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Living Well with Heart Disease. Katie Taylor Cardiac Rehabilitation Specialist Nurse. Also called ischaemic heart disease: a disease in which the arteries supplying blood to the heart are seriously narrowed by fatty deposits causing angina and sometimes a heart attack. Coronary Heart Disease.
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Living Well with Heart Disease Katie Taylor Cardiac Rehabilitation Specialist Nurse
Also called ischaemic heart disease: a disease in which the arteries supplying blood to the heart are seriously narrowed by fatty deposits causing angina and sometimes a heart attack Coronary Heart Disease
Within our control Smoking High cholesterol High blood pressure Obesity Inactivity Diabetes Causes of Heart disease Out of our control • Existing CHD • Age • Sex • Ethnicity • Family History
-Angina • -Heart Attack • -Heart Failure • -Rhythm problems (arrhythmias) • -Valve problems Symptoms of Heart Disease
Treatments • -Medication • -Cardiac Rehabilitation • -Stents • -Coronary Artery Bypass Graft • -Valve surgery
Over to you.... • Maintaining lifestyle changes • Keep appointments, monitor BP, blood glucose • Be informed-attend cardiac rehabilitation • Seek advice if things change
Stop Smoking • Smoking cessation support • Exercise • By 5 years of stopping the risk of heart attack is halved • By 10 years the risk is equal to someone who has never smoked
Reduce cholesterol levels • Total cholesterol <4 • LDL <2 HDL >1.0 • Triglycerides <2 • Healthy diet • Exercise • Medication • Reduce weight
Control blood pressure • Increases CHD risk by 3 • Aim <140/85 or 130/80 in diabetics • Diet • Exercise • Medication • Regular monitoring
Obesity • Increases heart disease risk times 4 & reduces life expectancy by 9 years • Weight loss should be encouraged if BMI >29.9 due to effect on all risk factors • Risk is higher if fat is deposited around the abdomen
Inactivity • Lack of exercise increases risk of first heart attack by 2.4 • Moderate exercise every day can reduce MI by up to 50% • Exercise has a beneficial affect on all risk factors, it reduces stress, blood pressure, weight, cholesterol , angina and breathlessness
Diabetes • Increases the risk of heart attack by 3 times • Diet • Smoking cessation • Exercise • Medication • Well controlled