CAD, HTN, Chronic Stable Angina PDF
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This document provides information on Coronary Artery Disease, Hypertension, and Chronic Stable Angina. It includes details like clinical manifestations, risk factors, lifestyle modifications, and potential complications. The text focuses on medical aspects and is not formatted as a past paper.
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CORONARY ARTERY DISEASE Atherosclerosis of thevessels of the near fghgfg.fiable Leadingcause ofdeathworldwide Womenmoreatrisk cicalManifestations a Genet...
CORONARY ARTERY DISEASE Atherosclerosis of thevessels of the near fghgfg.fiable Leadingcause ofdeathworldwide Womenmoreatrisk cicalManifestations a Genetics hugerole usuallyasymptomaticuntil sx ofangina A Native Americanpopulation Effect on perfusion Rupture of plaquecauses MI Effsttemia cateralcirculation toTotalcholesterol 9 AngiogenesisBodybuildsnewvessels tobypass totriglycerides9 occlusion LoLDLS 9 Takesyears todevelop WHDLSN factorsthatcontributeGenetics themorechronicischemiareduced A ATN perfusion morelikelytohavecollateralcirculation LifestuleModifications ftp a sedentary lifestyle appleshapedworse Identify who is at risk HTNlifestylemodifications A Diabetes Lipidloweringtherapy toDietexerciselowsaltfatdon't Metabolicsyndrome Antiplatelettherapy ÉÉI'gnthat Yo'm smoke ordrink WHINfrig aHDLPwaistABG factorsthatincreasetriglycerides distressanxiety DiabetesCKDhormonetherapy rintakealcoholsugarsphysicalinactivity Treatment Wewilltalk about it inangina HYPERTENSION susaninvolvement Leongcondition resregulowupandusuallybothpharmacologic non thatrequiarfo men364410 reltoestrogenmenopause T Potationhighestrisk Womenwhotakeoralcontraceptives jj A Men before middleage fabinomamtfsd.imiaterretention hasraffectonBp peoplesalt p gorggggensitive Insulin resistance hyperinsulinemia titgfsffgfgiti.es ule fatigonistory d Excessalcohol geneticshugeroles Obesity Stress If PY.EE saestnanicooveriessthanso HTN is anything overthat Yatiffth iin.liIiE PrimaryHTN Nounderlyingcauseof HTN 90 ofcases dizzinesspalpitationsanginadyspnea SecondaryHTN underlyingcauseofHTN and it Doesnot necessarily meanHTN goesaway whenthecause is solved GestationalHTN is an exampleHTNgoes away afterbaby is born otherexampleskidney diseaseOSAlivercirrhosis oflivercontraceptives End or target organdamage Complications of HT Ñ YET.EEeitdteteaad SustainedHTN leftventricularhypertrophy ftp.ifiiiniier Force startsout as compensatory mechanismleadstoHF Adequate BPcontrolbrisk 3 PeripheralVascularDisease 4 Nephrosclerosis HTN k Atherosclerosis PUD HTN IE CKD Itr'm atia.EEnsms.Eutse.di u iegd 5 BE qMEfanieaoto damagetoeyes ii i is i aaa I BPabnormal Checkother arm II a.im ii i iii Notre tEEnahgtabit mn Afterthat always checkthe one thatruns ieEiiiz when pittin Mfef.FI ff Pt shouldliesupinefor 5 mins 3 Measure BP HR ffiiiifnsion I teasor tbpst.IE andcompare T.IEETImIIII coat l iiiiois a EE i ai t i.n Shouldgoabouttheir day as normal keep a journal to match activitiesto readings Beftp.etseeting NestepsAfterHTNDiagnosis Askpt they haveeverhadthis diagnosis in the past if want to learnoutcome chancetheywillnotbecompliant Lab tests to look for t torgandamage panel serum cholesterol to 12 leadEKG gpid If abnormaldoECG US of c ca headset rates astinifunctionasitisin don'twanttogivediureticsto already uricacid t.lu 1 ManageBP 2 BG 3 Control cholesterol 1 Y fqgtotantm Mediterraneandiet 4 Get active DietaryApproaches tostopHypertension DASH bosodiumand afat lowers BPandcholesterol 5 1 lghfscyif.fi jompliance Sodiumrestriction2300mgdaythisisnotalotinus syjigmsiiigfiiutimm.it lista.it i oea t iitmia take Indi a alcoholconsumption L2 drinksday men Cl drinkdaywomen med sideeffectsvery com Educate pt Sideeffectswill YsIh overtime stoptaking meds MEstaf.ie poiEnion Drymouth apositionsslowly chew on icesugar freegumcandy sgy.ggatynction ftp.eingidailighttakemedsearlier autotan aphttntEduEET ff.FI a to check Bpdaily Just drugs notenough Effettiflonet fled tbetthenB.tl Gts uncontrolledHTN has a badprognosi HTN is asymptomatic stoptakingmedsabruptly reboundHT Need drugs and lifestyle modification ifdose misseddon'tdoubleupskip HTN has a goodprognosis AvoidNSAIDS coldsinusmedications Monitor kt ondiuretics toBoth BP considersideeffects cost reason Also low literacy deficientknowledge FI stoptakingmeds Askpts iftheyhavebeentakingmeds askaboutlifestyle modifications Treatment is workingwhen BPgoalmetlittleto no side effects CHRONIC STABLE of ANGINA oxygenexceeds theability coronaryarteries DeyIncreaseddemand Exercise mttmmonnarrowing of coronaryarteries dltatherosclerosis Angina usuallyoccurswhen 50701stenosisofcoronary artery Otherways heart can beoverloaded causeangina arms rakingshoveling wsmoking toSexualactivity Tf Temperatureextremes w strongemotions Pain in Angina Pain in MI over a longperiodoftime startswprecipitatingevent notusuallyditevent Sjffffthffffffffmittently sameonsetdurationintensity Doesn'tgetworse Gets worse Goesawaywhenevent Doesn'tgoaway Pain couldfeellikeanything thatradiatesto sternum endslasts afewmins Doesnotsubsidewhen Dyspneafatigue DoesnotchangeWI givennitroglycerin opioid positionor breathing a AssessmentPQRST Nyein PrecipitatingEvent Severity Whatwereyou doing bo to scale Quality of Pain Timing whatdoesthepainfeellike towhendid itbeginhas itchanged have you ever hadpain sin andRadiation likethis before Where isthepain is itradiating imttT 9 i IE 1 Cardiaccatheterization Inflatingballoonto openarteryUsuallyrequires Injectingdyetoseewhere blockage is stentto beplacedtohold vesselopen aRiskofbleedingfromsite femoralartery ARiskof hematomaundersite 3 Coronary ArteryBypass Graft ABG toDonoassessmentIfsiteishardsuspecthematoma forpatientswhowereunableto dorevascularization Usingpt'sownveintocreate abypassaroundartery Majorsurgery Tting angingedinitroguarin Painshouldgo down or it's an Ml Poffstufedmitttations rest afterheavymeal associated w end 1 Put tabletundertongue Lowsodium low fat 2 Ifpainpersistsafter5mintakeanother Lowbodyweight 3 Iftheyhavetotake3 callEMS Exerciseto renduranceotherwiseeveryactivity Makesure it isnotexpiredOpenbottleonly willcause pain goodforGmoTingling itworks AftertakingsitdownCancausefainting Alsocausesdizzinessheadachesflushing can takeprophylacticallybeforeactivity