ANGINA

1. 1.SOB 2.PALLOR 3.NAUSEA 4.CRAMING 5.HEART BURN 6.GEN.WEAKNESS 7.DIAPHORESIS

2. RISK FACTORS:- 1.FAMILY HISTORY 2.SMOKING 3.DM 4.OBESITY 5.SEDENTARY LIFESTYLE

3. CAUSES:- 1.ATHEROSCLEROSIS 2.DISSECTING ANEURYSM 3.CORONARY ARTERY SPASM 4.INFECTIOUS VASCULITIS

4. SIGNS & SYMPTOMS

5. DIAGNOSIS:- 1.ECG 2.ECO 3.CORONRY ANGIOGRAPHY 4.EXERCISE TESTING

6. SURGERY 1.ANGIOPLASTY 2.ATHERECTOMY 3.CORONARY ARTERY BYPASS GRAFT

7. OCCURS AFTER 40 YRS

8. MEN 8 TIMES MORE SUSCEPTIBLE THAN PREMENOPAUSAL WOMEN

9. PATHOPHSIOLOGHY 1.INCREASE BLOOD LEVEL OF LDL IRRITATE OR DAMA GE INNER LAYER OF CORONRY VESSELS 2.LDL,ENTERS VESSELE AFTER DAMAGING PROTECTIVE BARRI R ,ACCUMULATES &FORM A FATTY STREAK 3.SMOOH BLOOD CELL MOVE TO THE INNER LAYER TO ENGULF FATTY SUBSTANCE 4.FIBROSIS PLAQUE ,CAD LESION 5.OXYGEN DEPRIVATION AEROBIC ACCUMLATION LACTIC ACID & REDUCE CELLER PH 5.HYPOXIA ,REDUCE ENERGY AVAILABILITY ,ACIDOSI,IMPAIRS LEFT VENTRICULAR FUNCTION 6.CHEST PAIN OR TIGHNESS THAT OCCURE WHEN THE BLOOD OXYGEN SUPPLY TO AN AREA OF THE HEART MUSLE DON’T MEET THE NEED OR DEMAND OF THE WORK ITS DOING PUMPING BLOOD AROUND THE BODY

10. TREATMENT

10.1. MEDS 1.ASPIRIN 2.NITRATES 3.B-BLOCKER

10.2. STRESS REDUCTION

10.3. SMOKING CESSATION

10.4. LOW FAT,LOW SODIUM DIET