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Cardiovascular Disease (CVD) and Cancer Health Ed. 100 M. Collins, MPH The Cardiovascular System Heart attacks and strokes are the most common life-threatening types of heart diseases Characteristics of the Heart Diagram: 4 chambered pump (atria, ventricles) Size of a fist Weighs about 1 pound Function - creates pressure to circulate blood throughout the body Blood enters via the Vena Cava into the right atrium Heart Beat Stimulation Signal sends impulses from the heart Risk Factors for Heart Disease That Can Be Changed Contributing Risk Factors for Heart Disease That Can Be Changed High Triglyceride Levels Chronic hostility and Anger Heart Disease Risk Factors for Students YOUR AGE Percentage of persons aged 20 years and older with hypertension or taking hypertension medications= Percentage of persons aged 20 years and older with high blood cholesterol = Percentage of persons aged 20 years and older with physician–diagnosed diabetes= Percentage of persons aged 20 years and older who are obese= Percentage of adults aged 18 years and older who are current cigarette smokers (2003)= Percentage of adults aged 18 years and older who engage in no leisure–time physical activity (2003)= Major Risk Factors That Cannot Be Changed Atherosclerosis Atheroschlerosis is a form of ___________________(hardening of the arteries) Arteries become narrow due to _____________ buildup This process deprives blood and vital oxygen to specific organs, such as the heart, brain, etc. Results in the following: Hypertension Blood pressure exceeds a systolic (pressure at contraction) over _______mm/hg and/or a diastolic (pressure between contraction) over ______ mm/hg Symptoms – the “silent killer” (no symptoms) Diagnosis – regular checks of resting blood pressure (average blood pressure < 120/80) Treatment – medication, exercise, dietary changes) A cause of heart attacks, strokes, and kidney disease What Does High Blood Pressure Really Mean? Oxygenated blood is pumped to the body in blood vessels called ARTERIES Deoxygenated blood is carried back to the heart in VEINS The pressure on the walls of the ARTERIES is measured in blood pressure Measured as Systolic/Diastolic (125/83) Systolic= Diastolic= Heart Attack Damage to vessels of the coronary artery cause – Myocardial infarction: heart attack Caused by a coronary thrombosis When the need for oxygen exceeds the supply, the result is chest pain called angina pectoris Recognizing and Treating a Heart Attack Principal Symptoms – – ECG, angiogram, MRI Surgical Treatment – bypass, angioplasty, heart transplant Non-surgical Treatment- platelet inhibitors, aspirin, alcohol Most die within 2 hours from time of first symptoms. CALL 911!! DON’T WAIT!!! CPR- 15 chest compressions + 2 breaths Diagnosis Stroke (Cerebrovascular Accident) Types –ischemic strokes (blockage), hemorrhagic Diagnosis – CT scan, MRI Treatment – clot dissolving drug therapy High blood pressure leads to ruptures strokes (ruptures) Congestive Heart Failure Swollen heart due to the lack of strength known as Pulmonary edema Causes – various causes from other illnesses to damaging heart to existing injury to the heart Treatment – drugs, modified lifestyle Pooling and swelling of the ankles and feet Your grandparents may have congestive heart failure Other Forms of Heart Disease Congenital Heart Disease-malformation of the large blood vessels near the heartFROM BIRTH Peripheral Artery Disease- diseases of the arteries close to the heart and brai Heart Valve Disorders- examples Protecting Yourself against Cardiovascular Disease Decrease Fat and Cholesterol Intake Decrease Sodium and increase Potassium Intake DASH (Dietary Approaches to Stop Hypertension) Know and manage your Blood Pressure Cancer Cells Most cancers take the form of tumors: a mass of tissues that serve no physiological purpose Benign: Malignant: 2006 Estimated US Cancer Deaths* How Cancer Spreads: Metastasis Metastasis is the spreading of cancer cells which occurs due to the lack of cellular cohesiveness They break away and pass through the lining of lymph or blood vessels to invade nearby tissues These new tumors are called secondary tumors or metastases Types of Cancer Carcinomas Sarcomas – Lymphomas Leukemia – – 1% of all cancers – Lifetime Probability of Developing Cancer, by Site, Men, 2000-2002* Lifetime Probability of Developing Cancer, by Site, Women, US, 2000-2002* The Incidence of Cancer Each year, ____________people in the United States are diagnosed with cancer death rates have dropped more than _____since 1990 The American Cancer Society believes that thousands of cases of colon, breast, and uterine cancer could be prevented by lifestyle changes Cancer Lung Cancer Risk Factors: Prevention: Treatment: Surgery, Radiation, Chemotherapy, Medications Colon and Rectal Cancer Considered the second leading cause of cancer deaths (could arise from pre-existing polyps) Risk Factors: Detection and Treatment: Removal of polyps, Yearly stool blood test, Sigmoidoscopy/colonoscopy, Surgery Breast Cancer Most common cancer in Women Risk factors Prevention: Treatment: Lumpectomy, Drug therapy, Chemotherapy/radiation treatments Testicular Cancer Risk factors: Family history, environmental factors Most prevalent in men age _________ Prevention: Self exams Early Detection: Observations and self exams Treatment: Surgery, chemotherapy, radiation Prostate Cancer Risk factors: Prevention: Early Detection: PSA screenings, ultrasound rectal exam Treatment: Surgery, radiation, implantation of radioactive seeds Cervical Cancer Risk factors: Prevention: Treatment: Surgery (minor or major), Radiation/chemotherapy Uterine Cancer Risk Factors: Early menopause, late menopause, lack of ovulation, never having given birth, use of tamoxifen, and also in diabetics, obese, and hypertensive women Prevention: Minimize high levels of estrogen and regular physician care Treatment: Surgery, radiation, chemotherapy, hormone treatment Ovarian Cancer Prevention: Similar to what is recommended for breast cancer, Prophylactic oophorectomy Early Detection: Treatment: Surgery, Chemotherapy, Drug therapy Skin Cancer Considered Risk the most common cancer of all factors: Prevention: Early Detection: Treatment: Surgery, chemotherapy, interleukin-2 The Causes of Cancer The Role of DNA Role of inheritance of certain genes DNA mutations such as oncogenes Cancer promoters Dietary Factors Dietary Fat and Meat Alcohol Fiber intake Fruits and Vegetables Inactivity and Obesity Microbes Carcinogens in the Environment Ingested chemicals Industrial pollution Radiation Detecting Cancer: Identify the 7 warning signs of cancer C= A= U= T= I= O= N= Diagnosing Cancer Exploratory surgery or a biopsy may be performed to identify a cancer’s stage or the following: Ultrasonography have been used to view tumors and is considered completely safe