Cardiovascular Health - Ischaemic Heart Disease (IHD) Flashcards

1
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Q: What is Ischaemic Heart Disease (IHD)?

A

A: IHD is an imbalance between myocardial oxygen supply and demand, often caused by atherosclerosis. Atheroma and vasoconstriction reduce blood flow, leading to myocardial hypoxia, accumulation of waste metabolites, and ischaemia when oxygen demand exceeds supply.

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2
Q

Q: What syndromes are associated with Ischaemic Heart Disease (IHD)?

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A: The main syndromes of IHD include angina (stable and unstable) and myocardial infarction.

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3
Q

Q: What natural approaches can support Ischaemic Heart Disease (IHD)?

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A:

Optimise vitamin D status: Supports endothelial health and promotes vasodilation (increasing NO).

Warming herbs/spices: Ginger and cayenne help support blood flow.

Exercise: Gentle activities like Tai Chi, Qi Gong, and walking can improve myocardial blood flow.

Stress management: Breathing exercises and nervine herbs like passionflower (1-2 tsp, 2-3 times per day) can help manage stress.

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4
Q

Q: What supplements can be used to support Ischaemic Heart Disease (IHD)?

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A:

L-carnitine (1000 mg x 2 daily): Improves fatty acid utilisation and myocardial ATP production.

Magnesium (200 to 400 mg x 3 daily): Prevents coronary artery spasms and controls smooth muscle contraction.

Hawthorn (Crataegus spp., 1000–1500 mg): Enhances vasodilation by inhibiting enzymes involved in cyclic-AMP breakdown.

CoQ10 (100 to 300 mg daily): Increases NO, improves endothelial function, and reduces inflammation.

L-arginine (1000 to 2000 mg x 3 daily): Promotes vasodilation by increasing NO and reduces oxidative stress.

Ginkgo biloba (60–120 mg/day): Enhances microcirculation, improves tissue perfusion, and scavenges reactive oxygen species (ROS).

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5
Q

How much L-carnitin and what reasons?

A

L-carnitine (1000 mg x 2 daily): Improves fatty acid utilisation and myocardial ATP production.

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6
Q

How much Magnesium and what reasons?

A

Magnesium (200 to 400 mg x 3 daily): Prevents coronary artery spasms and controls smooth muscle contraction.

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7
Q

How much Hawthorn and what reasons?

A

Hawthorn (Crataegus spp., 1000–1500 mg): Enhances vasodilation by inhibiting enzymes involved in cyclic-AMP breakdown.

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8
Q

How much CoQ10 and what reasons?

A

CoQ10 (100 to 300 mg daily): Increases NO, improves endothelial function, and reduces inflammation.

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9
Q

How much L-arginine and what reasons?

A

L-arginine (1000 to 2000 mg x 3 daily): Promotes vasodilation by increasing NO and reduces oxidative stress.

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10
Q

How much Ginkgo biloba and what reasons?

A

Ginkgo biloba (60–120 mg/day): Enhances microcirculation, improves tissue perfusion, and scavenges reactive oxygen species (ROS).

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