NURS 203 Lecture Notes - Internal Thoracic Artery, Coronary Circulation, Great Saphenous Vein
Document Summary
Chapter 20: major risk factors for coronary artery. Risk factor for cad is not ldl, its hdl. Hdl visits fatty streaks, sucks ldl out, takes it to the liver to be metabolized. 55 in women b/c that is the age of menopause; not taking estrogens and that is the age when estrogens go down; hdl levels go down and risk goes up. Family history of premature artery dz, cig smoking, hp, hdl<35, diabetes, ldl (cholesterol is not a risk factor, ldl is) b/c all therapeutic decisions are based on. 4 types: angina, myocardial infarct, sudden cardiac death syndrome, chronic ischemic heart. Not see a coronary thrombus, will see severe coronary artery atherosclerosis. Chronic ischemia heart dz it"s a lot of our parents, uncles and aunts who have coronary artery dz with little infarcts, or had a small heart attack, basically talking about subendocardial infarctions.