Coronary Artery Disease Overview
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Questions and Answers

What is the primary complication associated with coronary artery disease (CAD)?

  • Diabetes mellitus
  • Aneurysm
  • Myocardial infarction (correct)
  • Hypertension
  • Which condition is characterized by hardening of the arteries due to thickening of their walls?

  • Coronary atherosclerosis
  • Arteriosclerosis (correct)
  • Atherosclerosis
  • Angina pectoris
  • What is a major modifiable risk factor for coronary artery disease?

  • Family history
  • Genetic predisposition
  • Age
  • Tobacco use (correct)
  • Which of the following strategies can help improve arterial circulation in patients with CAD?

    <p>Regular exercise</p> Signup and view all the answers

    Which term describes the abnormal buildup of lipids and fibrous tissue within coronary arteries?

    <p>Coronary atherosclerosis</p> Signup and view all the answers

    What indirect result of arterial atherosclerosis may affect multiple organs?

    <p>Malnutrition</p> Signup and view all the answers

    Which medication is commonly used to treat symptoms of coronary artery disease?

    <p>Pentoxifylline</p> Signup and view all the answers

    Which of the following is not considered a direct symptom of myocardial ischemia?

    <p>Malnutrition</p> Signup and view all the answers

    What is a common complication associated with reduced blood flow to the myocardium due to coronary atherosclerosis?

    <p>Angina pectoris</p> Signup and view all the answers

    Which process is primarily responsible for the narrowing of the coronary vessels?

    <p>Atherosclerosis</p> Signup and view all the answers

    Which of the following factors does NOT represent a modifiable risk factor for CAD?

    <p>Age</p> Signup and view all the answers

    Which lifestyle modification can directly contribute to improving arterial circulation?

    <p>Regular exercise</p> Signup and view all the answers

    Which medication is typically prescribed to manage CAD symptoms?

    <p>Pentoxifylline</p> Signup and view all the answers

    What is often a result of prolonged myocardial ischemia?

    <p>Sudden cardiac death</p> Signup and view all the answers

    Which characteristic is NOT descriptive of arterial atherosclerosis?

    <p>Primarily causes hypertrophy of smooth muscle</p> Signup and view all the answers

    What indirect effect can atherosclerosis have on the body?

    <p>Malnutrition of organs</p> Signup and view all the answers

    Which of the following dietary practices is encouraged for patients with CAD?

    <p>Low-fat diet</p> Signup and view all the answers

    Which activity should be consulted with a primary health care provider before practice for CAD patients?

    <p>Graded isometric exercises</p> Signup and view all the answers

    Study Notes

    Coronary Artery Disease (CAD)

    • Most common form of heart disease
    • Blockages in coronary arteries: caused by atherosclerosis & arteriosclerosis
    • Arteriosclerosis: hardening of arteries, thickening of small arteries and arterioles
    • Atherosclerosis: accumulation of lipids, calcium, and blood components in large and medium sized arteries
    • Both usually present together

    Atherosclerosis

    • Abnormal accumulation of lipid deposits and fibrous tissue in arterial walls and lumen
    • Blockages and narrowing of coronary vessels impede blood flow to the myocardium

    Prevalence

    • Leading cause of death in Canada
    • Most prevalent cardiovascular disease in adults

    Clinical Manifestations

    • Caused by myocardial ischemia
    • Vary based on the location and degree of vessel obstruction
    • Symptoms and complications:
      • Angina pectoris
      • Myocardial infarction
      • Heart failure
      • Sudden cardiac death

    Risk Factors

    • Four modifiable risk factors:
      • Cholesterol abnormalities
      • Tobacco use
      • Hypertension
      • Diabetes mellitus

    Improving Arterial Circulation

    • Exercise
      • Walking and graded isometric exercises
      • Consult primary health care provider before starting
    • Temperature: effects of heat and cold
    • Smoking cessation
    • Stress reduction
    • Good nutrition, low-fat diet
    • Weight reduction as needed

    Medical Management

    • Prevention
      • Exercise program
      • Medications
        • Pentoxifylline (Trental) and cilostazol (Pletal)
        • Antiplatelet agents
    • Surgical management

    Indirect Results of Arterial Atherosclerosis

    • Malnutrition:
    • Fibrosis of organs supplied by sclerotic arteries
    • other indirect results:
      • Aneurysm
      • Ulceration
      • Stenosis of lumen

    Coronary Artery Disease (CAD)

    • Most common heart disease
    • Occurs when arteries in the heart become blocked
    • Can result in:
      • Angina
      • Myocardial infarction (MI)
    • Blockage caused by:
      • Atherosclerosis
      • Arteriosclerosis

    Arteriosclerosis

    • Hardening of the arteries
    • Affects small arteries and arterioles
    • Muscles fibers and endothelial lining of the artery walls thicken

    Atherosclerosis

    • Affects large and medium-sized arteries
    • Accumulation of lipids, calcium, and blood components on the intimal layer of the artery

    ### Coronary Atherosclerosis

    • Abnormal accumulation of lipid deposits and fibrous tissue in arterial walls and lumen
    • Narrowing and blockage of coronary vessels reduce blood flow to the myocardium

    ### Clinical Manifestations of CAD

    • Symptoms caused by myocardial ischemia
    • Location and degree of vessel obstruction determine symptoms and complications
    • Symptoms and complications include:
      • Angina pectoris
      • Myocardial infarction
      • Heart failure
      • Sudden cardiac death

    ### Risk Factors for CAD

    • Cholesterol abnormalities
    • Tobacco use
    • Hypertension
    • Diabetes mellitus

    ### Improving Arterial Circulation

    • Exercise and activities:
      • Walking
      • Graded isometric exercises
      • Consult a primary health care provider before prescribing an exercise routine
    • Temperature:
      • Effects of heat and cold
    • Smoking cessation
    • Stress reduction
    • Good nutrition:
      • Low-fat diet
    • Weight reduction as necessary

    ### Indirect Results of Arterial Atherosclerosis

    • Malnutrition
    • Fibrosis of organs supplied by sclerotic arteries

    ### Medical Management of CAD

    • Prevention
    • Exercise program
    • Medications:
      • Pentoxifylline (Trental) and cilostazol (Pletal)
      • Antiplatelet agents
    • Surgical management

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    Description

    Explore the critical aspects of Coronary Artery Disease (CAD), including its causes, clinical manifestations, and major risk factors. This quiz delves into the pathophysiology of atherosclerosis and arteriosclerosis, detailing how these conditions lead to serious health complications. Test your knowledge on the prevalence and impact of CAD in Canada and beyond.

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