They even called my wife at work to let her know they'd arrived."

Denny found the presence of the ambulance crew reassuring, helping to ease the panicky feeling one can get with a heart crisis. "Then of course they go into their diagnosis stage, an ECG right on the spot, before they even loaded me on the stretcher. At that point they said that it certainly seemed to be a STEMI. And then they got me into the ambulance and called the Heart Institute to say they were bringing me in.

The rapidity of events really impressed Denny. "We're in the Meadowlands-Merivale area, not that far away from the Civic. In light traffic it's 10-12 minutes. However, I do know that from the time I called 911 about 2:15, until I was out of the lab, 'repaired' and resting in bed, was less than two hours. I was astounded when I saw the clock in the room and it was only 4 p.m. You go in, and the paramedics take you right down to the lab and there's the team of doctors, nurses and technicians all waiting and ready for you."

Denny was not given any "clot-buster" medication (fibrinolytics,) but had to chew on a couple of aspirins. He also received an intravenous drip in the ambulance.

In the catheterization lab, he got his second stent, which fixed the blockage that led to the STEMI.

"Next day I felt so good, but the day after I kind of went downhill. Not terribly, just an overall reaction. They told me the intervention itself is so minimally invasive that you don't have the whole post-operative wipe-out effect. But the problem is your body still had the trauma of the MI, and I think that's what sort of creeps up on you afterwards."

Denny had little warning of this attack. He'd had angioplasty and then a double bypass in 1993 to solve an angina problem, and a stent implant eight years later when one of the bypasses became blocked and he suffered an MI. But the build-up to this STEMI event was different.

"I just didn't have the same level of energy. I was experiencing some things that didn't seem to be chest pain, certainly not like the previous angina. I was generally not feeling up to par; something very hard to put your finger on. There was nothing specific, just generally feeling down a little bit."

When all was said and done, the Institute didn't ask Denny for a report card, but it appears he'd assign nothing but an "A" in every category. "I'd have a hard time saying they could have done anything better. The paramedics are fantastic. Then they hand you over to the superb Heart Institute staff that we Alumni know so well."

As for other people experiencing heart troubles, Denny advises: "Follow the 911 route. Calling the paramedics is really the best thing for Ottawa residents to do."

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Mark your calendar!

Annual General Meeting & Dinner - June 6

Spring Lecture - April 26


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President's Message

It's a bright day in this mild winter of 2006 so writing a note for the Spring Bulletin doesn't seem too strange. Besides, I'm feeling pretty good. As you will see elsewhere in this Bulletin, I experienced a STEMI in early January. I guess I had to verify what Dr. Labinaz told us at last year's Spring Lecture. When the pain hit, I followed his advice and called 9-1-1; thus, making me an experienced user of, and an advocate for, the Ottawa paramedic service.

My thanks to the two paramedics who arrived shortly after my call, made the diagnosis and got me to the Heart Institute very quickly. Their proficiency and caring for their patient and their deserved pride in their work was amply demonstrated. I can only reemphasize what we are advised - when you experience chest pain, call 9-1-1.

Dennis Doucette photoYour Board of Directors met on Saturday, January 7th to decide on the modus operandi of the Board and to put in place plans and a structure to carry out the activities of the Alumni. They decided that the Board should be both an operational and a policy board:

  • Committees of the Board will direct and/or carry out Alumni activities. Committee members will include Board members and, in time, volunteers;
  • The Board shall provide policy direction to the committees, receive reports on committee activities and decide on issues referred to the Board by Alumni members, committees and volunteers.

Committees of the Board, which must be chaired by a Board member, now include:

  • Executive Committee - President, Vice-President, Treasurer, Secretary, Past-President and Executive Director - responsible for operations and information technology
  • Standing Constitution Committee - Vice-President and two Directors - review new business to ensure compliance with Alumni By-Laws; consider and recommend revisions to the By-Laws
  • Nominating Committee - Past-President and two Directors - recruit new Board members as required
  • Finance Committee - Treasurer and two Directors - review and update financial position; allocation of funds to Heart Institute projects; preparation for audit
  • Communications Committee - three Directors - responsible for Bulletin content and updating the website
  • Education Committee - one Director - Spring and Fall lectures.

The Board has defined the activities of the Alumni and assigned the responsibility for carrying out those activities to the Officers and Directors, which should clarify who does what. My thanks to Vice-President Gene Szabo for chairing the planning session in my absence and my compliments to those who gave up most of a Saturday to devote their efforts towards improving the delivery of services to the Alumni members and, ultimately, to the Heart Institute.

Just a reminder to note our two upcoming events, which are advertised elsewhere in the Bulletin, in your agendas, bulletin boards, refrigerator notes, etc.:

And, finally, on February 5th, the Heart Institute Telethon raised $4,439,586. I had the pleasure of presenting your Alumni's contribution of $240,000.

Have a great spring and summer.

Dennis Doucette's signature
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In Memoriam

Erna M. Peters - passed away in hospital on Tuesday, February 28, 2006, aged 80 years. During a very active life in retirement after her highly successful nursing career, Erna did volunteer work, including many years with the Heart Institute Alumni, where in recent times she was responsible for all the very important bank deposit duties.

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Fall 2005 Lecture
"Genetic Risk Factors for Coronary Heart Disease"

by Dr. Ruth McPherson
Director, Lipid Clinic
University of Ottawa Heart Institute

On October 19, 2005, Dr. Ruth McPherson, MD, PhD, FRCPC delivered a most enlightening lecture entitled "Genetic Risk Factors for Coronary Heart Disease". She covered a wide-ranging spectrum of topics including the state of the art of international research as well as the research that she is leading in the University of Ottawa Heart Institute's Lipid Clinic with collaborating partners in the US and beyond. Her research focuses on identifying risk factors for coronary heart disease and obesity.

Following her talk, Dr. McPherson accepts a thank you memento
from Alumni president Denny Doucette
.

Dr. McPherson and Denny Doucette

In a systematic fashion she traced the causes of coronary heart disease, from human genomes to personal lifestyle. The non-modifiable causes include: age, family history of heart disease, diabetes, and male sex, although both genders over 70 are facing a similar risk factor. The modifiable causes include smoking, elevated cholesterol, high blood pressure, excess weight, diets high in saturated or trans fat and cholesterol, chronic infections such as gingivitis, and insufficient exercise.

She raised the alarm about the significantly growing obesity of the North American population and the associated human and financial health care costs. She also emphasized that recent research studies indicate that the optimal level of cholesterol is much lower than that recommended in the past. She encouraged the audience to strive for an LDLcholesterol below 2.0 mmol/L, if they have a personal history of heart problems or diabetes.

Dr. McPherson outlined a series of remedies to combat heat disease both proactively to reduce the probability as well as to maintain a healthy lifestyle after an incident. These include:

  • Statins as the most effective means of lowering cholesterol. It should be noted that such medications, albeit generally very safe, can occasionally have mild side-effects such as muscle cramps, sometimes responding to remedies such as CoQ10 supplementation.

  • Walking as a simple form of "best exercise". Duration is seen to be more important than speed and vigour (especially for those who are taking any form of beta blockers); and

  • Regular monitoring of cholesterol levels. Here the Lipid Clinic excels as it can conduct more sophisticated tests than many of the smaller laboratories.

At the conclusion of her well-attended speech, Dennis Doucette, President of the Alumni Board, congratulated Dr. McPherson for her devotion to research, furthering the reputation of the Institute, and sharing her experience and results.

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Book Review

By: Marketa Graham, RD
Registered Dietitian
Prevention and Rehabilitation
The University of Ottawa Heart Institute

Whole Foods Guide coverEnlightened Eater's™ Whole Foods Guide. Harvest the Power of Phyto Foods.
Author: Rosie Schwartz
Published By: Viking Canada Trade Paperback
ISBN: 067004363X
Published: March 2003


The Enlightened Eater's™ Whole Food Guide. Harvest the Power of Phyto Foods is an excellent resource for a nutrition-savvy reader wishing to reduce risk of heart disease, cancer and many other ailments. It is best suited for those with some knowledge of healthy eating and craving for more in-depth nutrition guidance. Rosie is a well known and accomplished registered dietitian with a great skill of being able to translate nutrition research, which can sometime be confusing, into a practical and easy to understand guide. All nutrition information in this book is extremely well referenced and evidence-based. The author walks you through the chapters of key components of healthy eating such as fruits, vegetables, whole grains, legumes, soy, nuts and seeds, oil... and oh yes, chocolate and wine while highlighting benefits of these disease-fighting phyto foods. It is well organized so that the reader can absorb the information without getting overwhelmed and it is written in an easy to understand format. A seven-day sample menu is provided reflecting the Mediterranean style of eating, known for many health benefits especially for protection against heart disease. There are no pictures or photographs in this book but it is a pleasurable to read and is a great value. The variety of recipes throughout the book are fresh, are easy to follow, full of flavour and nutrition superstars.






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Website

The Ottawa Heart Institute Alumni has operated a website for some time:

This was established and is intended as a standing resource for Alumni members and others, to obtain important reference material and news via their computer.

The Alumni board is currently looking at ways to improve the site, and members should see an upgrade in both appearance and content soon.

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Fiber-Up Your Heart!

UOHI
Developed by Registered Dietitians at the University of Ottawa Heart Institute, 2006.


food imageResearch shows that eating a diet high in whole grain products reduces risk for heart disease, diabetes, high blood pressure, cancer and being overweight. The actual fiber in the whole grains is not the only component that does the "magic". Whole grains are packed with a many nutrients - such as B vitamins, antioxidants, minerals and plant chemicals that each play a part in health prevention.

What is "whole grain"?

When you see the words "whole grain" it means that all three parts of the grain kernel are used in the food product. These include:

Bran is a source of fiber, B vitamins, minerals (zinc, iron, copper, selenium, magnesium) and antioxidants.
Endosperm is a source of carbohydrates and protein.
Germ is a source of vitamins, minerals, unsaturated (healthy) fat and antioxidants.

Be label-smart!

A few simple label-reading tips can help you identify foods that are rich in whole grains and fiber for the greatest heart health benefit.

  • Check that a whole grain is first on the ingredient list, such as whole wheat, oats, rye, millet, quinoa, barley, corn and brown rice.

  • Look for products with the words "whole grain" or "whole wheat" on the label.

  • Choose whole grains or products made with 100% whole grains. The higher the percentage of whole grain, the greater the benefit.

  • Check the fiber content by using Nutrition Facts panel or the regulated fiber content claims in the following table:

    To qualify for a fiber content claim: A food must have at least:
    "source of fiber" 2 grams of fiber / serving
    "high source of fiber" 4 grams of fiber / serving
    "very high source of fiber" 6 grams of fiber / serving

  • Check the Nutrition Facts panel and choose whole grains with less than 3 g of fat per serving.

Make whole grain and high-fiber foods a regular part of your diet!

Your goal should be to eat 25 to 35 grams of fiber a day.

  • Eat at least 3 servings of whole grains a day. One serving is:
    - 1 slice of whole grain bread
    - 125 ml (½ cup) cooked barley, bulgur or brown rice
    - 175 ml (¾ cup) cooked oatmeal or whole grain cereal

  • Try some of the new whole grain breads and cereals at the grocery store. Bread containing 2 to 3 grams of fiber per slice and breakfast cereal with at least 4 grams of fiber per serving.

  • Introduce your family to whole wheat pasta, brown rice, barley, bulgur or quinoa.

  • Snack on air-popped or low-fat popcorn.

  • Don't forget an old favourite - oatmeal.

Will eating grains make me gain weight?

Popular diet books often tell you to eat less carbohydrate. Eating too many calories and not being active leads to weight gain. Research has shown that reducing carbohydrates without reducing calories does not lead to weight loss. The bottom line: Watch your food portions, eat variety of foods and be physically active every day.

These whole grain recipes are reprinted with permission from: Enlightened Eater's™ Whole Foods Guide. Harvest the Power of Phyto Foods by Rosie Schwartz, 2003.

This recipe will sell you on using barley in other preparations besides soup. Keep some on hand in the freezer and just toss it together in this salad. The cholesterol-lowering fiber of the various ingredients combined with the assortment of antioxidants makes this a terrific heart-healthy choice.

Citrus Barley Salad

Makes 6-8 servings

3 cups (750 mL) cooked barley, preferably pot barley
1 red pepper, diced
1 cup (250 mL) diced English cucumber
½ cup (125 mL) diced red onions
½ cup (125 mL) diced celery
½ cup (125 mL) diced carrots
¼ cup (50 mL) chopped fresh coriander
¼ cup (50 mL) chopped fresh mint
½ cup (125 mL) orange juice
2 tablespoons (25 mL) fresh lemon juice
2 tablespoons (25 mL) extra virgin olive oil
1 teaspoon (5 mL) honey
Salt and freshly ground pepper, to taste

In a large bowl, combine barley with red pepper, cucumber, red onion, celery, carrot, coriander, mint. Whisk together orange juice, lemon juice, olive oil and honey. Pour over barley and vegetables; toss until coated. Season with salt and freshly ground pepper.

Per serving nutritional information: Calories: 129, Protein: 2 grams, Fat: 4 grams, Saturated Fat: 1 gram, Carbohydrate: 23 grams, Dietary Fiber: 5 grams


This is a fiber-packed change of pace from rice pilafs. Quinoa's saponins together with its fiber make it a cholesterol-watcher's delight.

Savoury Quinoa Pilaf

Makes 4-6 servings

¾ cup (175 mL) quinoa
2 teaspoons (10 mL) extra virgin olive oil
½ cup (125 mL) chopped onions
2 cups (500 mL) sliced mushrooms (about ½ pound / 250 g)
2 ½ cups (625 mL) sodium-reduced vegetable chicken or broth
1 tablespoon (15 mL) fresh lemon juice
1 teaspoon (5 mL) lemon zest
¾ cup (175 mL) cooked green peas
(cooked fresh or thawed frozen)
2 tablespoons (25 mL) chopped fresh dill
Salt and freshly ground pepper, to taste

Rinse quinoa well and pat dry. In a large saucepan over medium heat, toast quinoa, stirring occasionally, for 5 to 8 minutes or until golden. Transfer quinoa to a bowl: set aside.

In the same saucepan, heat oil over medium heat; add onions and sauté until soft. Add mushrooms and cook 10 minutes more. Add quinoa and chicken or vegetable stock. Bring to a boil, reduce heat and cook, covered, until liquid has evaporated, about 15 minutes. Add lemon juice, lemon zest and peas. Stir until just heated through. Stir in dill, salt and pepper. Serve immediately.

Per serving nutritional information: Calories: 127, Protein: 5 grams, Fat: 3 grams, Saturated Fat: less than 1 gram, Carbohydrate: 21 grams, Dietary Fiber: 3 grams


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NOTICE:

TWENTIETH ANNUAL GENERAL MEETING

THE OTTAWA HEART INSTITUTE ALUMNI INC.

June 6th, 2006 - 6:30 p.m.
at
CAPONE'S RESTAURANT
831 Industrial Avenue
Ottawa, Ontario

NOTICE IS HEREBY GIVEN THAT: Pursuant to section III article 32-39 inclusive of the Constitution of the Ottawa Heart Institute Alumni Inc., the Twentieth Annual General Meeting of the Alumni will be held on the 6th of June, 2006 at Capone's Restaurant, 831 Industrial Avenue, Ottawa, Ontario at 6:30 p.m.

AGENDA

  1. Call to order

  2. Minutes of Nineteenth Annual General
    Meeting, June 7th, 2005

  3. Financial Report for the year ended
    December 31, 2005

  4. Auditors' Appointment

  5. President's Report

  6. Report of Nominating Committee

  7. New Business

  8. Adjournment of Annual General Meeting
POST MEETING PROGRAM

Dinner - 7:15 P.M.

Presentation of
Mary Clinkett Alumni Award

Presentation of Keon Award

Guest speaker:
Hon. Jim Watson


AGM Registration

Interim Financial Statements of
The Ottawa Heart Institute Alumni Inc.
Year ended December 31, 2005

Note: These statements have not been audited and are provided for the general information of the members. The figures could change to reflect some year-end and audit adjustments. Audited financial statements will be available at the Alumni's Annual General Meeting (AGM) in June.

For those who will not be attending the AGM but would like to receive the audited copy of the financial statements, please contact the Alumni office after June 6, 2006.

D.B. "Sam" Perrin
Treasurer


THE OTTAWA HEART INSTITUTE ALUMNI INC.
Interim Statement of Financial Position
December 31, 2005, with comparative figures for 2004


  2005 2004

Assets
Current assets:
   Cash and cash equivalents $109,805 $369,089
   Investments - -
   GST and PST recoverable 5,312 2,829
   Prepaid expenses - -

  196,117 371,918
Investments 54,570 44,258

  $250,687 $416,176

Liabilities and Net Assets
Current liabilities:
   Accounts payable and accrued liabilities $10,398 $5,198
   Deferred membership fees - -

  10,398 5,198
Net assets:
   Savings Account 74,075 74,902
   Unrestricted 166,214 336,076

Commitment (note 3) 240,289 410,978

  250,687 416,176


See accompanying notes to financial statements.


THE OTTAWA HEART INSTITUTE ALUMNI INC.
Interim Statement of Revenue and Expenses (Unaudited)
Year ended December 31, 2005, with comparative figures for 2004


  2005 2004

Revenue:
   Memberships $62,936 $60,973
   Donations:
     2005 annual donations 188,945 14,181
     2004 fundraising campaign - 256,359
     Other 8,256 16,356
Savings Account interest 354 3,136
Current Account interest 8,300 7,964

  268,791 358,968
Expenses:    
   Postage 14,974 8,757
   Printing 5,337 2,648
   Bulletin 16,028 17,752
   Office 5,036 6,801
   Parking - 1,369
   Audit - -
   Hospitality 1,132 1,027
   Keon and Clinkett awards 2,500 2,000
   Miscellaneous 22,091 21,386
   Honorarium 2,500 2,000
   Computer Equipment - 2,078
   Consulting Fees - 25,000

  69,598 90,818

Excess of revenue over expenses before charitable programs 199,193 268,151
Charitable programs 364,016 200,477

Excess (deficiency) of revenue over expenses $(164,823) $67,674


See accompanying notes to financial statements.
   

The Ottawa Heart Institute Alumni Inc.
Notes to Financial Statements
Year ended December 31, 2005

  1. Description:

    The Ottawa Heart Institute Alumni Inc. was incorporated on March 2, 1989 under the Corporations Act (Ontario) as a non-profit organization and, as a registered charity under the Income Tax Act (Canada) is exempt from income taxes. It provides information to educate and inform its members of advancements within the University of Ottawa Heart Institute and in the treatment of heart disease. The Alumni donates funds, raised from its membership, to assist the Heart Institute in providing total health services to its patients and ex-patients.

  2. Significant accounting policies:

    (a) Revenue recognition:

    Membership fees, which are assessable on a calendar year basis, are recorded as revenue in the year in which they are earned. Membership fees that are received in the year that pertain to future years are recorded as deferred revenue.
    Donations are recorded as revenue in the year in which they are received.

    (b) Funds:

    A decision was taken at the Annual General Meeting in 2005 to terminate the W. J. Keon Fund and place the accrued assets into a savings account, to be used as a Reserve Fund. The W. J. Keon Award, presented annually to a resident or fellow in training at the Ottawa Heart Institute, and the Mary Clinckett Alumni Award, presented annually in recognition of outstanding service by a Heart Institute employee or volunteer, are now funded from the membership fees.

    (c) Capital assets:

    Capital assets are expensed as purchased. Capital assets used by the Organization include computer equipment. No significant capital asset purchases were made in the current year.

    (d) Investments:

    Investments are recorded at cost, plus accrued interest, which approximates market value.

  3. Commitment:

    The Organization has committed to donate the proceeds from the Ottawa Heart Institute Alumni 2005 fundraising campaign to the Ottawa Heart Institute in 2006.

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Dining out

dinner photoDining out - Each year the Alumni Association invites its volunteers out to dinner, in appreciation for their many hours of willing support. The 2005 event was held at the Royal Ottawa Golf Club on Dec. 5; shown (l. to r.) at the head table are Executive Director Angie Ross, Vice-President Gene Szabo, and two of the volunteers, Mary Carley and Helen McGurrin.

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Volunteers Wanted

As you may have noticed, getting your donation receipts to you has been somewhat slower than usual. In part, this resulted from having less than our normal complement of volunteers.

If you have some computer skills and would like to help out in the Alumni Office by processing donations and memberships, and inputting data into the system, or if you have bookkeeping skills, the Alumni could certainly use your help. Please call Angie Ross at 761-4379.

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AGM Registration Form

AGM form
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THE OTTAWA HEART INSTITUTE ALUMNI INC.

PRESENTS A
FREE LECTURE

"New, Minimally Invasive Coronary Bypass Operations"

by
Dr. Marc Ruel
Associate Professor, Departments of Surgery,
Cellular & Molecular Medicine, and Epidemiology;
Cardiac Surgeon & Director of Laboratory Research,
Division of Cardiac Surgery; University of Ottawa Heart Institute

on
Wednesday, April 26, 2006

Reception: 7:00 pm (with light refreshments)

Lecture: 7:30 pm

Foustanellas Auditorium
University of Ottawa Heart Institute,
2nd floor

Please call 761-4370 soon, to indicate your wish to attend this popular lecture
as seating is limited.

Dr. Marc Ruel
The talk will cover new, minimally invasive heart operations that have been developed in Canada by Dr. Ruel, and that can result in patients undergoing a less risky type of bypass surgery.

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The Bulletin

The Bulletin is published in Ottawa by the Ottawa Heart Institute Alumni Inc., a not-for-profit corporation located at 40 Ruskin Street. It is distributed free to members of the Ottawa Heart Institute Alumni and contains information on health and other matters of interest to members.

Contents do not necessarily reflect the opinion of the Board of Directors nor does the Ottawa Heart Institute Alumni Inc. nor the producers nor the printers and distributors of the publication assume any responsibility for opinions expressed.

All communications and contributions should be sent to the address below.

PUBLICATIONS MAIL AGREEMENT NO. 40045889

RETURN UNDELIVERABLE CANADIAN ADDRESSES TO:

Bulletin Editor
Ottawa Heart Institute Alumni Inc.
40 Ruskin Street
Ottawa, ON  K1Y 4W7

email: alumni@ottawaheart.ca

Editor: Hugh J.M. Spence

Contents are copyrighted and may not be reproduced without permission.

The Bulletin is intended for general information only and is not a substitute for medical advice or treatment for specific conditions. You should seek medical advice for any specific health issues and consult your physician before starting a new fitness regime.

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