Coronary Artery Disease Flashcards
What is the major cause of Coronary Artery Disease?
atherosclerosis.
Coronary Artery Disease risk factors
Nonmodifiable Risk Factors age white female family history
Modifiable Risk Factors Blood pressure (BP) ≥140/90 mm Hg Diabetes Tobacco use Physical inactivity Obesity:
4 stages of development in atherosclerosis are
A, Damaged endothelium.
- cause a local inflammatory response
- vulnerability to lipid deposits
B, Fatty streak and lipid core formation.
-cholesterol/lipds deposited
C, Fibrous plaque.
-collagen covers the fat
D, Complicated lesion
- plaque ruptures
- thrombus forms
- increase narrowing
E . Collateral circulation
-Arterial anastomosis
Clinical manifestations include
angina, pressure, squeezing, burning, dyspnea, and edema.
Coronary Artery Disease Health promotion
Physical activity
• FITT formula: 30 minutes on most days of the week
• Regular physical activity contributes to
weight reduction.
• reduction of systolic BP.
• in some men more than women, increase in HDL cholesterol.
Nutritional therapy
• Therapeutic lifestyle changes
• Omega-3 fatty acids
• lowering LDL cholesterol.
• decreased intakes of saturated fat and cholesterol
• increased intakes of complex carbohydrates (eg, whole grains, fruit, and vegetables) and fiber.
Reduce stress, tobacco
Coronary Artery Disease Drugs
Cholesterol-lowering drug therapy
Antiplatelet therapy