Friday 24 August 2012

Cardiovascular health

Ischaemic heart disease (IHD) is the most common cause of death worldwide.


Preventing IHD

  • Exercise (Decreased BP, Increased HDL)
  • Stopping smoking
  • Eating healthily
  • Avoid obesity
  • Moderate alcohol drinking

Smoking cessation
  • Psychological
    • Advice congruent to patient's beliefs about smoking
    • Enumerate advantages to increase motivation
    • Invite patient to choose a date to stop
    • Throw away all accessories
  • Pharmacological
    • Nicotine gum
    • Varenicline (oral selective nicotine receptor partial agonist) 
    • Bupropion (increases dopamine in mesolimbic system and via noradrenergic effects in the locus ceruleus)

Risk equation calculation
  • Age
  • Sex
  • BMI
  • Cholesterol/HDL
  • FHx
  • BP
  • Smoking
  • PMHx (IHD, rheumatoid arthritis, AF, hypertension, renal disease)
  • Social deprivation (via postcode)

No comments:

Post a Comment