Risk Factors for Cardiovascular Disease Flashcards

1
Q

What is meant by primary & secondary prevention?

A

Primary aims to stop a cardiac disease by identifying high risk groups and secondary aims to stop a further one by halting the progression of the disease

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2
Q

What is meant by independent risk factors?

A

The characteristic on it’s own can lead to CAD

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3
Q

True or false: Family history is a non-independent risk factor for CAD?

A

True

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4
Q

List 8 modifiable risk factors associated with CVD

A
    1. Smoking
    1. Hyperlipidoemia
    1. Hypertension
    1. Inactivity
    1. Obesity
    1. Diabetes
      1. Excessive Alcohol
      2. Psychosocial factors

*The first six are independent risk factors

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5
Q

True or false: A 70 year old woman is more likely than a 70 year old man to have CVD

A

False

The incidents is the same in both genders at this age

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6
Q

What are three common modifyable risk factors that women should avoid over 55 year

A
  1. Obesity
    2.Hyperlipidoema
  2. Hypertension
  3. Inactivity
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7
Q

If one parent has CVD, how much more likely are their offspring to develop it?

A

15% and 30% if the CVD was <55yrs in Dad and <65 in Mum

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8
Q

There is a 50% increased risk of a person developing CVD if both parents had it - True or False?

A

True

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9
Q

What ethnic two groups have a higher incidence of CVD?

A

Bangladeshi and Pakistani

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10
Q

Afro Caribbeans have a lower incidence of CVD - T or F?

A

True

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11
Q

What are the acute adverse risk factors of smoking?

A

INCREASED DEMAND. DECREASED SUPPLY:

  1. Increased pulse and BP
  2. Vasospasm or coronory arteries
  3. Oxygen carrying capacity of the blood is reduced
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12
Q

What are 4 long term effects of smoking

A
  1. Loss of protective oestrogen due to earlier menopause (by 2-3 years)
  2. Delicate coronory artery lining is damaged
  3. Platelets more sticky which leads to thrombus formation
  4. HDL reduced
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13
Q

What is the increased likelihood of CVD for a smoker?

A

2-3 times more likely

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14
Q

How many years does it take for a smoker to reduce their risk of smoking to that of a non smoker?

A

15

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15
Q

Chances of second MI are reduced by 25% if the person stops smoking - true or false?

A

False

It’s a 50% reduction.

Passive smoking increases the risk of developing CVD by 25%

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16
Q

What are the acute and chronic effects of hypertension on the heart?

A
  1. The heart is working harder to eject blood into the systemic circulation
  2. The heart becomes enlarged (thickened) and less efficient
    3.It requires more oxygen
  3. Chest pain can occur
  4. It’s more susceptible to atheroma
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17
Q

Name 2 non dietry or medicinal ways to lower BP

A
  1. Stress management (relaxation)
  2. Exercise
18
Q

What is cholesterol?

A

Cholesterol is a fatty substance that is used by our body to create cells, hormones, bile acids, Vitamin D and other substances.

19
Q

What are the two sources of Cholesterol in the blood?

A

Foods and Liver

About 40% of body’s cholesterol needs are met from the diet

20
Q

Your liver cannot make all the cholesterol your body needs - T or F?

21
Q

What % of cholesterol is carried in lipoproteins of low density?

22
Q

Which is the dangerous Cholesterol - LDL or HDL?

23
Q

Why is a high HDL known as protective cholesterol?

A

HDL acts as a scavenger and brings the cholesterol to the liver from the tissues

24
Q

Where are excess triglycerides stored up in the body

A

Adipose Tissue

25
What is a normal level for triglycerides?
<1.7mmol/L
26
What is a normal level for LDL? | According to UK Guidelines
<2.5mmol/L
27
What is the normal level for HDL | According to UK Guidelines
<1.0mmol/L
28
Name 4 risk factors for CVD that are favorably affected by exercise and increased fitness
1. Lowering LDL, increasing HDL (decreased total cholesterol) 2. Increased insulin sensitivity 3. Body fat reduction especially intra-abdominal 4. BP lowered
29
Waist circumference is an important measure because...
Central obesity is more dangerous
30
Waist circumference size for women should be...
Under 80 cm | 88cm or above is high risk
31
Waist circumference for men is...?
94 cm | 102 cm is high risk
32
What is the increased risk of a patient with type 2 diabetes developing CVD?
2-4 fold
33
What is the max recommended alchohol intake per week?
12.5 units ## Footnote 2-3 alchohol free days per week are also advised
34
Why does stress increase the risk of heart attack in patients with existing coronary atherosclerosis?
Circulating catecholamines are increased which increases platetelet aggregation and therefore the liklihood of blood clotting
35
What 4 combined factors make up Metabolic Syndrome | Or syndrome X or Insulin resistance syndrome
1. Central obesity 2. Diabetes 3. Hypertension 4. Hyperlipidoemia
36
Patients with Type 2 Diabetes are 80% more likely to die of CVD related illness. T or F?
True
37
What are risk factor scoring systems for?
To assess a person's likelihood of developing CVD
38
What is the target BP for secondary prevention CVD patients? | According to British Guidelines
Lower than 140/90 <70 yrs: 120-30 / 80 >70 yrs: 140 /80* | *130 if tolerated ## Footnote Secondary prevention aims to reduce the risk of further heart incidents
39
Give two examples of dietry modifications for someone with hypertension
1. Reduce Salt Intake 2. Avoid excess alcohol
40
What are the weekly activity guidelines for secondary prevention in CVD patients?
150 - 300 mins moderate Aerobic 75 - 150 vigourous MSE - twice per week
41
What is the recommended fibre intake per day for secondary prevention CVD?
30 - 45g (wholegrains if poss)