Lect 18 CVD Part 2

The tlc diet guidelines cardiac cardiac

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Unformatted text preview: y susceptible to atherosclerosis, therefore it is very important to implement/continue the TLC diet guidelines. the TLC diet guidelines. Cardiac Cardiac Rehabilitation programs & other aggressive programs aggressive programs oriented toward atherosclerosis regression programs 36 Congestive Heart Failure (CHF) Long Long term complication of MI; inability of the heart to pump blood blood efficiently due to damage cardiac muscle kidney kidney detects blood volume stimulates reninstimulates reninangiotensin, angiotensin, aldosterone system Na/fluid reabsorption can result in edema (peripheral and in lungs) when blood is pumped to the lungs but is unable to effectively return the pumped to the lungs but is unable to effectively return the blood blood to the heart Symptoms: Symptoms: weakness, cough, SOB, arrythmias Diet Diet guidelines: Na restriction 1-2 g/d, possibly mild fluid restriction Na restriction g/d possibly mild fluid restriction Drugs: Diuretic and Digitalis **may need K (2-6 g/d) (2- 37 • Typical Rehab program yp – – – – – Diet: TLC diet guidelines; weight management as needed Exercise Stress Management Medical supervision supervision ~ 4 month program • Coronary Reversal program – Diet: More strict than TLC guidelines; vegetarian w/ non-fat dairy & egg whites OK; <30 g fat/d, <20 g cholesterol/d; weight management as needed – Exercise; stress management; yoga; lifestyle changes – Medical supervision – 2 year program 38 Metabolic Syndrome Syndrome • Biochem J 2009 418(2): 261-75 Richeter EA, Ruderman NB 2009 418(2): 261 Richeter Ruderman 39 Table 13-9, p. 303 40 Treatment for Metabolic Syndrome for Metabolic Syndrome • Lifestyle change change – Emphasis on weight reduction – Increased physical activity physical activity • Drug therapy to target specific risk factors – Such as statins for dyslipidemia, hypoglycemic agents to bring HbA1c to guideline target, and medications to reduce hypertension 41 42...
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