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Study Notes - Cardiology > *Public Health > Flashcards

Flashcards in *Public Health Deck (15):
1

What are the 3 types of prevention of disease?

Primary
secondary
Tertiary

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?

Smoking
Age
Being male
Family history of AAA
Hypertension
Atherosclerosis
Hyperlipidaemia
Being 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 family
Common = a person in a street
Uncommon = a person in a village
Rare = a person in a small town
Very rare = a person in a large town

8

What are examples of CVD?

Stroke
CHD
Hypertension
Diseases of arteries e.g. atherosclerosis
Diseases of veins e.g. deep vein thrombosis
Heart valve diseases e.g. rheumatic heart disease
Diseases of lymph vessels and capillaries e.g. lymphoedema

9

Modifiable risk factors for CV disease? (9)

Smoking
Dyslipidaemia
Raised blood pressure
Diabetes mellitus
Obesity
Dietary factors
Thrombogenic factors
Lack of exercise
Excess alcohol intake

10

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

Personal history of CVD
Family history of CVD
Age
Gender
Deprivation?

11

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

Age
Gender
Postcode
Family history of CVD
Diabetes
Smoking
Blood pressure
Cholesterol

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 score
No family history score

15

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

Editorials, expert opinion
Case series, case reports
Case-control studies
Cohort studies
Randomised controlled trials
Systematic reviews