Chapter 28: Management of Coronary Vascular Disorders

What is the most common symptom of myocardial ischemia?

Which of the following conditions is not a modifiable risk factor for coronary artery disease?

What complications can arise due to coronary atherosclerosis?

Atypical symptoms of myocardial ischemia are more commonly observed in which of the following groups?

Which statement regarding the symptoms of coronary atherosclerosis is true?

Which group of individuals has the highest risk for a cardiac event within 10 years?

What is a primary characteristic of coronary atherosclerosis?

Which of the following is NOT a nonmodifiable risk factor for coronary artery disease?

What is the leading cause of death in the United States across all racial and ethnic groups?

Which age group is at an increased risk for developing coronary artery disease?

What condition is described by blockages and narrowing of the coronary vessels?

Which of the following is classified as a modifiable risk factor for coronary artery disease?

Which group faces a higher incidence of heart disease compared to Caucasians?

Risk of Cardiac Events

Individuals with existing coronary artery disease (CAD) are at highest risk for cardiac events within 10 years.
Other high-risk conditions include diabetes, peripheral arterial disease, abdominal aortic aneurysm, and carotid artery disease.

Coronary Atherosclerosis

Atherosclerosis involves the accumulation of lipid deposits and fibrous tissue in arterial walls, leading to reduced blood flow to the myocardium.
CAD is the most prevalent cardiovascular disease among adults and a leading cause of death in the U.S. across all racial and ethnic groups.

Nonmodifiable Risk Factors

Family history of CAD in first-degree relatives (men at age 55 or younger; women at age 65 or younger).
Increasing age (men over 45; women over 55).
Gender (men at higher risk at younger ages).
Race (higher incidence in African Americans compared to Caucasians).

Modifiable Risk Factors

Hyperlipidemia (high cholesterol levels).
Cigarette smoking and tobacco use.
Hypertension.
Diabetes and metabolic syndrome.
Obesity and physical inactivity.

Clinical Manifestations of Coronary Atherosclerosis

Symptoms arise from myocardial ischemia and depend on the location and severity of vessel obstruction.
Common manifestations include angina pectoris, myocardial infarction, heart failure, and sudden cardiac death.

Symptoms of Myocardial Ischemia

The most frequent symptom is chest pain; however, some may be asymptomatic or exhibit atypical symptoms.
Atypical symptoms can include weakness, dyspnea, and nausea, particularly in women, older individuals, or those with a history of heart failure or diabetes.

Modifiable vs. Nonmodifiable Risk Factors

Cigarette smoking is classified as a modifiable risk factor for CAD.
Race, gender, and family history are categorized as nonmodifiable risk factors.

This quiz focuses on the management of patients with coronary vascular disorders, specifically addressing risk factors associated with cardiac events. Participants will assess their understanding of the highest risk individuals for cardiac events within a decade. Test your knowledge on this critical aspect of cardiovascular health.