CHD Flashcards

(30 cards)

1
Q

How prevalent is Coronary Heart Disease (CHD) globally?

A

CHD is the leading global cause of death, accounting for approximately 7.5 million deaths annually.

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2
Q

Why do CHD rates vary across countries?

A

Rates vary due to differing levels of risk factors such as air pollution, poor diet, physical inactivity, and smoking.

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3
Q

What causes a heart attack in CHD?

A

A heart attack occurs when arteries are blocked, reducing oxygen supply to heart muscles.

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4
Q

How does air quality affect CHD risk?

A

Poor air quality, especially particulate pollution from transport and industry, increases the risk of CHD.

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5
Q

How does rural vs. urban air quality influence CHD?

A

Rural areas may have cleaner air, potentially reducing CHD risk, but evidence is not conclusive.

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6
Q

What climate factors are linked to CHD in the UK?

A

Colder, less sunny regions show higher CHD mortality, even when adjusted for deprivation. Cold/damp weather strains the cardiorespiratory system.

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7
Q

How does terrain (relief/topography) impact CHD?

A

Hilly areas may encourage physical activity (which reduces risk), but may also strain people with heart conditions.

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8
Q

What socio-economic factor has a major influence on CHD in developed countries?

A

Lifestyle and deprivation are more significant than the physical environment.

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9
Q

How does deprivation influence CHD in the UK?

A

CHD death rates are 3x higher in deprived boroughs (e.g., Tower Hamlets) compared to wealthier areas (e.g., Kensington).

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10
Q

How much does smoking increase CHD risk?

A

Smoking increases CHD mortality by 60%.

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11
Q

What is the role of alcohol in CHD in men (developed countries)?

A

About 2% of CHD in men is related to alcohol consumption.

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12
Q

What percentage of heart attacks in Western Europe are linked to hypertension?

A

22% of heart attacks are associated with high blood pressure.

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13
Q

How does high cholesterol contribute to CHD in Western Europe?

A

It’s responsible for 45% of heart attacks.

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14
Q

What dietary factors raise CHD risk?

A

Diets high in fat, salt, and sugar increase the risk of CHD.

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15
Q

How does obesity impact CHD risk?

A

Obesity is a major independent risk factor for CHD.

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16
Q

How does diabetes affect CHD risk?

A

Diabetes increases CHD risk by 2 to 5 times.

17
Q

How significant is inactivity as a CHD risk factor?

A

Over 20% of CHD in developed countries is due to lack of exercise.

18
Q

What ethnic patterns are seen in CHD risk in the UK?

A

South Asian populations have higher premature CHD death rates, while Afro-Caribbean groups have lower rates.

19
Q

How does genetics affect CHD risk?

A

A family history of CHD doubles the risk.

20
Q

How does urbanisation in developing countries increase CHD risk?

A

Urbanisation leads to poor housing, healthcare access, limited green space, pollution, sedentary lifestyles, poor diets, and tobacco/alcohol marketing.

21
Q

What is a health consequence of crowded urban living?

A

Increased exposure to infectious diseases (e.g., rheumatic fever), which can lead to heart disease.

22
Q

What are the health impacts of CHD?

A

CHD can cause angina, heart attacks, and heart failure, and may require long-term medication, bypass surgery, or pacemakers.

23
Q

What does cardiac rehabilitation involve?

A

Rehabilitation combines exercise, education, and psychological support.

24
Q

What was the cost of CHD to the NHS and UK economy in 2009?

A

CHD cost the NHS £8.7 billion and the UK economy £19 billion.

25
What were US Medicare costs for CHD in over-65s in 2000?
$76 million.
26
What is the global cost of smoking-related heart disease?
Around $200 billion per year, according to WHO.
27
What are key lifestyle changes for CHD prevention?
Quitting smoking, eating a healthy diet, and regular exercise.
28
What medical treatments help reduce CHD risk?
Cholesterol-lowering drugs and blood pressure control.
29
What public health strategies help manage CHD?
Awareness campaigns, health screening, and tackling socio-economic inequality.
30
According to WHO, how effective are low-cost drugs for CHD?
Use of $14/year low-cost drugs could halve CHD-related deaths and disabilities globally.