Mi cad

ARTERIOSCLEROSIS – ATHEROSCLEROSIS – A general hardening of the arteries A a specific type of arteriosclerosis, refers to the accumulation of lipid in the walls of the arteries, gradually leading to an arteriosclerotic condition or a reduced blood flow

ATHerosclerosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mycardial Infarction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Disease Onset Different in Different populations and Related to Combination of Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PRIMARY ARTERIES & END ORGANS Heart Coronary Arteries Kidney Renal Arteries Brain Cerebral Arteries Legs Femoral & Abdominal Arteries

NATURAL HISTORY OF ATHEROSCLEROSIS Clean Artery Fatty Steaks Fibrous Plaque Clinical Lesion

Anatomy of Artery www.lef.org/magazine/mag2005

SUPPLY & DEMAND Supply of Blood To do the Work

Triad of Signs/Symptoms ,[object Object],[object Object],[object Object],[object Object],MI Signs/Symptoms 1) Severe, prolonged chest pain/pressure—radiate to the arms, back, neck, associated w/ sweating, nausea, or vomiting. 2) increased serum levels of cardiac enzymes:CK; CPK toponin 3) ECG changes in the leads overlying the area of infarction

DIFFERENCE BETWEEN ANGINA AND INFARCT ANGINA INFARCT Similar Symptoms < 15 min > 15 min Relieved by Nitro Not relieved by Nitro Relieved by Rest Not relieved by Rest

SUPPLY & DEMAND ,[object Object],[object Object],[object Object],[object Object]

2 Types of infarctions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exercise Impact ,[object Object],[object Object],[object Object],[object Object],[object Object]

Benefits of Exercise ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EXERCISE EFFECTIVENESS ,[object Object],[object Object],[object Object],[object Object],[object Object]

Assessment Flow-Mediated Dilation Pre

Fasting Four Hours after a High-Fat Meal 8-10% 4-5% Pre Pre Pre

Impact of Exercise Flow-Mediated Dilation = 8% Pre Pre Post 4.1 mm 4.7 mm

Faulx, et al, American Heart Journal 145:943-951, 2003 Iiyama, et al. American Heart Journal 132:779-782, 1996 Hashimoto, et al. International Journal of Obesity: Relar Metab D isord 22:477-484, 1998. Caballero, A.E., Obesity Research 11:1278-1289, 2003. Celermajer,et al. J Am Coll Cardiol 24:471-476, 1994.

Tsai, et al. Clinical Science 106:315-319, 2004 Anderson, et al, Atherosclerosis 154:475-483, 2001 Ceriello, et al, Circulation 106:1211-1218, 2002

Hamby et al, Diabetes Care 26:2119-2125, 2003 Watts, et al, Journal Pediatrics 144:620-625, 2004 Walsh, et al, JAP 95:20-25, 2003 EXERCISE IMPROVES ENDOTHELIAL FUNCTION

Overweight Men Lee et al, Am J Clin Nutr 69:373-380, 1999

-May take one or more meds after acute MI -Beta Blockers greatly reduced HR - No change in exercise response - Vasodilators - Diuretics -Ca Cblockers  may increase exercise tolerance (improve heart function) Medications

Intensity 40-80% of Vo2 max RPE: 11-15 Frequency: 3 x wk Duration: 20-40min Mode: Depends on individual, encourage PA in daily living Exercise Programming

Mi cad

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Viewers also liked

Viewers also liked (9)

Similar to Mi cad

Similar to Mi cad (20)

More from mjpol

More from mjpol (6)

Mi cad

Editor's Notes