Health Science Cardiovascular Health - Chapter 15 Lecture Outline

Cardiovascular Disease (CVD)

  Leading cause of death in the U.S.

  Affects nearly 81 million Americans

  Claims one life every 38 seconds

  The high rate of CVD is primarily caused by American’s lifestyles

Major Risk Factors That Can Be Changed

  Tobacco Use

 

  Smoking harms the CV system in many ways:

 

 

 

 

 

 

 

  Diabetes

 

  Higher rates for other CVD risk factors:

 

 

 

 

 

·  Blood Pressure

o  Normal adult:

Hypertensive adult:

·  Cholesterol Levels

Total cholesterol (mg/dl):

o  LDLs:

o  HDLs:

·  Level of Physical Activity

Physical activity:

Major Risk Factors That Can’t Be Changed

  Heredity

 

  Aging

 

 

  Being male

  Ethnicity

 

THE CARDIOVASCULAR SYSTEM

  Components of the Cardiovascular System

  Heart:

  Blood Vessels:

  Arteries -

  Veins –

  Capillaries –

  Blood:

  Each heartbeat has two phases:

  Systeole =

  Diastole =

  Reporting BP:

ANATOMY OF THE HEART

Great Vessels of the Heart

·  From left to right (front view of heart):

o  Superior and Inferior vena cava

§ 

o  Aorta

§ 

o  Pulmonary Trunk

§ 

  Chambers of the Heart

  Right Atrium

 

 

  Right ventricle

 

  Left Atrium

 

 

  Left Ventricle

 

Coronary Circulation

·  Definition:

  Coronary arteries are:

CARDIOVASCULAR DISEASE

Major Forms of Cardiovascular Disease

·  Atherosclerosis

·  Coronary Artery (Heart) Disease (heart attack, angina)

·  Arrhythmias and Sudden Cardiac Death

·  Stroke

·  Congestive Heart Failure

·  Atherosclerosis –

o  When coronary arteries become blocked with plaque buildup:

§  Symptoms of heart attack include:

o  If an artery in a limb becomes narrowed or blocked:

·  Angina – Arteries are narrowed by disease may still be open enough to deliver blood to the heart

o  During times of stress:

o  Usually felt as:

·  Arrhythmias and sudden cardiac death –

·  Stroke-

o  Types of Strokes

§  Ischemic stroke –

·  Thrombotic stroke-

·  Embolic stroke -

  Hemorrhagic stroke –

  Intracerebral hemorrhage-

  Subarachnoid hemorrhage-

  Aneurysm-

Detecting and Treating Stroke

·  A quick way to recognize a stroke is to ask the person to do three things:

o  1.

o  2.

o  3.

  The Effects of a Stroke Include:

 

 

 

 

 

Treating Stroke

·  For Ischemic Stroke

·  For Hemorrhagic Stroke

·  Transient Ischemic Attack

·  If a stroke is detected late

·  Congestive Heart Failure:

o  High blood pressure

o  Heart attack

o  Atherosclerosis

o  Alcoholism

o  Viral infections

o  Rheumatic fever

o  Birth defects

  Pulmonary edema -

Other Forms of Heart Disease

  Congenital Heart Disease

  Defect/malformation of heart/blood vessels that you are born with

  Ex. “A hole in the heart”

  Hypertrophic Cardiomyopathy (HCM)

 

  Can cause arrhythmias

  Rheumatic Heart Disease

 

  Up to 3% of untreated strep. Infections lead to rheumatic fever

DETECTING AND TREATING HEART DISEASE

Tests Used to Detect Heart Disease

·  Electrocardiogram (ECG or EKG)

  A record of:

  Procedure:

  Echocardiography

 

  Magnetic resonance imaging (MRI)

 

·  Angiogram

Treating Heart Disease

·  Balloon angioplasty

·  Coronary Bypass Surgery

Protecting Yourself Against Cardiovascular Disease

  Exercise regularly

  Avoid tobacco

  Know and manage your blood pressure (monitored once every two years)

  Know and manage your cholesterol levels

  Develop effective ways to handle stress and anger

  Other Dietary Factors

  Omega-3 fatty acids

  Plant stanols and sterols

  Folic acid

  Vitamins B-6 and B-12

  Calcium

  Soy protein

  Healthy carbohydrates

  Total calories

  DASH

  Dietary Approaches to Stop Hypertension

1