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30 Cards in this Set

  • Front
  • Back

What are the cardiovascular system main functions?

Delivery- oxygen and nutrients


Removal- CO2 and metabolic wastes


Transport- hormones


Maintenance- body temp, fluid level and pH


Prevention- infection

Define Cardiovascular disease (CVD)

disease of the heart and blood vessels
Stats-
affects 40% of people > 55
costs- 3.9 billion annually

Define coronary artery disease (CAD), Coronary heart disease (CHD) and Ischemic heart disease (IHD)

disease obstructing blood supply, oxygen and nutrients from one or more arteries that supply the heart, usually due to atherosclerosis

Define Myocardial infarction (MI)

obstruction in the coronary artery that last long enough to cause tissue death in the area of the heart

Define Chronic Heart Failure

inability of the heart to pump enough blood required to meet the body's metabolic needs
Stats- 1.3-3% Australians

Define Peripheral Vascular Disease (PVD), Peripheral Arterial Disease (PAD)

reduced blood flow to a body part other than the brain or heart

Define Stroke

The sudden death of brain cells due to lack of oxygen, caused by blockage of blood flow or rupture of an artery to the brain.


Stats-


prevalence increases w age


65-74- 8%M 5.3%F
75-84- 15%M 11.4%F
85+ 15%M 17%F

What is the leading cause of death?

Cardiovascular disease (CVD) - 31%
Specifically-
Coronary Heart Disease (CHD) 49% CVD deaths
Stroke 18% of CVD deaths

What are the chain of events leading to cardiovascular mortality?

Risk Factors


Athlerosclerosis and CAD


IHD


Coronary thrombosis
Myocardial infarction


Loss of cardiac muscle


LV remodeling


LV dilation


Heart failure/death



What do Exercise Scientists specialise in?

design, implementation and evaluation of exercise and physical activity for healthy people

What do Exercise Physiologists specialise in?

Clinical exercise interventions for a broad range of pathological populations

What exercise intensity has a higher risk of cardiac arrest immediately post exercise?

High intensity (1 in 23 000 people)
Moderate intensity (1 in 130 000)

FACTS


The risk for MI within the 1st hour post heavy physical exertion is 6x higher compared to light exertion

FACTS


People with low levels of habitual PA are 56% more likely to have a cardiac arrest during or post vig/high intensity exercise.
This risk decreases to 5% amongst habitual exercisers.

Why do we prescreen an individual?

ID those with contraindications
ID those at risk or have CVD


Detect individuals that should undergo further evaluation.
Refer high risk individuals to a healthcare provider/AEP

What are the 3 aspects of Pre-exercise screening/assessments?

Medical History


Physical Examination


Laboratory tests

What is a risk factor?

An aspect of personal behaviour/ lifestyle/environment based on epidemiological evidence (BIG & LOTS of studies) that is known to be associated with health-related conditions.

What is the difference between Primary Prevention and Secondary prevention?

Primary Prevention- intervention prior to the onset of CVD




Secondary Prevention- intervention after the onset of CVD eg heart attack preventing another heart attack

ACSM Risk Stratification


Age


Family History

Age- Men >45 Women >55




Family Hx-


1st degree relative eg father, brother
Males <55


Females <65

ACSM Risk Stratification




Smoking


BMI


Waist Girth

Smoking Within 6months


BMI >30


Waist Girth Males >102 Females >88

ACSM Risk Stratification




Sedentary lifestyle

<150 mins mod intensity


-1 >150mins mod intensity

ACSM Risk Stratification




Blood Pressure

Resting SBP>140 and/or DBP >90
- confirmed by 2 separate measurements


OR


Current use of BP meds

What are the range of Normal BP and Stages 1-3 of Hypertension?

Systolic Diastolic
Optimal <120 <80


Normal 120-129 80-84


High Normal 130-139 85-89


HTN


Stage 1 140-159 90-99


Stage 2 160-179 100-109


Stage 3 >180 >110

ACSM Risk Stratification


Dyslipidemia

Total Cholesterol >5.2


LDL > 3.4


HDL <1.0


or on lipid lowering medication


-1 = HDL >1.55

ACSM Risk Stratification


Impaired fasting glucose

IFG > 5.5
measured on two separate occasions


Diagnosed with T2DM

What constitutes Low, Moderate and High Risk?

Low Risk <1 risk factors


Moderate Risk > 2 risk factors


High Risk 1 or more signs/symptoms or with known CV, pulmonary or metabolic disease including DM.

In general, most individuals except for those with known serious disease can begin exercise at what intensity without medical evaluation/exercise test?

Moderate intensity

What groups of people are more likely to develop CVD based on sitting time?

Overweight, older adults and unemployed.

A VO2peak of <___ is associated with an increase in mortality and is the criteria for heart transplantation.

<14mL/kg/min

FACT


There is a dose relationship between PA and reduced cardio-metabolic risk factors.
An increase in vo2 peak is linked to a decrease in mortality.

blank

What % HRMax is_____ intensity


Sedentary


Light


Moderate


Vigorous


High

Sedentary < 40%


Light 40-55%


Moderate 55-70%


Vigorous 70-90%


High 90%+