ASCVD

  • Condition affecting the heart and blood vessels due to atherosclerosis:

    • Coronary artery disease (e.g. IHD, MI)
    • Cerebrovascular disease (e.g. stroke)
    • Diseases of the aorta and arteries (e.g. peripheral vascular disease)
  • CVDs are the leading causes of death and disability in the world.

  • 17.9 million people die each year from CVDs, an estimated 31% of all deaths worldwide.

  • Although a large proportion of the disease is preventable, they continue to rise mainly because preventive measures are inadequate.

Acute coronary syndrome Hx of myocardial infarction Stable or unstable angina Stroke or TIA Peripheral artery disease

What are the ASCVD Risk Factors?

  • Modifiable risk factors (Behavioral):

    1. Smoking
    2. Physical inactivity
    3. Unhealthy diet (rich in salt, fat, and calories)
    4. Harmful use of alcohol.
  • Modifiable risk factors (Metabolic): 5. HTN 6. DM (Risk equivalent) 7. Dyslipidemia (LDL – Major risk factor ASCVD) 8. Overweight and obesity.

  • Non-modifiable risk factors:

    1. Advancing age
    2. Gender
    3. Inherited (genetic) disposition

Primary prevention of ASCVD: Follow a healthy lifestyle anf control modifiable risk factors.

  1. Control DM: https://care.diabetesjournals.org/content/43/Supplement_1/S111#sec-23 (ADA Guidelines 2020)
  2. Control High BP:https://www.ahajournals.org/doi/epub/10.1161/HYPERTENSIONAHA.120.15026 (Hypertension, 2020)
  3. Tobacco treatments: https://www.aafp.org/afp/2012/0315/p591.html ( AAFP)
  4. Obesity and weight loss: https://www.cmaj.ca/content/192/31/E875 (CMAJ 2020)
  5. Control Dyslipdemia: Today’s Lecture, Enjoy !