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According to World Health Organization
statistics from Kuwait in 2008
CVD 46.8%
Diabetes 14.6%
respiratory disease
15%
smoking 20.6%
obesity 7%
Angina is :
Chest pain
or
discomfort
Manifestation:1-
Shortness of breath
when exercising
2-A fast heartbeat.
3-
Weakness, dizziness, and
feeling sick to
your stomach (nausea).
4-Increased sweating.
1. Control calories: eat just enough calories to achieve and maintain
a healthy weight.
2. Eat quality fats:
-use virgin olive oil and other unsaturated, low-cholesterol fats.
-eat foods that rich in omega-3 fatty acid.
3. Eat the right amount of fat, carbohydrates, and protein:
-limit your fat intake to 20 or 30 percent but don`t substitute simple
carbohydrates for fat
-less than 7% of the day`s total calories from saturated fat.
-up to 10% of the day`s total calories from polyunsaturated fat.
-up to 20% of the day`s total calories from monounsaturated fat.
4. Avoid fad diet:
-eat a well-rounded diet instead.
-eat small, frequent meals.
-avoid large and heavy meals.
5. Limit cholesterol in diet : to less than 200 milligram a day.
6. Limit iron intake: too much iron can increase atherosclerosis.
7. Eat enough dietary fiber: whole grains are best.
8. Eat plenty of fresh fruits and vegetables.
9. Reduce salt in your diet:
Optimal: no more than 1,500 milligrams/day.
10. Check with your doctor about supplementing your diet with B
vitamins:
- Vitamin B1 [ Thiamine]
- Vitamin B2 [ Riboflavin]
- Vitamin B3 [Niacin]
- Vitamin B5 [ Pantothenic acid]
- Vitamin B6 [ Pyridoxine]
- Vitamin B12 [ Cobalamin]
Cardiomyopathy is:
disease of heart muscle
Causes : 1-HTN
2-infection of the heart muscle
3-certain toxins, such as cobalt
4-certain drugs , such as
cocaine and amphetamines
Manifestation:1-Breathlessness
with exertion or even at rest
2-Swelling of the legs, ankles and
feet
3-Bloating of the abdomen due to
fluid buildup
4-Fatigue
Medications: 1-ACE inhibitors
2- ARBs
3- beta blockers
4- digoxin
5-Diuretics
• Grains: 6-8 servings/day (half of those should be whole
grains)
• Vegetables: 3-5 servings/day
• Fruits: 4-5 servings/day
• Fat-free or low-fat dairy: 2-3 servings/day
• Lean meat, poultry, and seafood: 3-6 oz./day (about the
size of a deck of cards)
• Fat and oils: 2-3 tbsp./day (use unsaturated fats such as
olive oil or canola oil)
• Nuts, seeds, and legumes: 3-5 servings/week
• Sweets, or sugar: 5 or fewer servings/week [ the fewer
the better ]
• Eating 2 servings of fatty fish ( such as salmon or lake
trout) per day
• Holding sodium <2,400 mg/day or less
• Omega-3 fatty acids 1-4 g/day
• Folic acid 400 mcg/day
• Vitamin B6 25-100 mcg/day
• Vitamin B12 2-100 mcg/day
Hypertension is: vascular
disorder characterized by
disrupted auto regulation of
blood vessel leading to
insufficient blood supply
Causes: 1-
smoking
2-obesity
3-stress
4- high salt in
diet
5-genetics
factors
6-older age
Medications: 1-
thiazide
diuretics.
2-beta blockers
3-ACE
4-Ca channel
blocker
5-renin inhibitor
6-capotine
sublingual
Manifestation: 1-Severe headache
2-Fatigue or confusion
3-Vision problems
4-Difficulty breathing
5-Irregular heartbeat
6-Blood in the urine
7-Pounding in your chest, neck, or ears
Daily nutrient goals used in the dash studies (for a 2000
calorie eating plan)
Total fat 27% of calories
Saturated fat 6% of calories
Protein 18% of calories
Carbohydrate 55% of calories
Cholesterol 150 mg
Sodium 2,300 mg (1,500 mg is better)
Potassium 4,700 mg
Calcium 1,250 mg
Magnesium 500 mg
fiber 30 g
Cardiac
dysrhythmia is:
abnormalities of
heart rhythm
Medications: 1-
amiodarone[cardarone]
2-bepridil
hydrochloride [vascor]
3-
disopyramide[norpace]
4-sotalol [betapace]
5-lidociane [xylocaine]
6-flecainide [tambocor]
Causes: 1-heart attack
2-blocked arteries in
the heart
3-HTN
4-DM
5-hyperthyrodisim
Manifestation: 1-Irregular
heartbeats that feel rapid,
pounding or fluttering
2-Dizziness, lightheadedness and
fainting
• High in fruits and vegetables (at least five servings
a day) and in whole grain foods. It includes lean
protein sources like fish, beans, saturated
fats, trans-fats, and cholesterol.
• Omega-3: 2-4 g/day
• Magnesium: 400-800 mg/day
• Potassium: 500-1,000 mg/day
• Vitamin C: 1,000 mg/day
• Vitamin E: 200-300 mg/day
Peripheral artery disease [PAD]
is : disease of blood vessel that
supplies to arms and legs
Medications: 1-
cholesterol-lowering
medication
2-HTN medication
3-aspirin
Causes: 1-blood
vessel inflammation
2-injury to the limbs
3-edema in hand
and feet Manifestation 1-Painful
cramping in your hip, thigh or calf
muscles after activity, such as
walking or climbing stairs
(intermittent claudication)
2-Leg numbness or weakness
3-Coldness in your lower leg or
foot, especially when compared
with the other side
4-Shiny skin on your legs
• Five portions, and ideally 7-9 portions, of a
variety of fruit and vegetables/day.
• Should not eat much fatty food such as fatty
meats, cheeses, fatty-cream milk, fried
food, butter, etc. Ideally, you should use low
fat, mono-unsaturated or poly-unsaturated
spreads.
• Try to include 2-3 portions of fish 1 week, at
least one of which should be “oily”.
• If you eat meat, it is best to eat lean red meat
or poultry such as chicken.
• If you do fry, choose a vegetables oil such as
sunflower, rapeseed or olive.
• Try not to add salt to food, and limit foods
which are salty.
1- Healthy fats: raw nuts, olive oil, fish oils, flax
seeds, or avocados.
2- Nutrients: colorful fruits and vegetables—fresh or
frozen, prepared without butter.
3- Fiber: cereals, breads, and pasta made from whole
grains or legumes.
4- Omega 3 and protein: fish and shellfish, poultry.
5-Calcium and protein: Egg whites, egg
substitutes, skim or 1% milk, low-fat or nonfat
cheeses or yogurt.
1- Trans fats from partially hydrogenated or deep-fried foods;
saturated fats from whole-fat dairy or red meat.
2- Packaged foods of any kind, especially those high in
sodium.
3- White or egg breads, granola-type cereals, refined pastas
or rice.
4- Red meat, bacon, sausage, fried chicken.
5- Egg yolks, whole or 2 percent milk, whole milk products
like cheese or yogurt.
Fat
diet
Sodium
diet
Cholesterol
diet
• Reinforce reduction
in saturated fat and
cholesterol
• Consider adding
plant stanols/sterols
• Increase fiber intake
• Consider referral to
a dietitian
• Initiate Tx for
Metabolic
Syndrome
• Intensify weight
mgt &
physical activity
• Consider referral
to a dietitian
6 wks 6 wks Q 4-6 mo
• Emphasize
reduction in
saturated fat &
cholesterol
• Encourage
moderate physical
activity
• Consider referral to
a dietitian
Visit I
Begin
Lifestyle
Therapies
Visit 2
Evaluate LDL
response
If LDL goal not
achieved, intensify
LDL-Lowering Tx
Visit 3
Evaluate LDL
response
If LDL goal not
achieved,
consider
adding drug Tx
Monitor
Adherence
to TLC
Visit N
nutrition & cardiovascular disease
nutrition & cardiovascular disease

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nutrition & cardiovascular disease

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  • 3. According to World Health Organization statistics from Kuwait in 2008 CVD 46.8% Diabetes 14.6% respiratory disease 15% smoking 20.6% obesity 7%
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  • 6. Angina is : Chest pain or discomfort Manifestation:1- Shortness of breath when exercising 2-A fast heartbeat. 3- Weakness, dizziness, and feeling sick to your stomach (nausea). 4-Increased sweating.
  • 7. 1. Control calories: eat just enough calories to achieve and maintain a healthy weight. 2. Eat quality fats: -use virgin olive oil and other unsaturated, low-cholesterol fats. -eat foods that rich in omega-3 fatty acid. 3. Eat the right amount of fat, carbohydrates, and protein: -limit your fat intake to 20 or 30 percent but don`t substitute simple carbohydrates for fat -less than 7% of the day`s total calories from saturated fat. -up to 10% of the day`s total calories from polyunsaturated fat. -up to 20% of the day`s total calories from monounsaturated fat.
  • 8. 4. Avoid fad diet: -eat a well-rounded diet instead. -eat small, frequent meals. -avoid large and heavy meals. 5. Limit cholesterol in diet : to less than 200 milligram a day. 6. Limit iron intake: too much iron can increase atherosclerosis. 7. Eat enough dietary fiber: whole grains are best. 8. Eat plenty of fresh fruits and vegetables.
  • 9. 9. Reduce salt in your diet: Optimal: no more than 1,500 milligrams/day. 10. Check with your doctor about supplementing your diet with B vitamins: - Vitamin B1 [ Thiamine] - Vitamin B2 [ Riboflavin] - Vitamin B3 [Niacin] - Vitamin B5 [ Pantothenic acid] - Vitamin B6 [ Pyridoxine] - Vitamin B12 [ Cobalamin]
  • 10. Cardiomyopathy is: disease of heart muscle Causes : 1-HTN 2-infection of the heart muscle 3-certain toxins, such as cobalt 4-certain drugs , such as cocaine and amphetamines Manifestation:1-Breathlessness with exertion or even at rest 2-Swelling of the legs, ankles and feet 3-Bloating of the abdomen due to fluid buildup 4-Fatigue Medications: 1-ACE inhibitors 2- ARBs 3- beta blockers 4- digoxin 5-Diuretics
  • 11. • Grains: 6-8 servings/day (half of those should be whole grains) • Vegetables: 3-5 servings/day • Fruits: 4-5 servings/day • Fat-free or low-fat dairy: 2-3 servings/day • Lean meat, poultry, and seafood: 3-6 oz./day (about the size of a deck of cards) • Fat and oils: 2-3 tbsp./day (use unsaturated fats such as olive oil or canola oil)
  • 12. • Nuts, seeds, and legumes: 3-5 servings/week • Sweets, or sugar: 5 or fewer servings/week [ the fewer the better ] • Eating 2 servings of fatty fish ( such as salmon or lake trout) per day • Holding sodium <2,400 mg/day or less • Omega-3 fatty acids 1-4 g/day • Folic acid 400 mcg/day • Vitamin B6 25-100 mcg/day • Vitamin B12 2-100 mcg/day
  • 13. Hypertension is: vascular disorder characterized by disrupted auto regulation of blood vessel leading to insufficient blood supply Causes: 1- smoking 2-obesity 3-stress 4- high salt in diet 5-genetics factors 6-older age Medications: 1- thiazide diuretics. 2-beta blockers 3-ACE 4-Ca channel blocker 5-renin inhibitor 6-capotine sublingual Manifestation: 1-Severe headache 2-Fatigue or confusion 3-Vision problems 4-Difficulty breathing 5-Irregular heartbeat 6-Blood in the urine 7-Pounding in your chest, neck, or ears
  • 14. Daily nutrient goals used in the dash studies (for a 2000 calorie eating plan) Total fat 27% of calories Saturated fat 6% of calories Protein 18% of calories Carbohydrate 55% of calories Cholesterol 150 mg Sodium 2,300 mg (1,500 mg is better) Potassium 4,700 mg Calcium 1,250 mg Magnesium 500 mg fiber 30 g
  • 15. Cardiac dysrhythmia is: abnormalities of heart rhythm Medications: 1- amiodarone[cardarone] 2-bepridil hydrochloride [vascor] 3- disopyramide[norpace] 4-sotalol [betapace] 5-lidociane [xylocaine] 6-flecainide [tambocor] Causes: 1-heart attack 2-blocked arteries in the heart 3-HTN 4-DM 5-hyperthyrodisim Manifestation: 1-Irregular heartbeats that feel rapid, pounding or fluttering 2-Dizziness, lightheadedness and fainting
  • 16. • High in fruits and vegetables (at least five servings a day) and in whole grain foods. It includes lean protein sources like fish, beans, saturated fats, trans-fats, and cholesterol. • Omega-3: 2-4 g/day • Magnesium: 400-800 mg/day • Potassium: 500-1,000 mg/day • Vitamin C: 1,000 mg/day • Vitamin E: 200-300 mg/day
  • 17. Peripheral artery disease [PAD] is : disease of blood vessel that supplies to arms and legs Medications: 1- cholesterol-lowering medication 2-HTN medication 3-aspirin Causes: 1-blood vessel inflammation 2-injury to the limbs 3-edema in hand and feet Manifestation 1-Painful cramping in your hip, thigh or calf muscles after activity, such as walking or climbing stairs (intermittent claudication) 2-Leg numbness or weakness 3-Coldness in your lower leg or foot, especially when compared with the other side 4-Shiny skin on your legs
  • 18. • Five portions, and ideally 7-9 portions, of a variety of fruit and vegetables/day. • Should not eat much fatty food such as fatty meats, cheeses, fatty-cream milk, fried food, butter, etc. Ideally, you should use low fat, mono-unsaturated or poly-unsaturated spreads. • Try to include 2-3 portions of fish 1 week, at least one of which should be “oily”.
  • 19. • If you eat meat, it is best to eat lean red meat or poultry such as chicken. • If you do fry, choose a vegetables oil such as sunflower, rapeseed or olive. • Try not to add salt to food, and limit foods which are salty.
  • 20.
  • 21. 1- Healthy fats: raw nuts, olive oil, fish oils, flax seeds, or avocados. 2- Nutrients: colorful fruits and vegetables—fresh or frozen, prepared without butter. 3- Fiber: cereals, breads, and pasta made from whole grains or legumes. 4- Omega 3 and protein: fish and shellfish, poultry. 5-Calcium and protein: Egg whites, egg substitutes, skim or 1% milk, low-fat or nonfat cheeses or yogurt.
  • 22. 1- Trans fats from partially hydrogenated or deep-fried foods; saturated fats from whole-fat dairy or red meat. 2- Packaged foods of any kind, especially those high in sodium. 3- White or egg breads, granola-type cereals, refined pastas or rice. 4- Red meat, bacon, sausage, fried chicken. 5- Egg yolks, whole or 2 percent milk, whole milk products like cheese or yogurt.
  • 24. • Reinforce reduction in saturated fat and cholesterol • Consider adding plant stanols/sterols • Increase fiber intake • Consider referral to a dietitian • Initiate Tx for Metabolic Syndrome • Intensify weight mgt & physical activity • Consider referral to a dietitian 6 wks 6 wks Q 4-6 mo • Emphasize reduction in saturated fat & cholesterol • Encourage moderate physical activity • Consider referral to a dietitian Visit I Begin Lifestyle Therapies Visit 2 Evaluate LDL response If LDL goal not achieved, intensify LDL-Lowering Tx Visit 3 Evaluate LDL response If LDL goal not achieved, consider adding drug Tx Monitor Adherence to TLC Visit N