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Ischaemic Heart Disease Group 68

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SMO 311 Group 68

on 27 January 2017

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Transcript of Ischaemic Heart Disease Group 68

Thank You!
Do you have Ischemic Heart Disease (ISH)?
Some signs and symptoms:
Chest pain, jaw pain, arm pain
Dyspnoea
Orthopnoea

Haven’t got any of these? Great!
Because Southern Africa carries ¼ of the global burden of ISH
Ischaemic Heart Disease
But you're not in the clear yet! Many don't even show symptoms!
Hypertensive?
Diabetic?
Involved in a sedentary lifestyle?
On an unhealthy diet?
A smoker?
Overweight?
Are you:
Then you’re at risk!
Especially if you meet more than one of these criteria...

Do you care about:
Dying young?
Being crippled?
Having an unhappy family?
Losing money?

Then be aware to care!
Here are some fancy graphs that all show how dangerous IHD can be…
Distribution of CVD death
Female (left); Male (right)

Mortality Rate of ISH
The global distribution
Mortality through income classes...
But there’s always light at the end of the tunnel!
We can protect ourselves
From a first attack (Primary)

From recurrent attacks (Secondary)
Early screening for risk factors: BP, cholesterol, glucose level tests, family history, genetics
Maintain a healthy BMI
Increased physical activity
Optimal control of risk factors
Healthy diet - Mediterranean diet
Reduced salt and fat content intake

Smoking cessation
Using cardio-protective drug therapies: aspirin, B-blockers, ACE-I, ARBs, lipid-lowering drugs (statins)
Lifestyle/diet changes
Psychological (depression) treatment
Optimal control risk factors
Increased physical activity
Reduced salt and fat intake
Higher fruit/vegetable intake (Mediterranean diet)
Cardiac rehabilitation program/regular monitoring

Now, let’s think as a community rather than an individual
Some suggestions…
Provide free statins and anti hypertensive drugs to reduce risk factors
Educate targeted population about importance of exercise, diet and stress reduction
Encourage healthy diet by further taxing fast food and untaxing vegetables, fruits etc..
Increasing accessibility of sports centers by:
Providing government funded discounts for targeted population
Providing free shuttles to and from centers
Urging a 24/7 policy

ISH is not the end… Save your aching heart
World Health Organization. Causes of Death 2008: Data Sources and Methods. World Health Organisation. [updated 2011 April 28]. Available from: http://www.who.int/healthinfo/ global_burden_disease/ cod_2008_sources_methods.pdf
World Health Organisation. Global health risks: Mortality and burden of disease attributable to selected major risks. World Health Organisation. 2009
World Health Organisation [Internet]. Prevention of cardiovascular disease: Guidelines for assessment and management of cardiovascular risk. World Health Organisation; [updated 2007].Available: http://ish-world.com/downloads/activities/PocketGL_ENGLISH_AFR-D-E_rev1.pdf
World Health Organisation [Internet]. The global burden of disease:2004 update. World Health Organisation; [updated 2008].Available: http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf
Puska.P. From Framingham to North Karelia: from descriptive epidemiology to public health action. [updated 2010 August]. Available: https://www.ncbi.nlm.nih.gov/pubmed/20620421
Moran AE, Forouzanfar MH, Roth G, Mensah GA, Ezzati M, Flaxman A et al. The global burden of ischemic heart disease in 1990 and 2010: the Global Burden of Disease 2010 study. Circulation. 2014 Feb 26:CIRCULATIONAHA-113.
Ergatoudes C, Thunström E, Rosengren A, Björck L, Boström KB, Kristin Falk et al. [Internet] Long-term secondary prevention of acute myocardial infarction (SEPAT) – guidelines adherence and outcome. [updated 2016 Nov 17]. Available: https://www.ncbi.nlm.nih.gov/pubmed/27855640
Youngblom E, Pariani M, Knowles JW, Familial Hypercholesterolemia, [updated 2014 January 2].Available from: https://www.ncbi.nlm.nih.gov/sites/books/NBK174884/
Churchill LO. Epidemiology of ischaemic heart disease in sub-Saharan Africa. PubMed; [updated 2013 March 24].Available: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734874/
Wong ND. Epidemiological studies of CHD and the evolution of preventive cardiology. Nature Reviews Cardiology. Vol 11: 276–289

References
This Prezi was created by the following students of the University of Pretoria:
Nabihah Kurrimboccus
Muhammad Moosa
Shabneez Koussa
Waseem Allybokus
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