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Heart Disease

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Geriatric Condition:

Heart Disease

Heart disease refers to a range of conditions that affect the heart’s structure and function. The most common type is coronary artery disease (CAD), which can lead to heart attacks. Heart disease is a leading cause of death, particularly among older adults.

Types
  • Coronary Artery Disease (CAD): Narrowing or blockage of the coronary arteries due to plaque buildup.
  • Heart Failure: The heart’s inability to pump blood effectively.
  • Arrhythmias: Irregular heartbeats, such as atrial fibrillation.
  • Valvular Heart Disease: Damage to or dysfunction of one or more of the heart’s valves.
  • Cardiomyopathy: Disease of the heart muscle affecting its size, shape, and structure.
  • Congenital Heart Disease: Heart abnormalities present at birth.
  • Peripheral Artery Disease (PAD): Narrowing of the arteries in the limbs, often associated with CAD.
Symptoms
  • Chest pain or discomfort (angina)
  • Shortness of breath
  • Fatigue and weakness
  • Palpitations or irregular heartbeats
  • Swelling in the legs, ankles, or feet
  • Dizziness or lightheadedness
  • Nausea and sweating
Causes
  • Age: Risk increases with age due to natural wear and tear on the heart and blood vessels.
  • High Blood Pressure: Puts extra strain on the heart and arteries.
  • High Cholesterol: Leads to plaque buildup in the arteries.
  • Smoking: Damages blood vessels and heart tissue.
  • Diabetes: Increases the risk of heart disease due to high blood sugar levels.
  • Obesity: Excess weight contributes to high blood pressure, high cholesterol, and diabetes.
  • Physical Inactivity: Lack of exercise weakens the heart and circulatory system.
  • Unhealthy Diet: Diets high in saturated fats, trans fats, cholesterol, and sodium can lead to heart disease.
  • Family History: Genetic predisposition to heart disease.
Impact To Lifestyle
  • Physical Limitations: Reduced ability to perform daily activities and exercise due to breathlessness and fatigue.
  • Dietary Restrictions: Need to follow a heart-healthy diet, limiting salt, fats, and cholesterol.
  • Medication Management: Regular use of medications to manage symptoms and prevent complications.
  • Increased Healthcare Needs: Frequent medical appointments, tests, and potential hospitalizations.
  • Emotional Health: Anxiety, depression, and stress due to chronic illness and lifestyle changes.
  • Social Impact: Possible limitations on social activities and interactions.

 

Management & Prevention

Management:

  • Medications: Blood pressure medications, cholesterol-lowering drugs, blood thinners, and medications to manage symptoms like angina and heart failure.
  • Lifestyle Changes:
    • Healthy Diet: Emphasizing fruits, vegetables, whole grains, lean proteins, and healthy fats.
    • Regular Exercise: Engaging in moderate physical activity, such as walking or swimming, as advised by a healthcare provider.
    • Weight Management: Achieving and maintaining a healthy weight.
    • Smoking Cessation: Quitting smoking to improve heart health.
    • Limit Alcohol: Drinking in moderation, if at all.
  • Medical Procedures: Angioplasty, stent placement, or coronary artery bypass surgery for severe cases.
  • Monitoring: Regular check-ups and monitoring of blood pressure, cholesterol levels, and other health markers.
  • Education and Support: Participating in cardiac rehabilitation programs and support groups.

Prevention:

  • Healthy Eating: Following a heart-healthy diet low in saturated fats, trans fats, cholesterol, and sodium.
  • Regular Physical Activity: Engaging in at least 150 minutes of moderate exercise per week.
  • Weight Management: Maintaining a healthy weight through diet and exercise.
  • No Smoking: Avoiding smoking and secondhand smoke.
  • Managing Health Conditions: Keeping blood pressure, cholesterol, and diabetes under control.
  • Regular Health Check-Ups: Early detection and management of heart disease risk factors.
  • Stress Management: Practicing stress-reducing activities such as yoga, meditation, or hobbies.
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