Wes Lambert poses in this undated handout photo. Wes Lambert’s heart stopped at his wedding reception in Saskatoon 15 years ago. I got up to go to the podium, and I did not make it,” he recalls. He was 50 years old, an unusually young age for a cardiac arrest. THE CANADIAN PRESS/HO, Wes Lambert *MANDATORY CREDIT*

Wes Lambert poses in this undated handout photo. Wes Lambert’s heart stopped at his wedding reception in Saskatoon 15 years ago. I got up to go to the podium, and I did not make it,” he recalls. He was 50 years old, an unusually young age for a cardiac arrest. THE CANADIAN PRESS/HO, Wes Lambert *MANDATORY CREDIT*

Saskatchewan research shows First Nations suffer cardiac arrest at younger age

Some risk factors that lead to heart attacks are higher in the Indigenous population

Wes Lambert’s heart stopped at his wedding reception in Saskatoon 15 years ago.

“I got up to go to the podium, and I did not make it,” he recalls.

He was 50 years old, an unusually young age for a cardiac arrest.

Lambert, a member of the Flying Dust First Nation, is not alone.

A study of cardiac arrests in the First Nations population, believed to be the first of its kind, published last December in the Canadian Journal of Emergency Medicine, shows the average age of victims is 46, which is 19 years younger than other Canadians.

The research looked at cardiac arrests within the ambulance catchment area of Saskatoon’s Royal University Hospital. But Dr. Philip Davis, the lead author and a Saskatoon emergency physician, suspects his study highlights a much broader problem.

“I have worked in Quebec, Nova Scotia, Ontario, Alberta. Anecdotally it’s the same everywhere,” Davis says. “But we don’t have the data.”

The term cardiac arrest describes a condition where the heart stops beating. It is often fatal. A common reason is a heart attack caused by narrowing blood vessels that supply oxygen and nutrients to the heart. However, most heart attacks do not lead to cardiac arrest.

Davis’s team is now reviewing data on all heart attack victims admitted to the Royal University Hospital, which services the northwestern part of Saskatchewan. Like cardiac arrest, early findings suggest that First Nations people tend to be struck at a younger age — 10 years younger than other Canadians.

It is well-known that risk factors that lead to heart attacks, such as diabetes, smoking and high blood pressure, are higher in the Indigenous population. A Public Health Agency of Canada report indicates that diabetes rates are three to five times higher for First Nations people who live on reserves than for the general population.

Experts, including those with the World Health Organization, ascribe this gap to higher rates of poverty and poor access to food. An article published in the Lancet in December 2019 showed on-reserve grocery stores carry fewer fruit, vegetable, meat and dairy products than neighbouring communities, and food on reserve is often more expensive, as much as twice the national average on some reserves.

For years there have been calls for a national database detailing the high rate of cardiac arrests in the Indigenous population, or the underlying causes. As recently as last March, Dr. Steven Lin, an emergency physician at Toronto’s St. Michael’s Hospital, and his co-authors wrote in the Canadian Journal of Emergency Medicine “there is a need for a national strategy to address the knowledge gaps regarding sudden cardiac death in Indigenous peoples.”

In Davis’s study, the survival rate for cardiac arrest was similar among First Nations and non-First Nations populations — about 15 per cent.

Lambert, who works as a potash miner, did not suffer from high blood pressure or diabetes, and he is not a smoker. His doctors chalked his event up to electrolyte abnormalities, perhaps due to working long hours in the mines.

Now 65, he is still working 12-hour shifts at BHP’s Jansen operation, east of Saskatoon.

Elmer Campbell, chief of the Buffalo Dene River Nation, a community 550 kilometres north of Saskatoon, had a heart attack when he was 50.

Like Lambert, Campbell did not have normal risk factors such as high blood pressure, diabetes or smoking. Doctors told him his heart attack was the result of years of stress serving as chief, and eating too much processed and fast food.

He says some of his friends have suffered heart attacks at as young as 44.

Fruit and vegetables are delivered to Buffalo Dene River Nation once a week. But they are pricey, and supplies often run out or spoil so locals have little choice but to rely on processed foods.

The community has tried a nurse-led initiative to increase the number of fruit and vegetable deliveries each week. But it has been unable to secure government funding for the program.

Marcia Mirasty, senior director of health and social development for the Meadow Lake Tribal Council, which represents nine First Nation reserves in northwestern Saskatchewan, notes that many First Nations communities are making strides toward healthier food options by encouraging vegetable gardens, school greenhouses, and Indigenous ways of hunting, fishing, food preparation and cooking. Interest is growing.

“A lot of young people did not see it as interesting, but now they are smoking fish, and drying meat, and making rabbit soup. Our Indigenous knowledge is being reintroduced,” says Mirasty.

Campbell says he has also changed his eating habits by turning to more wild food from hunting and fishing.

Dr. Nazanin Meshkat is an emergency physician and associate professor at University of Toronto. She is currently completing her certificate in the health impact journalism program at the Dalla Lana School of Public Health at the University of Toronto.

Nazanin Meshkat, The Canadian Press


Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

HealthcareIndigenous

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

The towns of Osoyoos and Oliver and the Osoyoos Indian Band are beginning to look into the feasibility of a regional aquatic centre. (Metro Creative Graphics)
South Okanagan leaders team up to form aquatic centre committee

Oliver and Osoyoos have long expressed desire for a year-round indoor aquatic centre

The Penticton Farmers Market is gearing up to open April 17 with COVID-19 safety protocols in place including mandatory masks. (Brennan Phillip/file photo)
Penticton Farmers’ Market needs volunteers, prepares for opening day

The Farmers’ Market will return to Main Street April 17

An old faucet. (Pixabay)
‘Wild wild west’ of water has Farleigh Lake resident concerned

Lack of oversight and unclear responsibilities has led to nothing but stress

The Cactus Court housing property was intended to have zero barriers for accessibility, but the door sills are visibly above the outer layer of concrete. It is one of the issues that BC Housing has hired a new contractor to fix. (Brennan Phillips - Keremeos Review)
BC Housing begins fixing issues at two Keremeos housing projects

The new plan is to have the units ready for residents by the summer

Slackwater Brewing, on Martin Street, is hoping this warm, sunny weather will bring out people to their patio and rooftop patio as do the dozens of other restaurants in town counting on patio visits during these difficult times. (Monique Tamminga Western News)
Perfect patio weather brings perfect chance to help out Penticton restaurants

City boasts more than 30 patios to choose from, with more patios coming downtown soon

Rainbow trouts thrashing with life as they’re about to be transferred to the largest lake of their lives, even though it’s pretty small. These rainbows have a blue tinge because they matched the blue of their hatchery pen, but soon they’ll take on the green-browns of their new home at Lookout Lake. (Zoe Ducklow/News Staff)
VIDEO: B.C. lake stocked with hatchery trout to delight of a seniors fishing club

The Cherish Trout Scouts made plans to come back fishing soon

RCMP cruiser, no date.
Threats against RCMP lead to high-risk situation in Ashcroft

Distraught man made threats directed at police, potentially had access to firearms

Photo by Metro Creative Connection
New campgrounds coming to B.C. parks as part of $82M provincial boost

This season alone, 185 campsites are being added to provincial parks, says Minister of Environment and Climate Change

A Canada goose honks at other birds at Salish Park on Saturday, Jan. 9, 2021. (Jenna Hauck/ Chilliwack Progress)
Goose addling program underway in Vernon

2021 cull applications in process as addling program enters 15th year

The Columbia Valley Wetlands are known for their extensive and fragile ecosystem. (File photo)
Wildsight speaks out against logging in Columbia Wetlands

Located 50 kms south of Golden, the proposed operation was justified as bark beetle management

Paper Excellence took over Catalyst Paper operations in B.C. in 2018. (Paper Excellence photo)
The Vernon Pickleball Association spotlights member Don Friesen ahead of National Volunteer Week (April 18-24, 2021). (Vernon Pickleball Association)
Volunteer praised by Vernon pickleballers

Marshall Field pickleball complex wouldn’t be possible without dedicated volunteer hours: VPA

Eight-year-old Piper and her family were raising money to help Guinevere, the bearded dragon, get a gynecological surgery. Sadly, the reptile didn’t survive the procedure. (Jackee Sullivan/Special to Langley Advance Times)
Lizard fails to survive surgery, GoFundMe dollars help Langley family offset medical bills

Guinevere, a pet bearded dragon, underwent an ovariectomy on Tuesday

Most Read