Cardiovascular Disease (C) Flashcards
What is the leading cause of death and permanent disability in the US?
Cardiovascular disease
What is compensated heart disease?
The body is able to maintain circulation; heart enlarges
What does decompensated heart disease cause?
Congestive heart failure
Which is the most common form of arteriosclerosis (hardened arteries)?
Atherosclerosis
What happens in a patient with atherosclerosis?
Plaque reduces size of lumen, leading to decreased oxygen flow (angina pectoris) and waste removal, causing ischemia
How do most heart attacks happen?
A blood clot (thrombus) blocks blood flow to the myocardium (hence myocardial infarction)
What is a cerebrovascular accident (CVA)?
A stroke
What is peripheral vascular disease?
When arteriosclerosis/a thrombus/resulting ischemic tissue occurs away from the heart
What are optimal total cholesterol levels?
Under 200 mg/dL
What are borderline high total cholesterol levels?
200-239 mg/dL
What are high cholesterol levels?
240+ mg/dL
What are optimal LDL levels?
Under 100mg/dL
What are borderline high LDL levels?
130-159mg/dL
What are high cholesterol levels?
160-189mg/dL
What are very high cholesterol levels?
180+mg/dL
What HDL level will protect against heart disease?
Over 60mg/dL
What HDL level is considered a risk factor for heart disease?
Under 40/mgdL
What are optimal triglyceride levels?
Under 150mg/dL
What are borderline high triglyceride levels?
150-199mg/dL
What are high triglyceride levels?
200+mg/dL
What should cholesterol intake be limited to per day?
Under 200mg
What macronutrient split is recommended for heart health?
50-55% carbs, 12-20% proteins, 20-35% fats
What percent of calories in the US diet come from fats?
40%
Simple sugars may have what adverse effect on heart health?
Raise LDL
What are prominent sources of cholesterol?
Organ meats, egg yolks, and some shellfish
What are prominent sources of saturated fat?
Animal products, coconut, chocolate, and palm oil
What are prominent sources of polyunsaturated fat?
Plants and some fish
Those who increased their soluble fiber intake by 5-10g saw what drop in their LDL cholesterol?
5%
What are the total fiber intake recommendations?
38g men, 25g women
What are the soluble fiber intake recommendations?
10-25g
If ideal blood lipid levels are not achieved in 3-6months from the diet, what medications may be prescribed?
Lipitor or Zocor (interact with grapefruit)
What is the diet post-MI (heart attack)?
Initially nothing by mouth, then a liquid diet for 24 hours, then a reduced sodium diet to prevent fluid accumulation and reduce the work of the heart.
What can also cause CHF (decompensation) besides heart disease?
Diabetes and renal disease
What is the dominant treatment for clients with heart failure?
Diuretics
What condition can diuretics cause?
Hypokalemia (offset by eating fruits and vegetables)
What percent of hypertension cases are primary?
90%
What can cause secondary hypertension?
Renal disease, adrenal issues, or birth control
What blood pressure qualifies as a hypertension diagnosis?
Systolic 140+ or diastolic 90+
What is a normal blood pressure?
120/80 mmHg
What blood pressure is considered pre-hypertensive?
120-139/80-85 mmHg
What blood pressure is considered stage one hypertension?
140-159/90-99 mmHg
What blood pressure is considered stage two hypertension?
160+/100+ mmHg
Which condition is often called the silent disease?
Hypertension
What minerals besides sodium are factors in hypertension?
Chloride, magnesium, and calcium
What is the DASH diet?
8-12 servings of fruit and vegetables; adequate calcium; smart protein portions; nuts, seeds, and legumes 3-4x a week; limited fats and oils; under 5 sweets per week.
How can fruits and vegetables lower blood pressure?
High in potassium
What is the recommended potassium intake?
4.7g/ 4,700mg
Thickened heart muscle is present in what percent of obese children?
40%
What is the recommended amount of sodium for someone with hypertension?
1,500mg
What is the average sodium intake in the US?
3,400mg
What is the minimum amount of sodium?
500mg
What are some examples of hidden sodium?
MSG, baking power, baking soda (sodium bicarbonate), and brine
What is considered very low sodium restriction?
1.5-2g per day
What is considered moderate sodium restriction?
2-3g per day
What percent of sodium comes from processed foods?
75%