http://www2.ljworld.com/news/2010/feb/17/massage-envy-owner-talks-about-losing-her-46-year-/

February is American Heart Month. According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death in the United States and is a major cause of disability. The most common heart disease is coronary heart disease, which often appears as a heart attack. In 2009, an estimated 785,000 Americans had a new coronary attack, and about 470,000 will have a recurrent attack. About every 25 seconds, an American will have a coronary event, and about one every minute will die from one.

Lawrence resident Amy Gilliland won’t forget July 15, 2008. She had opened her new business, Massage Envy, and that night she received a phone call from her mother: “Kathy has had a heart attack and she has died.”

Kathy was Gilliland’s 46-year-old sister. Kathy also was a single mother of two teenage daughters, a schoolteacher and cheer coach.

“She was just like you and she was just like me,” Gilliland said. “She shared the same worries that we all do as women. Like you and like me, she was stressed out.”

Gilliland spoke Feb. 12 at the Go Red For Women Luncheon in Lawrence, which raised $28,000 for the American Heart Association and awareness about heart disease — the No. 1 killer of women and men.

Gilliland, 40, said her sister’s death was unexpected. She had painted her oldest daughter’s bedroom that day and then at 8:15 p.m., she died. Doctors said she had a spontaneous aortic rupture, or aneurysm in the chest cavity. Doctors also believe heightened stress played a factor in Kathy’s death.

“We all hear about diet and exercise all of the time, but we don’t hear so much about stress,” Gilliland said. “We have a hard time wrapping our heads around it because it is something that’s in our daily life.”

There’s work, family and finances.

“Stress is something that we all have to manage,” Gilliland said.

To relieve stress, Gilliland runs and lifts weights, and, of course, gets a regular massage. She estimates that 90 percent of the Massage Envy clients cite a need to reduce stress and relax as the reason for visiting.

Dr. John Hiebert, a Lawrence Memorial Hospital cardiologist, said psychological stress can trigger a stroke or heart attack. To help reduce stress, he suggests regular exercise like yoga or walking.

“I do believe that exercise decreases the vulnerability to psychological stress,” he said.

He also encourages people to acknowledge the warning signs of a heart attack and not to ignore them.

“In this last week, I have seen three patients who had heart attacks who dismissed the symptoms and then had heart damage that is not fully reversible,” Hiebert said.

The sooner people get help, he said, the better.