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SIC MA <br />4285 CR 3270 <br />Kempner, TX 76539 <br />501 358 2112 <br />ben@sigmacoaching.com <br />Sigma Tactical Wellness Delivery Proposal <br />Sigma Tactical Wellness has pioneered a novel system of cardiometabolic screening that <br />incorporates blood -based inflammatory biomarker detection, vascular imaging, and <br />cardiopulmonary exercise testing to identify early onset and late -stage coronary disease in <br />members of public safety. Our unique testing modalities have been proven to be effective in <br />identifying and eliminating the risks of the number one killer of men and women in uniform — <br />heart disease. <br />The average age of a police officer who suffers a heart attack is 46, and the life expectancy of <br />men and women in uniform is more than 20 years less than the general population. Published <br />data shows that, between the ages of 55 and 60, the chance of a civilian dying from a heart <br />attack is 1.6%. However, within populations of police officers and fire fighters, it is 56%. <br />Moreover, fire-fighters are 16x more likely to die from an in- service line -of -duty heart attack <br />than other occupations within public safety. <br />Through our aggressive screening strategy, early, pre -clinical heart disease markers have been <br />detected in otherwise fit appearing men and women as early as age 30. Once identified, the <br />progression of heart disease can be halted. It should be noted that standard risk modeling (most <br />commonly found in other wellness programs) often DOES NOT identify those at increased risk <br />and can result in catastrophic misdiagnosis. <br />Police officers and fire-fighters also suffer from obesity, diabetes, and hypertension at rates that <br />are much higher than their civilian counterparts. National statistical data shows that the obesity <br />rate for police officers is 48% which is 20% higher than what is seen in the civilian sector. The <br />rampant obesity epidemic creates concomitant diabetes, high blood pressure, sleep disorders, <br />and significant musculoskeletal issues such as back, knee, and hip pain. <br />The Facets of Sigma Tactical Wellness: <br />Vascular Imaging: <br />The use of vascular imaging (carotid artery ultrasound) is widely accepted as a surrogate <br />diagnostic related to plaque development within the coronary vasculature (arteries within the <br />heart). Sigma Tactical Wellness uses the most advanced portable ultrasound system currently <br />available to determine whether soft plaque is present within the carotid arteries. This allows the <br />patient to receive a hospital -grade image (and experience) while in the comfort and <br />convenience of their own department or agency. <br />Cardiac biomarker analysis <br />It is widely known that members of public safety suffer from heart -related deaths oftentimes in <br />spite of low individual cardiac risk as determined by traditional risk -modeling. Sigma Tactical <br />Wellness is the only mobile organization operating in the sphere of public safety that uses <br />advanced cardiac inflammatory markers to isolate patients (often in their 30s) that show genetic <br />predisposition towards arterial plaque development. This approach is not only vetted via peer- <br />