Chapter 11 Flashcards
Cardiovascular disease (CVD) =
disease of
the heart and blood vessels
leading cause of death among
North Americans:
CVD
One-third of Canadians will die of:
CVD
MAJOR CVD Risk Factors That CAN Be Changed:
# 1 TOBACCO USE + EXPOSURE TO E.T.S # 2 HIGH BLOOD PRESSURE (hypertension) # 3 UNHEALTHY CHOLESTEROL LEVELS # 4 PHYSICAL INACTIVITY # 5 OBESITY # 6 DIABETES (and pre-diabetes)
Smokers -
- 2-4x more likely to develop CVD
+70% chance of dying of CVD (compared to non-smokers) - Causes about 1 in 5 Cdn. deaths from CVD
Female smokers:
2x cervical cancer,
3x death from
CVD,
5x death from stroke
tobacco use:
Damages artery linings Reduces HDL Raises LDL and triglycerides Causes platelets to stick together (clots) Raises heart rate and blood pressure Displaces oxygen in the blood Increases the rate of development of fatty deposits in arteries
pressure when heart contracts:
systole
pressure when heart relaxes:
diastole
High blood pressure strains and weakens the heart by
increasing its workload, damages and reduces
elasticity of the arteries, and increases risk of heart
attack, stroke, kidney failure, blindness
In high blood pressure, Extra force exerted on artery walls by:
Increased output of blood
Increased resistance within arteries
in high blood pressure, what happens in artery walls?
atherosclerosis
why is CVD a Silent killer?
damage and increased risk of death from heart
attack is hard to detect – no overt symptoms
see blood pressure classification!
see blood pressure classification!
Reduce high blood pressure with ..
regular exercise, weight loss healthy diet (*reduced salt*) (potassium + fibre increased to recommended levels) moderation of alcohol intake
= unhealthy (“bad”) cholesterol;
LDL
= healthy (“good”) cholesterol;
HDL
LDL what does it do?
excess amounts deposited in artery walls
HDL what does it do?
shuttles unused cholesterol back to the liver for recycling
is a fatty, waxy substance that circulates in the
blood
cholesterol
cholesterol forms part of:
cell membranes sex hormones Vitamin D lung coatings protective, insulating nerve coatings
cholesterol is produced in ___ and consumed in ___
liver, foods
unhealthy cholesterol Levels can be improved by:
quitting smoking,
losing weight
exercising,
improving diet
improving diet for cholesterol:
replace saturated and trans fat with unsaturated fat +
soluble fibre to promote the excretion of LDL via liver,
add more fruits, vegetables, fiber, whole grains,
reduce overall fat intake
Exercise …
decreases blood pressure decreases resting heart rate, improves cholesterol, (raises HDL) improves the condition of blood vessels, helps prevent obesity and diabetes
Excess body fat contributes to:
High blood pressure
Elevated cholesterol levels
Diabetes
Narrowing of coronary arteries
Fat that collects in the ___ (“apple” shape) is more
dangerous than fat that collects around the ____
(“pear” shape)
torso, hips
diabetes Increases CVD risk even if:
glucose and insulin levels
are under control
diabetes is Linked to other CVD risk factors like:
hypertension, high
cholesterol, high triglycerides, clotting problems
Pre-diabetes increases risk of:
CVD
blood fats obtained from food + manufactured by the body:
Triglycerides
Reliable predictor of CVD, alone /+ other factors
High triglyceride levels
Contributing factors of High triglyceride levels:
Many of the same factors that increase cholesterol levels
(excess body fat, inactivity, smoking, type 2 diabetes)
Excess alcohol intake
Very high carbohydrate diet
Psychological and social factors of CVD:
Stress (strains blood vessels, disturbs heart rhythms,
encourages unhealthy habits)
Chronic hostility and anger
Suppressing psychological distress
Depression and anxiety
Social isolation
Low socioeconomic status (stress, health care, lifestyle)
Alcohol and Drug Use
… has a negative effect on:
triglycerides stress blood glucose blood pressure etc.
MAJOR CVD Risk Factors That CAN’T Be Changed:
Family history/heredity Aging Being male C-Reactive Protein Ethnicity
Family history/heredity:
Multiple genes contribute to physiological CVD risk
Heart attack risk increases significantly after:
65
Stroke incidence increases __% after __?
30%, 55
in Canada, which ethnicities have more CVD risk?
First Nations (3x), Inuit, European + South Asian origins
Immigrant populations increase their health and CV risk
as they adopt:
unhealthy North American lifestyle habits
in US, which ethnicities have more CVD risk?
African North Americans + some Hispanic
origins have higher rates of hypertension, stroke,
angina
A person is diagnosed with insulin resistance
syndrome with 3 or more of the following risk factors:
Abdominal obesity High blood pressure High triglycerides Low HDL cholesterol High blood glucose
insulin resistance syndrome % in canadian population and first nations:
25+% Cdn. population, 41% First Nations
Women underestimate their:
CVD risk
Nearly 1 in 2 Cdn. women dies from:
CVD
About 1 in 25 Cdn. women dies from:
breast cancer
Women are protected from CVD at younger ages by :
natural estrogen
After menopause, women are more likely than men :
to die within a year after a heart attack
Women are more likely to have a heart attack
without:
chest pain
Major Forms of
Cardiovascular Disease:
Hypertension (a risk factor and a form of CVD) Atherosclerosis Heart disease and heart attacks Stroke Congestive heart failure
Arteries are narrowed by
deposits of fat, cholesterol, and other substances
called plaques:
Atherosclerosis
Once narrowed by a plaque, an artery is
vulnerable to:
blockage by blood clots
Blockage in the coronary arteries (coronary heart
disease) can lead to a:
heart attack
Blockage in the brain can cause a:
stroke
Damage to, or death of, heart muscle,
sometimes resulting in a failure of the heart to deliver enough
blood to the body; myocardial infarction:
Heart attack
A condition in which the heart muscle does
not receive enough blood, causing severe pain in the chest
and often in the left arm and shoulder.
Angina pectoris
An irregularity in the force or rhythm of the
heartbeat.
Arrhythmia
weak, ineffective heart contractions
ventricular fibrillation
A non-traumatic, unexpected death
from sudden cardiac arrest, most often due to arrhythmia (in
association with underlying heart disease).
Sudden cardiac death
Victim of heart attack often:
waits too
long before seeking
help (denial)
Diagnosis for heart disease:
Exercise stress test
MRI, echocardiogram, angiogram
Treatment for Heart Disease:
Lifestyle changes (diet and exercise) Low-dose aspirin therapy Prescription medications Balloon angioplasty Coronary stents Coronary bypass surgery
one possible
treatment for
heart disease:
surgery
An impeded blood supply to some part of
the brain resulting in the destruction of brain cells:
stroke
(CerebroVascular Accident):
stroke
Ischemic stroke =
caused by blockage in artery
Hemorrhagic stroke =
caused by ruptured blood vessel
Strokes may cause:
paralysis, walking disability,
speech impairment, or memory loss depending on
affected area of brain
Treatment for strokes may include:
clot-dissolving and
antihypertensive drugs
condition resulting from
the heart’s inability to pump out all the blood that
returns to it:
Congestive heart failure
what happens in congestive heart failure?
Blood backs up in the veins leading to the heart and
fluid seeps into the tissues, causing an accumulation
of fluid in various parts of the body (lungs, ankles,
legs, etc.
causes of congestive heart failure?
Caused by high blood pressure, heart attack,
atherosclerosis, birth defects, rheumatic fever
salt intake for DASH diet:
Decrease salt: 1500 mg./day (max. 2300 mg.)
traps bile acids and carries them to the bowel for
excretion :
- slows production of proteins that promote clot
formation:
Soluble fibre
the liver manufactures less cholesterol
due to a lack of:
bile acid
Protect Yourself Against Cardiovascular Disease
Know and manage your blood pressure
Know and manage your cholesterol levels
Develop ways to handle stress and anger
Know your risk factors
- interferes with absorption of dietary fat:
increases feelings of “fullness” (if water is
adequate), encouraging lower food intake
Insoluble fibre