Chapter 3a Flashcards
What are four things a comprehensive pre-exercise test evaluation in the clinical setting generally includes
- Medical History
- Risk factor assessment
- Physical Assessment
- Lab tests
An informed consent should be obtained (before/after) exercise testing and participation in an exercise program
before
True or False:
If a patient signs an informed consent, they must participate in the whole procedure and cannot stop a program any time
False, they can stop a program any time
True or False:
If a patient has atherosclerotic cardiovascular disease, the physician should still assess their CVD risk factors
true
List the 8 positive CVD risk factors
age family history cigarette smoking diabetes obesity hypertension dyslipidemia physical inactivity
List the one negative CVD risk factor
HDL cholesterol over 60
At what age do males and females have CVD risk factors
Men = 45 or older Women = 55 or older
Family History can lead to a positive CVD risk factor if a the relative is a (first/second/third) degree relative
first
What is considered to be a first degree relative
Mom or Dad
Brother or Sister
Sons or daughters
At what age are first degree relatives considered a positive CVD risk factor
Male figures before 55
Female figures before 65
What is a coronary revascularization
A stent or open heart surgery for a bypass
What is considered a sudden death
A sudden cardiovascular event occurs and a patient dies within 24 hours
Chapter three discusses CVD risk factors that are _______
Atherosclerotic
When is cigarette smoking a positive CVD risk factor
Currently smokes
Quit within the last 6 months
Exposed to environmental tobacco
A patient is considered to have a sedentary lifestyle and gain a positive CVD risk factor under what conditions
If the patient does not exercise at least 30 minutes of moderate intensity, 3 days a week, within the last 3 months
What does the BMI and waist circumference need to be in order for it to count as a positive CVD risk factor
BMI of 30 or greater
Waist circumference:
Males = greater than 40
Females = greater than 35
When is blood pressure/hypertension considered a positive CVD risk factors
If the systolic is 140 or higher OR the diastolic is 90 or greater OR the patient is on hypertension medication
When is dyslipidemia considered a positive CVD risk factor
When LDL is 130 or greater OR when HDL is less than 40 OR if the patient is on cholesterol medication OR the total cholesterol is 200 or more
What numbers do the FPG, OGTT, and HbA1C must be at for diabetes to be a positive CVD risk factor
FPG = 126 or greater OGTT = 200 or greater HbA1C = 6.5% or greater
What are normal fasting glucose levels
80-100
When does HDL become a negative CVD risk factor
60 or higher
True or False:
If a risk factor is unknown, it does not count as a risk factor
False, it does count as a risk factor