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Possible Solutions for Reducing Spread of Coronary Artery Disease, Case Study Example

Pages: 1

Words: 189

Case Study

Introduction

This is a major cause of death and disability in the United States.

Main Types

  1. Ischemic disease(myocardial infarction)
  2. Atherosclerotic disease- occlusion of coronary arteries by atheromatous plaques

It mainly presents as chest pain referred to as angina pectoris. A very severe crushing type of pain.

Risk Factors

Non-Modifiable

  • Gender-female
  • Obesity
  • Past family history of coronary artery disease

Modifiable

  • Tobacco, excessive alcohol use
  • Diet- high slat diet, saturated fatty acids,
  • Lifestyle- sedentary lifestyle,
  • High blood pressure
  • Certain infections

Prevention

Primary Prevention – Control of the Risk Factors

  • Avoidance of tobacco, alcohol
  • Diet modification-unsaturated fats, low salts (avoid use of salt on the dinning table),
  • Exercise (walking at least half an hour five days a week),
  • Check weight (BMI of between 18 and 25 recommended)
  • KEY-Community sensitization, behavior modification & screening

Secondary Prevention – Early Treatment Including Treatment of Asymptomatic Cases

  • Early control of blood pressure
  • Screening and early treatment of asymptomatic cases
  • KEY- Clinic based intervention via early detection & intervention

Tertiary Prevention – Treatment of Complications Including Post-MI Disabilities

  • Blood pressure control- ACE inhibitors and diuretics
  • Anticoagulants & thrombolytics
  • lipid lowering drugs, aspirin/clopidogrel/dipyridamole.
  • Surgery-coronary artery stenting, coronary artery bypass
  • Rehabilitation- nursing homes for the post-MI disabled patients

Cited Works

Fauci,S. Harrison’s Principles Of Internal Medicine New York: McGraw-Hill 2008

Mulvihill, L. Human Diseases; A Systematic Approach New York: Pearson Education 2006

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