Cardiovascular Disease Prevention Part 3

Question 1

The goal of secondary prevention of adverse atherosclerotic cardiovascular disease events

Answer 1

is to prevent recurrent events. More than 90% of persons who have established symptomatic atherosclerosis will go on to experience recurrent events and ultimately succumb to their disease, unless they are treated. Treatment is designed to reduce recurrent events, thereby minimizing morbidity, and significantly delaying mortality.

Question 2

main overall treatment as a secondary prevention

Answer 2

cardiac rehabilitation

Question 3

what is cardiac rehabilitation?

Answer 3

The sum total of all interventions, physiological and behavioural, designed to favourably modify an individual’s lifestyle (health behaviours) and enhance adherence and compliance with long-term behaviours compatible with minimizing disease progression.

Question 4

Ideally, cardiac rehabilitation is seamlessly integrated with __ __ such that patients do not experience any lag time in care from hospital discharge to their enrolment in cardiac rehabilitation

Answer 4

Ideally, cardiac rehabilitation is seamlessly integrated with acute care such that patients do not experience any lag time in care from hospital discharge to their enrolment in cardiac rehabilitation

And those patients who complete cardiac rehabilitation substantially and significantly reduce recurrent events, repeat hospitalizations, and, at least within the program here in Calgary, significantly delay their mortality.

Question 5

treatment of ischemic heart disases (SCEXAPABETASTATIRAIDDDD)

Answer 5

smoking cessation

exercise

antiplatelet agents

beta blockers

statins

raai- renin angiotensin aldosterone inhibitors

d- diet

d- drinking

d- depression management

d- diabetes

Question 6

. Cardiac rehabilitation includes a defined patient __ process, ___ driven patient assessments, the management of health ___ and cardiovascular disease __ __, and the use of __ and physical activity/___ interventions.

Answer 6

. Cardiac rehabilitation includes a defined patient referral process, protocol driven patient assessments, the management of health behaviours and cardiovascular disease risk factors, and the use of pharmacological and physical activity/exercise interventions.

Question 7

Here in Calgary, our cardiac rehabilitation program database is merged to the ___ database.

Answer 7

. APPROACH is a provincial database that captures hospitalizations, interventions, and subsequent morbidity and mortality for patients admitted to acute care with a cardiovascular diagnosis. The integration of the cardiac rehabilitation database with the APPROACH database means that we are one of literally a handful of programs worldwide who can accurately track morbidity and mortality in our cardiac rehabilitation population.

Question 8

cardiac rehabilitation long term strategies follow the __ ___ care model. outline

Answer 8

the chronic disease care model.

model integrates communities, health systems, patients, patient services, and assessments of each of these components, in an integrated model intended to improve patient outcomes

Question 9

goals of primordial, primary, and secondary prevention

Answer 9

The goal of primordial prevention is atherosclerosis and cardiovascular disease prevention. It is about establishing vascular health and maintaining vascular health through both individual and community interventions.

The goal of primary prevention is the prevention of adverse atherosclerotic cardiovascular disease events. The presence of the disease is, almost, a given. It is about the chaotic interplay between Exposure to the drivers of vascular inflammation and atherosclerosis and an individual’s Susceptibility to that vascular inflammation in the establishment and progression of atherosclerosis.

The goal of secondary prevention is the prevention of recurrent adverse atherosclerotic cardiovascular disease events.