Stress, Cardiovascular disease and other disorders

Question 1

How can stress affect people? esp people with CVD

Answer 1

• social and psychological circumstances (social determinants of health) can cause long term stress
• includes: anxiety, isolation, low selt-esteem, lack of control over home and work life
• psychological factors affect physical health
• stress can predispose someone to CVD

Question 2

CVD and RA

areas of dysfucntion, activity limitations participation limitations

Answer 2

• suspected areas of dysfunction: joints
• activity limitiations: exercise can be painful which can cause CVD
• participation restrictions: may cause long term disability which can increase stress/CVD

joints degenerate

Question 3

meds to consider and interventions of patients with RA/CVD

Answer 3

• meds to consider: pain meds, cardiac meds
• interventions: manage jt pain, biking, aquatics, less pressure through joint but gets them active

Question 4

CVD and MS

Answer 4

• ability to exercise decreases over time
• energy conservation: may need to workout in the morning
• more likely to get CVD due to not moving as well

Question 5

Meds to consider with MS/CVD

Answer 5

• baclofen, amentidine, fluoxetine, cardiac med
• antispasticity = can cause muscle weakness

Question 6

DM and CVD: meds to consider

Answer 6

• cardiac meds
• antihyperglycemias
• insulin

Question 7

autonomic neuropathy and its affect with CVD

Answer 7

• more likely to have orthostatic hypotension
• assoicated with increased risk of mortality
• increased risk of CV event
• silent angina/MI
• subclinical left ventrical dysfunction: left ventricle does not respond to exercise
• may see impaired heart rate recover after exercise

Question 8

Other conditions that may exacerabate CVD

Answer 8

• spinal cord injury
• osteoporosis
• PD (breathing dsyfunction)
• post-polio syndrome
• muscular dystrophy
• myasthenia gravis
• Sarcoidosis
• HIV
• anemia
• ALS
• sickle cell disease
• dermatomyositis