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Cardiology 3rd Year
- 1. Introduction to cardiology Dr. Judit Keller
- 3. CV mortality
- 7. Angina Classification (Canadian Cardiovascular Society) < 20 W alatt < 4 METs Any physical activity, sometimes occurring at rest C C S-4. degree 20–80 W – 5-6 METs Walking, even 1 or 2 blocks at usual pace and on level ground. Climbing stairs, even 1 flight C C S-3. degree 80–120 W – 6-8 METs Walking rapidly or uphill Emotional stress C CS -2. degree > 120 W – 10 METs Strenuous, rapid, or prolonged exertion C C S-1. degree Excercise toleranc e Activities triggering Chest pain Angina
- 18. Cardiac Cycle Diastole Systole
- 27. 22 22 Smoking 9 22 Physical inactivity 12 28 Diabetes 23 33 Overweight 27 63 High cholesterin level 72 58 Hypertension stroke CHD Risk factor Ezzati M et al. Lancet 2003;362:271-80. (%) Increasing of the incidence of CHD and stroke
- 29. ?
- 30. Risk stratification - Euroscore
- 31. Effects of hypertension, smoking and hypercholester ol aemia to CHD ri sk X1.6 x4 x3 x6 x16 X4.5 x9 hypertension (SBP 195 Hgmm) High TC (8.5 mmol/L, 330 mg/dl) smoking (Poulter et al, 1993)
- 32. hypertension High TC diabetes x3 x2 x2 x5 x4 x3 x8 Effects of hypertension, diabetes and hypercholester ol aemia to CHD ri sk
- 34. Thank you for your attention!