Coronaryheartdisease.ppt

The world’s largest killer ( 17.1 million lives a year) Risk Factors Gender （性别） Age Heredity（遗传） Risk Factors High-fat diet High cholesterol Risk Factors Obesity（肥胖） Lack of regular exercise Risk Factors Hypertention Risk Factors Smoking symptoms Diagnosing coronary heart disease ECG Holter monitor（霍尔特氏心电动态监测仪） Echocardiogram（超声心动图） Stress test Coronary catheterization （冠状动脉导管术） CTA Blood test: cardiac markers Treatments Lifestyle : Stop smoking Eat a healthy and well balanced diet Exercise regularly Aim for an ideal bodyweight Reduce emotional/mental stress Medications ： Medications to modify cholesterol levels Low-dose aspirin Beta blockers（β受体阻滞剂） Nitroglycerin （硝酸甘油） ACE inhibitors （血管紧张素转换酶抑制剂） Calcium channel blockers（钙通道阻断剂） Surgery ： Percutaneous coronary revascularization （经皮冠状动脉重建术） Coronary bypass surgery （冠状动脉旁路手术） Heart transplant Prevention of coronary heart disease A: aspirin,ACEI/ARB B: blood pressure, β-blocker, C: cigarette smoking, Cholesterol D: diet, diabetes E: exercise, education * Coronary Heart Disease World Heart Day 2014 Creating heart-healthy environments 健康的环境，健康的心 What Is Coronary Artery Disease? coronary heart disease (CHD) coronary artery disease （CAD） atherosclerosis 动脉粥样硬化 coronary stenosis (冠脉狭窄) Coronary heart disease atherosclerosis Coronary stenosis coronary spasm Myocardial ischemia, anoxaemia(缺氧) Ischemic heart disease Stable angina pectoris(SAP) Acute coronary syndrome(ACS) Unstable angina(UAP) and non-STEMI (UA/NSTEMI) ST elevation myocardial infarction (STEMI) Definition Diabetes（糖尿病） Emotional stress Chest discomfort, chest pain Crushing chest pain Coughing Dizziness（头昏） Dyspnea （呼吸困难） Face seems gray Feeling really awful Nausea （恶心） Restlessness （坐立不安） The person is clammy and sweaty Vomiting （呕吐） *