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heart disease numbers - Lec 84

Terms in this set (31)

HDL positive risk factor
<40 mg/dl
HTN positive risk factor
>140/90 or on an antihypertensive
family history positive
MI or sudden death in male first degree relative <55 or <65 in female
age positive risk factors
male >= 45, female >=55 or premature menopause w/o estrogen replacement therapy
negative HDL risk factor
>60 mg/dl HDl
1 pack a day (20 cigs) smoking effects on MI risk
men : inc. first MI risk 3x, women inc. first MI risk 6x
d/c smoking for one year affect on MI risk
reduces MI risk by half
normal BP
<120 / <80
prehypertension
120-139/80-89
Stage 1 hypertension
140-159/90-99
Stage 2 hypertension
>=160/>=100
goal of HTN treatment, otherwise healthy
systolic <135, diastolic <85
goal of HTN treatment, diabetic or chronic renal disease
systolic <130, diastolic <80
Obesity Associations
inc. HTN, inc. insulin resistance, inc. glucose intolerance, inc. total cholesterol, inc. TG, dec. HDL, inc. plasma fibrinogens
definition of abdominal obesity in men and women
men >40 in, women >35 in
when to start screenign for HTN
all adults at 18 or older
when to start screening for obesity
all adults
who should be screened for dyslipidemia, how often?
everyone starting at 20 y/o, repeat every 5 years if normal
treatment goal for dyslipidemia, healthy, 0-1 risk factor
LDL <160
When do you initiate lifestyle change for dyslipidemia
ldl >= 160
when do you initiate medication therapy for dyslipidemia
LDL >=190
treatment goal for dyslipidemia, healthy, 2 or more risk factors
LDL <130
who do we give aspirin to men in general population?
all men age 45-79 when MI vs. GI is good (given for MI risk)
when do we give aspirin to women in general population
all women 55-79 when CVA vs. GI is good (given for CVA risk)
who is at very high risk for cardiovascular disease
estabilished coronary heart disease plus - multiple risk factors (esp. DM), severe or poorly controlled risk factors (esp. smoking), multiple risk factors of metabolic syndrome, acute coronary syndrome
What is the treatment goal for dyslipidema, CHD or CHD equivalent
LDL less than 100
What is the treatment goal for dyslipidemia, CHD and CHD equivalents, multiple risk factors
LDL <= 70
What is first line treatment for dyslipidemia?
statins
What do statins do?
dec. LDL, inc. HDL, dec. TG
What is a common therapy after patient has had an MI
aspirin a day, if no aspirin then clopidogrel, ACE inhib or ARB
What is routine therapy in patients with acute MI?
beta blockers
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