5. Serum Lipids
HDL
High density lipids
“good cholesterol”
Protective effect against
atherosclerosis
LDL
Low density lipids
“bad cholesterol”
Increased incidence of
atherosclerosis
6. Serum Lipids
VLDL
Very low density lipids
Transport triglycerides
Increase risk of premature
atherosclerosis
TRIGLYCERIDES
Stored body fat
7. Arteriosclerosis
Hardening and of elasticity
of arterial walls
Most common arterial
disease
Normal aging process
Hypertension
Diabetes
8. Atherosclerosis
Formation of obstructive lipid deposits
Affectsarteries
Lipid metabolism disorder
Obstruction of blood flow organs
Underlying cause of CAD, MI,
CVA, aneurysms and arterial
vascular disease
14. INCIDENCE & RISK
MALE vs FEMALE UNTIL MENOPAUSE
BLACK vs WHITE IN MEN AND WOMEN
FAMILY PREDISPOSITION
HIGH SERUM LIPIDS
SMOKING
OBESITY - LIFESTYLE
PRE EXISTING CONDITIONS
15. RISK FACTORS
HIGH SERUM LIPIDS
SMOKING
OBESITY - LIFESTYLE
PRE EXISTING CONDITIONS
HTN
DIABETES
ATHEROSCLEROSIS
16. SERUM LIPID STUDIES
WHAT DO MY
CHOLESTEROL LEVELS MEAN???
AMERICAN HEART ASSOCIATION
HANDOUT
31. STABLE ANGINA
Precipitated by exertion
Impaired blood delivery due to 75%
block
Predictable pattern
No change in symptoms over time
Pain relieved by rest or NTG
32. UNSTABLE ANGINA
Occurs at rest or without O2
demand
Preinfacrtion Angina
Can be > 90% blockage
Extreme pain
Last longer than 10 minutes and poor
relief from NTG or rest
33. SILENT ISCHEMIA VARIANT ANGINA
No pain Arterial Spasms
+ ECG No precipitating
+ Cardiac Enzymes factors
Rare
Occurs at rest
34. ASSESSMENT OF SXS
P = PRECIPITATES
Q = QUALITY
R = RADIATES
S = SEVERITY and
SYMPTOMS
T = TIMING
35. Characteristics of angina
CHEST PAIN
Different for men and women
: squeezing, fullness or
pressure in the center of your
chest.
: stabbing, pulsating, or sharp
36. Characteristics of angina
Vise squeezing chest
Heavy weight placed on their chest
Extend to the arm, especially the left arm,
neck, jaw, shoulder or back.
Nausea, fatigue, shortness of breath,
anxiety, sweating or dizziness
Crescendo effect – builds up and
gradually fades away