The nurse is planning a presentation about coronary heart disease for a group of middle aged adults

Summary

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  • Several risk factors can contribute to a person’s risk of coronary heart disease (also known as heart disease). Usually, heart disease is caused by a combination of risk factors rather than a single risk factor.
  • You can reduce your risk of heart disease by quitting smoking, following a heart-healthy eating pattern, being physically active, managing your weight, cutting down on alcohol and looking after your mental health.
  • Your doctor may prescribe medicines to reduce your risk of heart disease, depending on your level of risk and other health conditions.

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This page has been produced in consultation with and approved by:

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JACC Focus Seminar: CVD in the Elderly

JACC State-of-the-Art Review

Coronary Artery Disease in Patients ≥80 Years of Age

Abstract

Coronary artery disease (CAD) is a major cause of morbidity and mortality in patients ≥80 years of age. Nonetheless, older patients have typically been under-represented in cardiovascular clinical trials. Understanding the pathophysiology, epidemiology, and optimal means of diagnosis and treatment of CAD in older adults is crucial to improving outcomes in this high-risk population. A patient-centered approach, taking into account health status, functional ability and frailty, cognitive skills, and patient preferences is essential when caring for older adults with CAD. The present systematic review focuses on the current knowledge base, gaps in understanding, and directions for future investigation pertaining to CAD in patients ≥80 years of age.

Key Words

coronary artery disease

geriatric cardiology

octogenarians

Abbreviations and Acronyms

ACS

acute coronary syndrome

CABG

coronary artery bypass graft

CAC

coronary artery calcium

CAD

coronary artery disease

GDMT

guideline-directed medical therapy

MACE

major adverse cardiovascular event(s)

NSTEACS

non–ST-segment elevation acute coronary syndrome

PCI

percutaneous coronary intervention

SIHD

stable ischemic heart disease

STEMI

ST-segment elevation myocardial infarction

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© 2018 by the American College of Cardiology Foundation. Published by Elsevier.

What is the symptoms of coronary heart disease?

Angina, or chest pain and discomfort, is the most common symptom of CAD. Angina can happen when too much plaque builds up inside arteries, causing them to narrow. Narrowed arteries can cause chest pain because they can block blood flow to your heart muscle and the rest of your body.

What is the best means to prevent development of coronary heart disease?

Eat a healthy, balanced diet. A low-fat, high-fibre diet is recommended, which should include plenty of fresh fruit and vegetables (5 portions a day) and whole grains. You should limit the amount of salt you eat to no more than 6g (0.2oz) a day as too much salt will increase your blood pressure.

What are some preventative measures for the development of CAD?

How to prevent CAD naturally.
Eat a heart-healthy diet. Certain foods protect your heart, while others contribute to the formation of artery-clogging plaques. ... .
Get more active. Aerobic exercise strengthens the heart muscle. ... .
Lose weight. ... .
Lower blood pressure. ... .
Limit alcohol. ... .
Keep blood sugar under control. ... .
Reduce stress..

What causes coronary heart disease?

Coronary heart disease (CHD) is usually caused by a build-up of fatty deposits (atheroma) on the walls of the arteries around the heart (coronary arteries). The build-up of atheroma makes the arteries narrower, restricting the flow of blood to the heart muscle. This process is called atherosclerosis.

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