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Created with Fabric.js 1.4.5 Loss of territories - productive land,industries and raw resources Disease Occurence: Unstable Angina Fixed Risk Factors Modifiable Risk Factors When? Who? Where And How Much? Mortality/Disabilty/Morbidity Gender: male are more prone than female Family history of early coronary diseasesFamilial hypercholesterolemiaOlder ageHigh LDL cholesterol Not getting enough exerciseObesitySmokingHigh blood pressure Chest pain during shortness of breath Chest pain occur with a drop of blood pressureChest pain last longer than 15-20 minutes Chest pain at restPain is more severe and comes more often High blood pressure(hypertension)High LDL cholesterolLow LDL cholesterolLack of exerciseExcessive central fatSmoking Old peopleFamily history of coronary heart diseasesDiabetic patients CVD is one of the leading cause of death and disability in the world.Unstable angina is one of major components of ACSo Has a large impact on morbidity and mortalityAccording to WHO:o CVD causes 30% of deaths worldwideo Of which 43.3% are due to MI.WHO estimates that deaths due to CHD in the next 20 years:o Will increase by 120% in femaleso Will increase by 137% in malesACS more prevalent in elderly peopleAHA mortality report:o 82% over age of 65 die of CHD5 year study in Taiwan (97220 inpatients with new onset ACS):o ACS increased with agePeak incidence:Males= 9/1000Females= 8/1000o Patients who developed MI ranged from:52.5% in the age of 65-69 to 65.6% for those aged >85o Prevalence of shock ranging from:3.0% for <55 years to 10.2% for >85 yearsMost common Co-morbidities:o 1. Hypertensiono 2. Diabetes mellitus The table shows the probability of you having coronary artery disease if you are already showing symptoms. The table has been categorised according to age, gender and symptom classification, modified by exercise test results. Total of 642 South African patients615 had ACS41% STEMI diagnosis59% non-STE ACS diagnosis:32% non STEMI27% unstable angina Cardiovascular disease(CVD), Acute Coronary Syndrome(ACS), World Health Organisation(WHO), American Heart Association(AHA), Coronary Heart Disease(CHD), Myocardial Infarction(MI), ST-segment elevated Myocardial Infarction, Low Density lipoprotein Descriptive Epidermiology
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