Primary Prevention of CVD Flashcards
What are the 5 domains of non-health related measure?
1.Housing instability
2. Food insecurity
3. Transportation difficulties
4. Utility assistance needs
5. Interpersonal safety
What is patient centered approach?
- Team based care
- Shared decisin making
- Account for social determinants of health
How should you assess for CV risk
40-75: 10 ASCVD risk
20-39: 4-6 yr measure
What are the social determinants of health?
1.Comorbid mental illness
2. Lack of health literacy
3. Exposure to adversity
4. Financial strain
5. Inadequate housing conditions
6. Lack of food security
7. Inadequate social support
What are good risk prediction tool?
- QRISK/JBS3
2.
What is underestimation of risk calculations?
- Chronic inflammatory conditions
- Socioeconomic disadvantage
- Familial hypercholesterolemia
What is underestimation of risk calculations?
- QRISK/JBS3
What is overestimation of risk calculations?
- Higher socioeconomic position
- Continual access to care and preventive services
What should we consider in risk analysis?
- Coronary Artery Calcium
- Risk-ENhancing Facotrs
What are come lifestyle factors?
- Nutrition and diet
- Exercise and physical activity
What are things to consider for nutrition?
- Plant-based and Mediterranean diets
- Emphasize intake of vegetables, fruits, legumes, nuts, whole grains, and fish
- Replace saturated fat with monounsaturated and polyunsaturated fats
- Reduce amount of cholesterol and sodium
- Minimized the intake of processed meats, refined carbohydrates and sweetened beverages
- Avoid intake of trans fat
What are monounsaturated fats? Examples?
- Fat that have one unsaturated carbon bod in the molecule
- Liquid at room temp, solid when chilled
Ex: Olive oil, canola, peanut, sesame oil
What is polyunsaturated fats? Examples?
What are saturated fats? Examples?
What are trans fats? Examples?