Cardiovascular Disease (CVD) and Cancer Health Ed. 100 M. Collins, MPH

The Cardiovascular System

  Heart attacks and strokes are the most common life-threatening types of heart diseases 

Characteristics of the Heart Diagram:

 4 chambered pump (atria, ventricles)  Size of a fist  Weighs about 1 pound  Function - creates pressure to circulate blood throughout the body  Blood enters via the Vena Cava into the right atrium

Heart Beat Stimulation

 Signal sends impulses from the heart   

Risk Factors for Heart Disease That Can Be Changed

     

Contributing Risk Factors for Heart Disease That Can Be Changed

 High Triglyceride Levels   Chronic hostility and Anger   

Heart Disease Risk Factors for Students YOUR AGE  Percentage of persons aged 20 years and older with hypertension or taking hypertension medications=  Percentage of persons aged 20 years and older with high blood cholesterol =  Percentage of persons aged 20 years and older with physician–diagnosed diabetes=  Percentage of persons aged 20 years and older who are obese=  Percentage of adults aged 18 years and older who are current cigarette smokers (2003)=  Percentage of adults aged 18 years and older who engage in no leisure–time physical activity (2003)=

Major Risk Factors That Cannot Be Changed

   

Atherosclerosis

 Atheroschlerosis is a form of ______(hardening of the arteries)  Arteries become narrow due to ______buildup  This process deprives blood and vital oxygen to specific organs, such as the heart, brain, etc.  Results in the following:   

Hypertension

 Blood pressure exceeds a systolic (pressure at contraction) over ______mm/hg and/or a diastolic (pressure between contraction) over ______mm/hg  Symptoms – the “silent killer” (no symptoms)  Diagnosis – regular checks of resting blood pressure (average blood pressure < 120/80)  Treatment – medication, exercise, dietary changes)  A cause of heart attacks, strokes, and kidney disease What Does High Blood Pressure Really Mean?  Oxygenated blood is pumped to the body in blood vessels called ARTERIES  Deoxygenated blood is carried back to the heart in VEINS  The pressure on the walls of the ARTERIES is measured in blood pressure  Measured as Systolic/Diastolic (125/83)  Systolic=  Diastolic=

Heart Attack

 Damage to vessels of the coronary artery  Principal cause –  Myocardial infarction: heart attack  Caused by a coronary thrombosis  When the need for oxygen exceeds the supply, the result is chest pain called angina pectoris Recognizing and Treating a Heart Attack

 Symptoms –

 Diagnosis – ECG, angiogram, MRI  Surgical Treatment – bypass, angioplasty, heart transplant  Non-surgical Treatment- platelet inhibitors, aspirin, alcohol  Most die within 2 hours from time of first symptoms.  CALL 911!! DON’T WAIT!!!  CPR- 15 chest compressions + 2 breaths

Stroke (Cerebrovascular Accident)

  Types –ischemic strokes (blockage), hemorrhagic strokes (ruptures)  Diagnosis – CT scan, MRI  Treatment – clot dissolving drug therapy  High blood pressure leads to ruptures

Congestive Heart Failure

 Swollen heart due to the lack of strength known as Pulmonary edema  Causes – various causes from other illnesses to damaging heart to existing injury to the heart  Treatment – drugs, modified lifestyle  Pooling and swelling of the ankles and feet  Your grandparents may have congestive heart failure

Other Forms of Heart Disease  Congenital Heart Disease-malformation of the large blood vessels near the heart- FROM BIRTH  Peripheral Artery Disease- diseases of the arteries close to the heart and brai  Heart Valve Disorders- examples

Protecting Yourself against Cardiovascular Disease

  Decrease Fat and Cholesterol Intake    Decrease Sodium and increase Potassium Intake   DASH (Dietary Approaches to Stop Hypertension)   Know and manage your Blood Pressure 

Cancer Cells  Most cancers take the form of tumors: a mass of tissues that serve no physiological purpose  Benign:

 Malignant:

 2006 Estimated US Cancer Deaths*

How Cancer Spreads: Metastasis

 Metastasis is the spreading of cancer cells which occurs due to the lack of cellular cohesiveness  They break away and pass through the lining of lymph or blood vessels to invade nearby tissues  These new tumors are called secondary tumors or metastases

Types of Cancer

 Carcinomas –

 Sarcomas – 1% of all cancers  Lymphomas –

 Leukemia –

Lifetime Probability of Developing Cancer, by Site, Men, 2000-2002* Lifetime Probability of Developing Cancer, by Site, Women, US, 2000-2002* The Incidence of Cancer

 Each year, ______people in the United States are diagnosed with cancer  Cancer death rates have dropped more than _____since 1990  The American Cancer Society believes that thousands of cases of colon, breast, and uterine cancer could be prevented by lifestyle changes

Lung Cancer

 Risk Factors:  Prevention:  Treatment: Surgery, Radiation, Chemotherapy, Medications

Colon and Rectal Cancer

 Considered the second leading cause of cancer deaths (could arise from pre- existing polyps)  Risk Factors:  Detection and Treatment: Removal of polyps, Yearly stool blood test, Sigmoidoscopy/colonoscopy, Surgery

Breast Cancer

 Most common cancer in Women  Risk factors

 Prevention:

 Treatment: Lumpectomy, Drug therapy, Chemotherapy/radiation treatments

Testicular Cancer

 Risk factors: Family history, environmental factors  Most prevalent in men age ______ Prevention: Self exams  Early Detection: Observations and self exams  Treatment: Surgery, chemotherapy, radiation

Prostate Cancer

  Risk factors:  Prevention:  Early Detection: PSA screenings, ultrasound rectal exam  Treatment: Surgery, radiation, implantation of radioactive seeds

Cervical Cancer

 Risk factors:  Prevention:  Treatment: Surgery (minor or major), Radiation/chemotherapy

Uterine Cancer

 Risk Factors: Early menopause, late menopause, lack of ovulation, never having given birth, use of tamoxifen, and also in diabetics, obese, and hypertensive women  Prevention: Minimize high levels of estrogen and regular physician care  Treatment: Surgery, radiation, chemotherapy, hormone treatment

Ovarian Cancer

 Prevention: Similar to what is recommended for breast cancer, Prophylactic oophorectomy  Early Detection:  Treatment: Surgery, Chemotherapy, Drug therapy

Skin Cancer

 Considered the most common cancer of all  Risk factors:

 Prevention:  Early Detection:  Treatment: Surgery, chemotherapy, interleukin-2

The Causes of Cancer  The Role of DNA Role of inheritance of certain genes DNA mutations such as oncogenes Cancer promoters  Dietary Factors Dietary Fat and Meat Alcohol Fiber intake Fruits and Vegetables  Inactivity and Obesity  Microbes  Carcinogens in the Environment Ingested chemicals Industrial pollution Radiation

Detecting Cancer: Identify the 7 warning signs of cancer

 C=  A=  U=  T=  I=  O=  N=

Diagnosing Cancer

  Exploratory surgery or a biopsy may be performed to identify a cancer’s stage or the following:    Ultrasonography have been used to view tumors and is considered completely safe 