心血管危险因素PPT课件.pptVIP

ATHEROSCLEROSIS: A SYSTEMIC DISEASE Chronology of Atherosclerotic Artery Disease Cardiovascular Risk FactorsProtecting your Heart Smoking Hypertension (BP ≥ 140/90 mmHg) Low HDL-C ( 40 mg/dL) Early Family History atherosclerosis (1st grade relatives 55 years for men and 65 for women Age (≥ 45 years males/ ≥55 years females) AF** + CAD/ relatives 1st grade (55 anos males/65 anos females) Diabetes melitus (glucose 126 mg/dL) INDEPENDENT Hypertension Tobacco Smoking Total Cholesterol High LDL-C HDL-C Diabetes Melitus Aging Menopause Obesity Metabolic Syndrome Physical Inactivity High cholesterol and saturated fat diet New Risk Factors Inflamatory factors (RCP + de high sensibility) Homocystein high levels Lp (a)++ Prothrombotic Factors Glucose intolerance Sub-clinical Aterosclerose (coronary Ca+, intimal thickness) ARTERIAL BLOOD PRESSURE CLASSIFICATION IN ADULTS Class Normal Pre-Hipertension Hipertension 1 stage Hipertension 2 stage GOAL General Population 140/90 High Risk Patients for CAD Diabetes 130/85 DIABETES MELLITUS Diagnosis Objectives in the treatment of Diabetes Mellitus HIGH Absolute Risk 20% in 10 years MEAN Absolute Risk 10 a 20% in 10 years LOW Absolute Risk 10% in 10 years Coronary Artery Disease (CAD) Cerebrovascular Disease Synptomatic Carotid Atheroma, CVA*, TiA+, Cerebrovascular Insufficiency Peripheral Vascular Insufficiency (PVI) Diabetes mellitus (DM) Individuals in primary prevention with absolute risk of events 20% 10 years ( generally with two or more CV risk factors other than cholesterol) Refer to Framinghan Risk Tables Absolute Risk for events 10%, but 20% in 10 years Individuals with 2RF** (except DM) beyond cholesterol (LDL-c 160 mg/dL) Refer the Framingha