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Flashcards in CAD Risk Factors Deck (9)
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1

What are the main risk factors for CAD?

-HTN
-DM
-Smoking
-Cholesterol
-Fam Hx
-Hyperlipidemia (high LDL and low HDL)
-age (men greater than 45 years, women greater than 55 years)
-obestity/abdominal obesity (waist circumference greater than 40 mon and 35 women)
-physical inactivity

2

Is diabetes a CAD risk equivalent?

YESSSS!

in a study, diabetic subjects without prior MI and nondiabetics with a prior MI had just about equal probabilities of death from CAD.

3

What are the general features of metabolic syndrome?

-Abdominal obesity
-dyslipidemia ( elevated triglycerides and LDL, low HDL)
-raised blood pressure
- insulin resistance
-prothrombotic state
-proinflamm state

4

How do we manage dyslipidemia?

Bring down LDL first with statin, then bring up HDL with Niacin. Lastly, bring down triglycerides with Tricor.

5

what are some lifestyle modifications that can be taken to reduce risk of CAD?

-weight reduction
-DASH diet
-reduce salt
-physical activity
-moderate alcohol consumption

6

ATP III Framingham Risk Study
-what is this?
-what is all scored in this assessment of risk?

-used to determine absolute 10 year CAD.

-age, Total cholesterol, HDL, SBP, smoking status

7

Describe an appropriate diet for someone trying to reduce their risk of CAD?

increased fiber, soy protein, veggies, and fruits. Cut down on salt, sugars....you get the gist of it.

8

At what age do we being primary prevention screening of CVD and stroke?

-20 years old regularily assess FMH, smoking status, diet, alcohol, and physical activity. BP, BMI, waist circumference, lipids.

-40years: assess 10-year risk of CAD, start younger if 2+ risk factors present.

9

CVD and Stroke Secondary Prevention Guidlines

-smoking cessation
-lipid management
-physical activity
-weight management
-antiplatelet/anticoagulant
-ACE inhib
-Beta blocker
-blood pressure control

*early aspirin and beta blockers