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Coronary Artery Disease/ Atherosclerosis

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by

Jan Madayag

on 23 October 2014

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Transcript of Coronary Artery Disease/ Atherosclerosis

Coronary Artery Disease/ Atherosclerosis
Signs & Symptoms
Chest pain (Angina)
Shortness of breath
Nausea and vomiting
Weakness
Dizziness
Sweating
Palpitations
Heart attack
Disease Management
Skit
By: Jan, Jez, Pia, Cristina, & Malgosia
Definition
Causes & Risk Factors
Age & Gender
Family history
High blood cholesterol
Obesity
Smoking
Hypertension
Diabetes
Substance use
Physical inactivity
Psychological factors



Pathophysiology
Atherosclerosis
- begins with a lesion in the endothelium of an artery
Fatty streaks
- can appear as early as 15 yrs old; still reversible
Fibrous plaque
- Collagen encloses fatty streaks; can appear by age 30
Complicated lesion
- plaque becomes unstable and ruptures; platelets accumulate and starts to clot
Management for people at risk:
Increase intake of complex carbohydrates
Omega-3 fatty acids
Fiber, Antioxidants, B-complex vitamins
Exercise
Monitor BP, Blood glucose
Compliance with medication

Reduce intake of saturated fats
Smoking cessation
Stress/Anxiety management
Avoid alcohol
Treatments
Coronary Artery Disease -
the most common type of heart disease that happens when the arteries that supply blood to the heart muscles become hardened and narrowed due to buildup of cholesterol and other materials called plaque. This buildup is called
atherosclerosis
Balloon angioplasty
Coronary Artery Bypass Graft (CABG)
Questions
Does atherosclerosis only affect the coronary arteries? Why?
Are you guaranteed to be free from CAD after surgery of the coronary arteries?
Diagnosis
A doctor will diagnose based on:
Medical and family histories
Risk factor for CAD
Physical exam
Blood tests
Electrocardiogram (ECG)
Echocardiogram
Stress Test
Cardiac catheterization or angiogram
Heart scan
Magnetic resonance angiography (MRA)

Based on Neuman's Systems Model, give 3 examples of primary lines of defence against CAD
What are some psychological factors that can contribute to CAD?
Resources
Community Hospital Resources:
Cardiac Program (Vancouver) @ Syd and Joanne Belzberg Cardiac Rehabilitation Clinic - VGH
Healthy Heart Program (Surrey) @ Jim Pattison Outpatient Care and Surgery Centre
Cardiac Care - Heart Centre @ St.Paul's Hospital
Local Community Resources:
Happy Hearts Program - Supervised Exercise Program
Healthy Heart Program - (Medically supervised exercise, nutrition counseling (Dietitian), lipid management & weight management)
Full transcript