Coronary Heart Disease & Strokes Flashcards

1
Q

What is Coronary heart disease (CHD)?

A

CHD, also known as ischemic heart disease, occurs when the blood supply to the heart muscle is blocked, usually due to a build-up of fatty deposits called atheroma (atherosclerosis).

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2
Q

Describe the symptoms of CHD

A

Symptoms include chest pain (angina), shortness of breath, pain throughout the body, fainting, and nausea.

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3
Q

What is myocardial infarction, and how does it occur?

A

Myocardial infarction, or heart attack, occurs when a coronary artery is completely blocked, starving the heart muscle cells of oxygen and glucose.

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4
Q

Explain the impact of CHD on physical health

A

Physical impacts include chest pain, shortness of breath, reduced heart efficiency, and risk of myocardial infarction if left untreated.

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5
Q

How does CHD affect mental health?

A

Mental health impacts include anxiety, depression, feelings of isolation, and stress due to lifestyle changes and health complications.

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6
Q

Identify the main risk factors for CHD

A

Risk factors include hypertension, smoking, excessive alcohol consumption, high cholesterol, diabetes, age, sex, genetic factors, and ethnicity.

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7
Q

How does smoking contribute to CHD?

A

Smoking constricts arteries, raises blood pressure, and damages the lungs, increasing the risk of atherosclerosis and CHD.

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8
Q

Describe how statins work to treat CHD

A

Statins lower cholesterol production in the liver, reducing low-density lipoprotein (LDL) levels and the risk of atherosclerosis.

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9
Q

What are the side effects of Statins?

A

Side effects of statins include headaches, dizziness, and nausea.

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10
Q

What is the purpose of beta blockers in CHD treatment?

A

Beta blockers lower heart rate and blood pressure by opposing adrenaline’s effect on the sinoatrial node.

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11
Q

List lifestyle changes recommended to manage CHD

A

Lifestyle changes include reducing salt and saturated fat intake, maintaining a healthy weight, exercising, and avoiding smoking and excessive alcohol consumption.

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12
Q

What is angioplasty, and how does it help in CHD?

A

Angioplasty uses a small balloon to widen a narrowed artery, followed by inserting a stent to keep the artery open.

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13
Q

Explain coronary artery bypass graft surgery (CABG)

A

CABG involves using a blood vessel from another part of the body to create an alternate pathway, restoring blood flow to the heart muscle.

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14
Q

What are the challenges of heart transplant surgery for CHD?

A

Challenges include long waitlists, the risk of organ rejection, and the need for lifelong immunosuppressant drugs.

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15
Q

How is a myocardial infarction treated immediately?

A

Aspirin is given to thin the blood, and further treatments include clot-dissolving medicines or angioplasty to restore blood flow.

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16
Q

How does hypertension increase the risk of CHD?

A

Hypertension thickens artery walls, reduces the lumen diameter, and damages the lining, promoting atheroma formation.

17
Q

What are the mental and emotional challenges faced by CHD patients?

A

Patients may experience anxiety, depression, and stress due to pain, lifestyle changes, and the fear of complications.

18
Q

Describe the role of blood-thinning medications in CHD treatment

A

Blood thinners, like warfarin, reduce the risk of thrombosis by preventing blood clots but may cause excessive bleeding.

19
Q

what is atheroma, and how does it lead to atherosclerosis?

A

Atheroma is a fatty deposit that builds up in artery walls, narrowing them and reducing blood flow, leading to atherosclerosis.

20
Q

Why is the early treatment for CHD essential?

A

Early treatment reduces the risk of complications like myocardial infarction and improves both physical and mental health outcomes.

21
Q

What is a stroke?

A

A stroke occurs when the blood supply to a part of the brain is interrupted or reduced, leading to the death of brain cells due to lack of oxygen and nutrients.

22
Q

What are the main types of strokes?

A

The main types are ischemic stroke (blocked artery), hemorrhagic stroke (blood vessel burst), and transient ischemic attack (TIA, temporary blockage).

23
Q

What is an ischemic stroke?

A

It occurs when a blood clot or other obstruction blocks a blood vessel supplying the brain.

24
Q

Describe a hemorrhagic stroke

A

It happens when a blood vessel in the brain bursts, leading to bleeding and pressure on brain tissues.

25
Q

What is a transient ischemic attack (TIA)?

A

A TIA is a temporary blockage of blood flow to the brain, often called a “mini-stroke.”

26
Q

What are common causes of strokes?

A

Causes include thrombosis, atherosclerosis, high blood pressure, and aneurysms.

27
Q

What is the FAST method for recognising stoke symptoms

A

FAST stands for:

Face drooping: One side of the face droops or feels numb.
Arm weakness: One arm is weak or numb.
Speech difficulty: Trouble speaking or understanding.
Time: Call emergency services immediately.

28
Q

List the key risk factors for a stroke

A

Risk factors include high blood pressure, smoking, diabetes, high cholesterol, obesity, lifestyle choices, and a family history of stroke or heart disease.

29
Q

How is a stroke diagnosed?

A

Diagnosis is typically done using a CT or MRI scan to identify the type and location of the stroke, along with blood tests and angiograms.

30
Q

What medications are used in stroke treatment?

A

Medications are used to dissolve blood clots, control bleeding, and reduce brain pressure.

31
Q

What surgical options are available for stroke treatment?

A

Surgery may be performed to control bleeding or reduce pressure on the brain caused by hemorrhagic strokes.

32
Q

How can strokes be prevented?

A

Prevention includes controlling blood pressure and cholesterol, maintaining a healthy lifestyle, and taking medications for at-risk individuals.

33
Q

How does high blood pressure contribute to strokes?

A

High blood pressure damages blood vessel walls, increasing the risk of blockages or rupture leading to strokes.

34
Q

what role does atherosclerosis play in stroke development?

A

Atherosclerosis causes fatty deposits in arteries, narrowing them and increasing the risk of blockages leading to ischemic strokes.

35
Q

why is immediate medical attention critical during a stroke?

A

Quick treatment can minimize brain damage, improve recovery chances, and prevent severe complications.

36
Q

what is an aneurysm, and how does it relate to strokes?

A

An aneurysm is a weakened area in a blood vessel wall that can burst, leading to a hemorrhagic stroke.

37
Q

How can lifestyle changes reduce stroke risk?

A

Lifestyle changes like regular exercise, a healthy diet, quitting smoking, and maintaining a healthy weight can lower the risk of stroke.

38
Q

What is the role of blood-thinning medications in stroke prevention?

A

Blood thinners reduce the risk of clot formation, helping prevent ischemic strokes.