Heart Disease and Atherosclerosis

Definition:

Artheriosklerosis: lesions in large arteries and cholesterol points marked yellowish substance resembling lipoid or fats in the arterial intima.

Coronary heart disease (including fatty streak, fibrous plaque) is the lining of coronary atherosclerosis in the intima and tunica media is sometimes characterized by three types of injury:

Fatty streak, namely voice, describing the structure of the lesion is less yellow in the smooth muscle cells that contain and are surrounded by fat.

Fibrous plaque, which is a typical white lesions with fatty liver, smooth muscle cells surrounded by lipid, proteoglycans collagen and elastic fibers, which act as a cover extracellular deposits of fat and cell debris on the bottom.

Complications in the wound, ie, changes in the fibrous plaque hemorrhage, thrombosis and necrosis of the cells that contain calcification.

Risk Factors: The digumnakan term signs are found in healthy people who have anything to do with coronary artery disease are described.

Basic:

In the U.S., cardiovascular mortality is the number one killer today. Indonesia began to appear in the class of people.

The prevalence of atherosclerosis and Antherosklerosis will increase with increasing human longevity. This condition is caused by high cholesterol, which lasted long.

Levels of HDL (high density lipoprotein) to prevent high blood pressure / reduce the risk of heart attacks, early evidence suggests that atherosclerosis occurs can be reduced:

1.Time "turn-over" Cholesterol is very slow (442-934 days) Cholesterol in the area of ​​atherosclerotic changes are very slow

2.Though in the plasma, at least partial regression of sclerotic lesions may appear.

3. Enhancement HDL levels can lead to regression.Confirmation is necessary for the regression

4.Still TSB. Patients clearly suffer from coronary heart disease.

Risk factors and good food with a small or large way for the development of atherosclerosis Kardivaskuler involved:

1.Serum cholesterol is a major risk. Even within the limits of normal levels of cholesterol, a higher level, the greater the risk.

Second heart attack or myocardial

2.Although repeatedly can not be avoided with a Decrease incholesterol levels, if at all someone had a heart attack, has tried to lower plasma levels of LDL cholesterol.

3.The increased a risk of heart disease associated with hypercholesterolemia is exacerbated by the involvement of arterial hypertension, smoking or diabetes.

Obesity, risk factors were (on average) or less.

Obesity is often associated with risk factors namely, diabetes mellitus, hypertension and increased AktivitasFisik cholesterol, triglycerides and uric acid in the blood.

Diabetes and glucose intolerance.

In Western countries, people who suffer from diabetes heart disease three times, while women with heart disease diabetes diabetes 5.6 times that do not. Although patients with DM, especially occlusive peripheral vascular predisposition, but never reported myocardial injury in patients with DM.

Triglycerides. Triglycerides increase the risk of weaker than hypercholesterolemia.

Because the risk of coronary heart disease in men more than women hypertriglyceridemia.

DIIT factors:

-In the initial study showed that in animals, dietary fiber derived from alfalfa can reduce serum cholesterol levels, whereas in humans is unclear.

Sugar Sand suspect a potential risk for cardiovascular disease

-Café. There is no evidence that coffee is the occurrence of myocardial infarction to close, but patients with a propensity for premature cardiac contraction should limit coffee

-Alcohol. There is strong evidence that alcohol itself causes of cardiovascular disease, but other factors such as hyperlipidemia. But alcohol can cause cardiomyopathy and cardiac arrhythmias.

-Minerals: Lack of calcium and magnesium, calcium and magnesium have been associated with the cause of sudden death from heart disease and cardiovascular causes.

Reported that deaths from cardiovascular disease in this country is rich in selenium, cadmium, chromium and lead is a trace element that is being investigated for CHD penyabab possible. Shortage of silicon, can be a cause of coronary heart disease.

-Vitamins

Vitamin E: No conclusion about the role of vitamin E can prevent heart disease.

Vita Mind: Too much vitamin D can increase blood cholesterol levels and increase the incidence of myocardial infarction.

CHD management Diitetik:

Depending on the causes / risk factors:

1.Hiperlepidemia - See hyperlipoproteinemia Feature

2.Obesitas - low energy diet

3.Diabetes Mellitus - DIIT DM

4.Perhatikan other risk factors: smoking, hypertension, physical activity, etc.