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CARDIOVASCULAR SYSTEM
The disease of the heart
1. Ischaemic heart disease
2. Hypertensive heart disease
3. Rheumatic heart disease
4. Pulmonary heart disease
5. Congenital heart disease
6. Thyrotoxic heart disease
7. Heart disease in other forms
Heart ; Blood Suplly
Vascular
Myocardium/Nutrient)
In other to perform the heart work, the myocardium needs to be Nourished and
Oxygenated from an adequate suplly of blood through the aorta and coronary
arteries.
ISCHAEMIC HEART DISEASE (IHO)
(CORONARY HEART DISEASE = CHO)
The failure of the coronary arteries to suplly sufficient blood to the myocardium, which
are almost invariably associated with athero sclerosis of the coronary arteries.
1. MYOCARDINAL INFARCTION
Myocardial Ischaemia
sudden death
Thrombus
Atherosclerosis
severe
return to normal life
increase risk of second infarct
Blocks the lumen of coronary artery
Narrowed the lumen
The blood flow is insufficient to suplly the oxygen
2. ANGINA PECTORIS
(Pain in the chest)
severe cardiac pain
limits the activity
- remain live and free of any disability so long as the patient keeps within the
limits of exercise tolerance.
- Increase risk of - sudden death
- infarction
Due to ;
- unusual exertion
- emotional stress
3. SUDDEN DEATH
Have :
- Angina Pectoris
- Myocardinal infarction
Note :
The pain of ;
Angina pectoris :
- directly
- quatitativately releated to exertion
- induced by emotion
Myocardial infarction -
- occurs at rest
- induced by prolonged exertion or acute anxiety
ATHEROSCLEROSIS
-
softened
4. break down
- plaque surface -, break dowm
- atheroatous ulcer ragged irregular edges
- fibrous tissue at the base of the ulcer
scarring
- vessel narrowed and distort slowing down the flow of blood
- deposited of calcium haemorrhages occure in the base
Thrombus - ulcer debris /fibrin
- fat, cholesterol
- calcium
- blood corpuscles
(clotting mechanism)
thrombus
- inherited
- environmental experience of hypertension, diabetes, gout and
exanthomatosis.
PREVENTION
1. DIET
Fats ;
hyperlipidemia, hypercholesterolemia
no proof that dietary fats have an important role in the aetilogy of IHD
more depend on the plasma cholesterol concentration
intake saturated fat >>
plasma cholesterol
IHD
CARBOHYDRATES
Intake sucrose
Atherosclerosis
Atherosclerosis
PROTEIN
In animal research : Not to be important in the genesis of atherosclerosis
2. SEDENTARY LIFE
Exercise :
3. SMOKING
-
maybe due to :
- vasoconstrictor action
- undesirable effect on the level of plasma lipids
- blood coalagualation
- the survival of platelet
4. STRESS AND STRAIN
5. POLUTION
higher concentration of carbon disulphide and sulphur dioxide from in the
process the facture of rayon may cause anoccupational toxic to be the aetilogy of
IHD.
COMMUNITY PROPHYLAXIS
- food technology changes the costumary diet of the people
- the anxious promotin of the new product of food industry
- looks to the medical profession for guidance
- health education
- in daily food intake
REDUCE
- calorie (to prevent overweight)
- total consumption of fat
40%-30% of the total number calories
-
INCREASE
- vegetables, fruits, potatoes, milk, fish, lean meat, cereal/cereal product
- take regular exercise
The program require the co-operation among doctors health workers, catering (in school,
military forces, hospital, restaurants and other similar institution.
Food industries have to pay attention to the recommendation of the raw products and in
its composition an processing.