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Cardio > Riscul > Flashcards

Riscul Flashcards

1
Q

Cand a fost prima data?

A

Rasdmusen despre un reactir 75

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2
Q

Definitie risc

A

Este probabilitatea si consecinta unui eveniment(2002)

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3
Q

Diferenta dintre nesiguranta si risc respectiv

Risc subiectiv si risc obiectiv

A
  1. Riscul imolica efecete negative; nesiguranta e nepredictibila, riscul e predictibil.
  2. Valoare de asteptare(mai mukt statistic) vs ce percepe individul
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4
Q

Formula risc

A

Risc=frecventa x magnitudine(rasmusen)

Risc=probabilitate x consecinta negativa

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5
Q

Mituri legate de risc

A

1 gravitatea unui risc trb sa fie judecata in fct de probabilitate si severitate

  1. daca beneficiul e mult mai mare si riscul mic e acceptabil
  2. Evaluarea de risc se face pe baze stiintifice(date=>corp stiintific=>politica)
  3. Daca exista un risc oamenii de stiinta il vor gasi
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6
Q

Prognostic

A

Previziune legata de boala

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7
Q

Alta firmula risc

A

Probabilitate x consecinta

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8
Q

Riscul de cancer pulm

A

Depinde de o pribabilitate si de o valoare a consecintei

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9
Q

Riscul depinde de

(Evaluarea , interpretarea lui) gen in afara de probabilitati si consecinte

A

Intentii
Echitate
Consimtamant
Drepturi

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10
Q

Determinare risc3 posibilitati

A

Individual
Comunitar
Imposibil de determinat

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11
Q

Mate risc acceptat

A

Sub 10 la -5

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12
Q

4 elemente drspre risc

A

Probabilitate
Hazard-imprejurare neasteptata
Consecinta
Expunere

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13
Q

Dificultate rosc

A

Dificil de perceput
Sentimente nerealitate
Soarta
Genetic

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14
Q

Cauza
Factor de risc
Marker de risc
Definiti

A

Rap de cauzalitte=provoaca o boala intr un mod f clar(bk=>tbc) e legica si reproductibila
Fr=conditie dar nu cauzala, e precipitant, d aia daca act pe el pot inversa boala
Mk=dozare fr

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15
Q

Cast

Cardiac arrithmia suporesion trial

A

Flecainida si encainida

Extrasistole ventricukare!

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16
Q

Riscul ca asa l priceapa pacientul

A

Trb sa l cuantific, personalizez, sa nu bag frica. Frica dep de:
Exp proprie
Impredictibilitate
Ponderea personala

17
Q

Risc absolut

A

O probabilitate cumulata de aparitie a unui eveniment, adesea expr in procente
In timp!!! 10 ani(copiat cnas)

18
Q

Risc relativ

A

Raport de riscuri

Fumatir/nefumator

19
Q

Exces de risc

A

Procent suplimentar pe care il are un risc fata de altul

Ex=(rr-1)100%

20
Q

Eva vs adam

A

Early vascular ageing-ca au unii fr
Aggresive decrease of atherosclerosis modifier

Pt a identifuca eva ne trb scoruri de predictie

21
Q

Varsta vasculara

A

Starea reala a vaselor pacientului exprimata prin predictia de risc score

22
Q

Jbs3

A

Score+rural/urban

Are pictograme

23
Q

Boala subclinica

A

Prezenta factorilor de rosc nu inseamna doar ca pacientul poate sa faca boala ci ca boala este prezenta

24
Q

Efect sinergic al fr

A

2+2>4

25
Q

Fenotipul de rosc

A

Obez, sdr metab, sedentar

26
Q

Moartea prin cv e in crestere in ro

A

In restul eu scade
Se ajunge la egal cu ac ceru
Dar cresc alea infectioase ca fac microbii rez la atb

Diabesity!

27
Q

Exposure time

A

Fr au evolutie dinamica deci nu cont doar ca are ldl crescut ci de cand o are

Whitefall arata ca si daca tratez agresiv tot raman cu o speranta de 10-15 ani mai mica

28
Q

Preventia in populatie

A

In pop generala e f scumpa

29
Q

Preventie primordiala

A

Impiedic aparitia fr

Deci comportament, mediu, genetic

30
Q

Preventia primara

A

Are fr dar sa nu faca boala

Se face la cei cu risc inslt sau la pop generala(mai util pe pop generala pt a shifta graficu)

31
Q

Prev secundara

A

Are deja boala dar sa nu faca si alte episoade sau comolicatii

32
Q

Preventia se ramburseaza in ani de viata

A

.

33
Q

Risc rezidual

A

Chiar daca e tratat corect mai are un risc dat de chestii nestiute
Lipoprot a
Nonmodificabili

34
Q

Relatia cu pacientul

A 
Degeaba tratezi daca nu ajungi la tinta
Pacientu tre sa ia medicamentele
Probleme din s de sanatate
Acces pacient
Aderenta pacient
35
Q

Aderenta -urmeaza cu structetr
Concordanta-e de acord cu trat
Persistenta
Complianta-termen pasiv pt cercetare(NU L FOLOSI)

A

Aderenta=concordanta+persistenta
Aderenta=cheie

Nonintetionala vs intentional

36
Q

Ce sa fscem pt aderenta

A

Polypill
(Atorvastatina cu amlodipina super pe supravietuire)

Relatia cu pacientul

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