Public Health 1 and 2- Managing CV risk factors and public health interventions in CV disease Flashcards Preview

1st Year - Cardiology > Public Health 1 and 2- Managing CV risk factors and public health interventions in CV disease > Flashcards

Flashcards in Public Health 1 and 2- Managing CV risk factors and public health interventions in CV disease Deck (15):
1

What are the 3 types of prevention of disease?

PrimarysecondaryTertiary

2

Primary prevention?

Prevention of disease before it occurs

3

Secondary prevention?

Reduce the impact of a disease once it has occurred e.g. catching it early

4

Tertiary prevention?

Arresting the progress of a disease once it has developed and lessening the impact of its negative consequences

5

AAA risk factors?

SmokingAgeBeing maleFamily history of AAAHypertensionAtherosclerosisHyperlipidaemiaBeing caucasian

6

What is the current NHS screening for AAA?

US for men in the year they turn 65

7

How do we communicate the different levels of risk?

Very common = a person in a familyCommon = a person in a streetUncommon = a person in a villageRare = a person in a small townVery rare = a person in a large town

8

What are examples of CVD?

StrokeCHDHypertensionDiseases of arteries e.g. atherosclerosisDiseases of veins e.g. deep vein thrombosisHeart valve diseases e.g. rheumatic heart diseaseDiseases of lymph vessels and capillaries e.g. lymphoedema

9

Modifiable risk factors for CV disease? (9)

SmokingDyslipidaemiaRaised blood pressureDiabetes mellitusObesityDietary factorsThrombogenic factorsLack of exerciseExcess alcohol intake

10

Non-modifiable risk factors for CV disease? (5)

Personal history of CVDFamily history of CVDAgeGenderDeprivation?

11

What are the risk factors looked at in the ASSIGN score (the ones we care about in Scotland)? (8)

AgeGenderPostcodeFamily history of CVDDiabetesSmokingBlood pressureCholesterol

12

What does "high risk" mean?

20% chance of event in 10 years

13

Where does a lot of the evidence for CHD risk factors come from?

Farmingham study

14

Why does the Farmingham study underestimate the risk of CHD in high risk groups in the UK?

No deprivation scoreNo family history score

15

What are the 6 levels of evidence from the lowest to the best?

Editorials, expert opinionCase series, case reportsCase-control studiesCohort studiesRandomised controlled trialsSystematic reviews