Research task 1 Flashcards
(42 cards)
Coronary Heart Disease
Coronary artery disease, also called CAD, is a condition that affects your heart. It is the most common heart disease in the United States. CAD happens when coronary arteries struggle to supply the heart with enough blood, oxygen and nutrients. Cholesterol deposits, or plaques, are almost always to blame.
• Coronary arteries= arteries that supply blood to heart
o Needs these arteries as heart muscle wall is too thick for oxygen to diffuse across
Coronary Heart Disease Cause
• Build-up of fatty substances
o Cholesterol deposits inside the damaged walls of blood vessels
o Blood vessels try to follow to get rid of cholesterol
Kicks of inflammatory reaction- Atherosclerosis (hardening of the blood vessel)
Process causes blood vessel to become hard and stiff over time
o Plaque= fatty bulge of cholesterol and dead white blood cells
Takes decades to build up to clinical level= symptoms
• Plaque bulges into vessel and does not allow blood to pass through
• Cholesterol deposits, or plaques, are almost always to blame.
• Smoking. Smoking is a major risk factor for coronary heart disease. …
• High blood pressure. High blood pressure (hypertension) puts a strain on your heart and can lead to CHD. …
• High cholesterol. …
• High lipoprotein (a) …
• Lack of regular exercise. …
• Diabetes. …
• Thrombosis.
o Thrombosis occurs when blood clots block your blood vessels.
hardening of the arteries, called arteriosclerosis. This happens when fatty or calcium deposits cause artery walls to thicken. This can lead to a buildup of fatty material (called plaque) in the artery walls. This plaque can suddenly burst (rupture), followed by a blood clot.
Coronary Heart Disease effect on cardiovascular system
• When you exercise, heart rate goes up due to increased oxygen requirements of heart (muscle)
o Plaque means that not enough blood can pass through to feed that muscle
That piece of muscle becomes “hypoxic” (not enough oxygen)
• This causes angina pectoris symptom
Stable angina pectoris
Plaque means that not enough blood can pass through to feed that muscle
That piece of muscle becomes “hypoxic” (not enough oxygen)
• This causes angina pectoris symptom
Unstable angina pectoris
• Acute coronary syndrome:
o Unstable angina
Covering of plaque on inside of blood vessel can burst
• Exposes plaque material to blood
o Plaque material is very thrombogenic (causes blood clots to form on it)
o Blood clots form
o Plaque goes back and forth from stuck to unstuck
Sometimes artery is clogged, sometimes it is not
Can get chest pains at any time
Symptoms of coronary heart disease
• Chest pain or discomfort (angina) • Weakness, light-headedness, nausea cold sweat
Treatments of CHD
- Treatments include lifestyle changes, medication, angioplasty and surgery.
- Cholesterol-modifying medications. …
- Aspirin. …
- Beta blockers. …
- Calcium channel blockers. …
- Ranolazine. …
- Nitroglycerin. …
- Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs).
- Quitting smoking, Weight loss, Physical exercise and Low fat diet
- Coronary artery bypass surgery
What is cholesterol?
Cholesterol is a waxy, fat-like substance that’s found in all the cells in your body.
Saturated fats raise your LDL (bad) cholesterol. High LDL cholesterol increases your risk for heart disease and stroke.
Prevention of CHD
• Eat less of the foods that add to heart problems, and more of the foods that protect the heart
• low in saturated fats and trans fats, higher in monounsaturated and polyunsaturated the fats found in olive oil and fish
• high in fiber (found in plant foods), and low in salt and sugar.
• Avoid smoking and using tobacco products. …
• Be physically active every day. …
• Eat a heart-healthy diet. …
• Keep a healthy weight. …
• Keep your blood pressure healthy. …
• Keep your total cholesterol healthy. …
• Preventing stable Angina pectoris:
o Reduce exertion so that enough blood can be supplied to heart muscle
What is stroke?
A stroke, or brain attack, happens when blood flow to your brain is stopped.
Stroke cause
• a blocked artery (ischemic stroke) or;
• leaking bursting of a blood vessel (hemorrhagic stroke).
o Leaking blood out of circulation prevents other parts of areas from getting blood
Deprived areas get damaged and/or die
Blood collects and pushes on brain tissue
• Causes damage
• Blood clots pumped out of heart and up to brain stem
o Gets stuck in brain blood vessels
• Heart attack
o Clots build up
• Build up of cholesterol on arteries
• TIA- mini stroke that goes away and thus, does not lead to permanent disability
• Some people may have only a temporary disruption of blood flow to the brain, known as a transient ischemic attack (TIA), that doesn’t cause lasting symptoms
Effect of stroke on CV system
- Having a Stroke Increases a Person’s Risk for Cardiac Trouble. Some of the same risks that can lead to a stroke can also make heart problems more likely. These factors include high blood pressure, diabetes, high cholesterol, coronary artery disease, and heart arrhythmias.
- stroke damages brain cells so they can no longer work properly
Symptom of stroke
- Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body.
- Sudden confusion, trouble speaking, or difficulty understanding speech.
- Sudden trouble seeing in one or both eyes.
- Sudden trouble walking, dizziness, loss of balance, or lack of coordination.
Stroke treatments
• Early treatment with medication like tPA (clot buster) can minimise brain damage.
• Other treatments focus on limiting complications and preventing additional strokes.
• Medications:
o Alteplase, Anticoagulant, Statin, Antihypertensive drug and ACE inhibitor
• Surgery:
o Carotid endarterectomy
Stroke prevention
- eat a healthy diet, exercise regularly, and avoid smoking and drinking too much alcohol.
- Lower Your Blood Pressure.
- Stay Away From Smoking.
- Manage Your Heart.
- Cut the Booze.
- Control Your Diabetes.
- Exercise.
- Eat Better Foods.
- Watch the Cholesterol.
Peripheral vascular disease
Peripheral vascular disease is the reduced circulation of blood to a body part, other than the brain or heart, due to a narrowed or blocked blood vessel.
Effect of peripheral vascular disease on CV
• Peripheral vascular disease (PVD) is a blood circulation disorder that causes the blood vessels outside of your heart and brain to narrow, block, or spasm. This can happen in your arteries or veins.
Symptoms of peripheral vascular disease
• Most frequently occurrent when active
o Explains why inactive people commonly asymptomatic
• Changes in the skin, including decreased skin temperature, or thin, brittle, shiny skin on the legs and feet.
• Weak pulses in the legs and the feet.
• Gangrene (dead tissue due to lack of blood flow)
Treatment of peripheral vascular disease
• Tobacco cessation, exercise and a healthy diet are often successful treatments. When these changes aren’t enough, medication or surgery can help.
• Medical procedure
o Angioplasty
• Self-care
o Physical exercise, Quitting smoking and Heart-Healthy diet
• Medications
o Statin, Vasodilator and Anticoagulant
Prevention of peripheral vascular disease
- maintain a healthy, active lifestyle: If you are a smoker, quit smoking. Work to control your blood pressure, cholesterol, and glucose levels. Exercise regularly.
- Healthy diet
Effects of smoking on CV
• Smoking increases the formation of plaque in blood vessels. Coronary Heart Diseaseoccurs when arteries that carry blood to the heart muscle are narrowed by plaque or blocked by clots. Chemicals in cigarette smoke cause the blood to thicken and form clots inside veins and arteries.
· Carbon monoxide, tar, and nicotine breathed in
• Carbon monoxide= poisonous gas that reduces amount of O2 carried around body
○ Attaches to haemoglobin (binds 200-300 times more than oxygen)
§ Makes heart work harder
§ Overworked
§ Need to breath more
§ Could result in heart failure
• Tar- toxic chemical forms layer of sticky brown chemicals around lungs that can cause cancer
○ 2 thirds of tar breathed in stays in lungs
• Nicotine increases heart rate and blood pressure
• Chemicals make walls of arteries sticky as they enter bloodstream
○ Increases amount of fatty deposits that stick to artery walls over time
§ Harder for oxygen-rich blood to travel through arteries to heart and brain
§ Can lead to heart attack or stroke if clogged
Effects of excessive alcohol on CV
• At the time of drinking, alcohol can cause a temporary increase in heart rate and blood pressure. In the long-term, drinking above the guidelines can lead to on-going increased heart rate, high blood pressure, weakened heart muscle and irregular heartbeat.
Can cause alcoholic cardio myopathy
• Weakening of the pump function of the heart resultant from excessive alcohol drinking
Can affect heart rhythm
• Abnormal heart rhythm
○ Atrial fibrillation
Increased risk for heart attack and heart failure
Diet on CV
Less salty foods and more potassium-rich foods limits risks of cardiovascular disease
Fewer saturated and trans fats prevents formation of bad cholesterol (low density lipoprotein)
Inactivity on CV
· How does physical inactivity increase the risk of heart and circulatory diseases? Being inactive can lead to fatty material building up in your arteries (the blood vessels that carry blood to your organs). If the arteries that carry blood to your heart get damaged and clogged, it can lead to a heart attack.
· Heart muscle not strengthened
· Heart diseases, including coronary artery disease and heart attack.
· High blood pressure.
High cholesterol.