Coronary Artery Disease Management

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Questions and Answers

What is the first step in the development of coronary artery disease?

  • Decreased myocardial oxygenation
  • Formation of foam cells
  • Oxidized LDL attracting monocytes and macrophages (correct)
  • Plaques beginning to form in the endothelium

Which self-management strategy directly helps to manage hypertension?

  • Smoking cessation
  • Regular exercise
  • Taking medications at regular intervals (correct)
  • Following a healthy heart diet

What physiological effect does passive smoke exposure have on the heart?

  • Increases oxygen supply to the heart
  • Decreases exercise capacity (correct)
  • Enhances myocardial oxygenation
  • Lowers heart rate and blood pressure

What is a potential outcome of decreased coronary tissue perfusion?

<p>Development of angina pectoris (B)</p> Signup and view all the answers

Which dietary change is recommended for reducing coronary artery disease risk?

<p>Reduce cholesterol and increase fiber (D)</p> Signup and view all the answers

Flashcards

Coronary Atherosclerotic Heart Disease

A buildup of plaque within the coronary arteries, narrowing the passage for blood flow.

Coronary Ischemia

A decrease in blood flow to the heart muscle.

Angina Pectoris

A condition where the heart muscle doesn't receive enough oxygen, causing chest pain.

Myocardial Infarction

A serious event where the heart muscle dies due to a complete blockage of blood supply.

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Macrophages

White blood cells that engulf and destroy foreign particles, including lipids in the arteries.

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Study Notes

Coronary Artery Disease Process

  • Oxidized LDL attracts monocytes and macrophages to the site.
  • Plaque formation occurs as cells embed into the endothelium.
  • Lipids are engulfed by cells, forming foam cells, and smooth muscle cells develop.
  • Coronary atherosclerosis occurs.
  • Decreased coronary tissue perfusion follows
  • Coronary ischemia is a result
  • Decreased myocardial oxygenation occurs
  • Angina pectoris and myocardial infarction may result.

Self-Management for Coronary Artery Disease

  • Manage hypertension by taking prescribed medications regularly.
  • Stop smoking immediately to improve oxygen supply to the heart.
  • Avoid passive smoke exposure which reduces oxygen to the heart, and increases heart rate and blood pressure.
  • Exercise regularly under medical supervision.
  • Lose weight if overweight
  • Follow a heart-healthy diet, reducing cholesterol and increasing fiber intake.

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