Risk Assessment Flashcards
Glycemic index is how quickly and how high food increases blood glucose so if you eat a bagel that’s got a high glycemic index its going to shoot sugar up really quickly but it may not last long…glycemic load is overall how much your sugar changes and result of the food so a doughnut has more of glycemic load because of all the fat it slowly absorbs
The amount of saturated fat so if they are eating a lot of red meat or if the polyhydrogenated vegetable oil type of things those are not great for the heart
If the pt eats healthy diet, it would consist of fruits and vegetables and fiber rich food all of those are great for cardiovascular risk the potassium in those foods is very good for blood pressure and fiber in general is a good thing for cardiovascular risk
If the pt doesn’t move around too much that’s a risk anything they can do like cardio that’s great, excessive alcohol so this is usually considered more than one serving per day so a 12 ounce beer that is 5% one shot, a glass of wine,5 ounces of wine but we are not going to encourage people to drink they just shouldn’t drink in excess for a man 2 servings is generally acceptable but its generally acceptable but that factors into other things
Sleep quality is really important we will touch upon sleep apnea if you have less than 6 hours or more than 9 hours that can be a factor in cardiovascular health in particular lack of sleep or quality of sleep is important and then abdominal obesity for women
Abdominal obesity general shows the amount of visceral fat, fat around the organs versus subcutaneous so that type of fat does factor into metabolic health…the other thing to consider is BMI which can be less reliable than the abdominal obesity but its still important to consider
What waist circumference is considered obesity in women (inches)?
greater than 35 inches
As you get older you have more risk of cardiovascular disease
Social determinants of health is a very important consideration when assessing a pt’s risk of cardiovascular disease so lower socioeconomic can definitely factor in and one of the things that factors in is air pollution it tends to be the more polluted the air the lower economic that neighborhood is
Any inflammatory disease like rheumatoid arthritis can increase the risk of cardiovascular disease because of the injury to the arteries…C-reactive protein is important
If pt was a cancer pt and had chest radiation so that’s going to increase the risk of heart damage
Don’t have to have full on diagnosed diabetes…but pre-diabetes would count for metabolic syndrome…should be called syndrome Z in one study it showed that for pts with metabolic up to 80% of them had sleep apnea
Some risk assessment tools so this determines the risk a pt has as in the in the 10 years generally for developing their first incidence of ASCVD so their first heart attack or stroke
Risk calculator will look at ASCVD over 10 years it doesn’t include heart failure
40 years old is a minimum for assessing a 10 year risk of ASCVD
Triglycerides and LDL are not factored into the equation for ASCVD risk calculator
Open circle means it doesn’t factor into the risk it won’t affect the end number for ASCVD risk FACTOR
PREVENT calculator also includes risk of heart failure
Kidney disease can be a risk factor for ASCVD, heart failure, and then being obese is also a risk factor
Zip code can help with socioeconomic status
The worse the albumin creatinine ratio and A1C the more likely cardiovascular disease.
