Exam 1 Flashcards

1
Q

CVD Risk Factors or AholdPHFT

A
  1. Advancing age
  2. hypertension
  3. obesity
  4. Low HDL
  5. Diabetes
  6. Physical inactivity
  7. high lipids
  8. Family genetics
  9. Tobacco use
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2
Q

Arethogenisis

A

the process of plaque build up

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3
Q

Step 1

A

Injury to endothelial cells
- must be chronic & repeated

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4
Q

Step 2

A

Monocytes attach to area of injury
-adhesive is worn

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4
Q

Step 3

A

Monocytes migrate subendothelialally
- T cells trigger monocytes to become macrophages

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5
Q

Step 4

A

Macrophages accumulate lipids to become foam cells
- foam cells duplicate because of growth factors

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6
Q

Step 5

A

Growth factors continue to be released by the 4 cell types
- replicate and migrate

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7
Q

Step 6

A

Process if repeated over and over
- can occur over a persons life
- will build up fibrous tissue and will become stable

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8
Q

Ischemic

A

Heart muscle is not getting enough blood

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9
Q

Infraction

A

blood flow has been stopped

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10
Q

CRIPL

A

C- Clinical History
R-Risk factors
I- Interpreting data
P-Prescribing
L-Lifestyle change

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11
Q

C- Clinical History

A
  1. Signs & symptoms
  2. 10 components of good medical history
  3. Personal Physician feedback/opinion
  4. Discussion with client
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12
Q

R- Risk factors COMG 10

A
  1. CVD
  2. Modified and not
  3. Goals for each factor
  4. 10yr risk
  5. which will be done first & % will change
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13
Q

I- Interpreting Data

A
  1. fitness assessment
  2. compare to age, gender norms
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14
Q

P- Prescribing

A
  1. Balance goals & needs
  2. Prescription
    3.
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15
Q

L- Lifestyle changes

A

How the person can change behaviorally

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16
Q

4 Issues or KEPP

A
  1. Physical activity status
  2. Presence of signs & symptoms
  3. Known CV, metabolic or renal disease
  4. Exercise intensity
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17
Q

Major Signs & Symptoms of CV, Metabolic & Renal Disease PIKAP UFOS

A
  1. Pain & discomfort in extremities
  2. Shortness of breath at rest
  3. Fainting
  4. Orthopnea
  5. Ankle edema
  6. Palpations
  7. Intermittent claudication
  8. Known heart murmur
  9. Unusual fatigue with usual activities
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18
Q

Fitness Assessment

A
  1. Cardiorespiratory
    - HR, BP, ECG
  2. Body Comp
  3. Muscular Strength
    - 1-RM
  4. Muscular Endurance
    - timed plank
  5. Flexibility
    - ROM
19
Q

10 Components of good Medical History
MOM PHEWF

A
  • Medical Diagnoses
  • Previous Physical Exam
  • History of symptoms
    -Recent Illness, hospitalization
    -Orthopedic problems (swelling)
  • Medication/drug use
  • Other Habits
  • Exercise History
  • Work History
  • Family History
20
Q

Right Atrium

A

2mm thick

21
Q

Right Ventricle

A

3-5mm thick

22
Q

Left Ventricle

A

13-15 in thick
-myocardium

23
Q

Left Atrium

A

3mm thick

24
Q

3 Coronary Arteries

A
  1. LADA
    -Left Anterior Descending Artery
  2. LCA
    - Left Circumflex Artery
  3. RCA
    - Right Coronary Artery
25
Q

Type B Arteries

A

B- Branches out 80%

26
Q

Type A Arteries

A

A-Arrows 20%
muscle cells in heart are small then skeletal muscle

27
Q

Myocardial Infraction

A

Heart Attack
due to complete blockage

28
Q

2 layers that are apart of Arthogenesis

A

Intima & Media

29
Q

8 AHA goals

A

Outcomes:
1. Eat better
2. Be more active
3. Quit tobacco
4.Healhy sleep
Factors:
1. Manage weight
2. Control Cholesterol
3. Manage Blood Pressure
4. Manage Blood Sugar
can reduce CVD by 80%

30
Q

Obesity

A
  • associated with increase in mortality & morbidity
    10% or more above ideal body fatness
    15% for men 25% for women
31
Q

Family Genetics

A

-Parents, siblings, children
genetics contribute to a persons risk for IHD, stroke & all Risk Factors

32
Q

Advancing Age

A

Male over 45
Female over 55

33
Q

Diabetes

A

Normal Glucose- < or equal to 100
If between 100-125 = prediabetes
A1C test is over time
Fasting = at specific time

34
Q

Why is Hypertension a risk factor?

A

if got before 30- lifetime risk for CVD is 37% higher & develop 5yrs earlier
Can get from tobacco & alcohol use
47% prevalence
change with lifestyle changes

35
Q

DASH

A

-Eating veggies, fruits, whole grains
- fat-free or low fat dairy product
- limiting saturated fat
- limiting sugar
- low trans fat

36
Q

LDL & TC
goal & Too high

A

G: <100 <200
TH: >190 >240

37
Q

HDL & TG
Goals & Too High

A

G: >60 <150
TH:<40 >500

38
Q

NonHDL- better than LDL

A

G: <130
TH: >30

39
Q

Tobacco Use

A

Increases platelet aggregation
promotes thrombosis & inflammation
Increases number & activity of macrophages

40
Q

Pack years

A

Packs per day * yrs smoked
20 cigs for 50yrs= 2.2

41
Q

Normal Hypertension

A

Normal: <120 & <80

42
Q

Pre Hypertension

A

120-129 & 80

43
Q

Stage 1 Hypertension

A

130-139 & 80-89

44
Q

Stage 2 Hypertension

A

140 or 90

45
Q

Stage 3 Hypertension

A

180 &/or 120