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Cardiovascular
System
By: Jackie Ferretti and Najlaa Almohmadi
Agenda
Introduction
Case study
Objectives
Understanding the anatomy and physiology of the
cardiovascular system
Identify the causes, symptoms and nutritional
Introduction
Hypertension
Atherosclerosis
Heart Failure
Transplant
Thermoregulation
Hormone transport
Gas exchange
Regulation of pH
https://books.google.com/books?
id=5TJBBAAAQBAJ&pg=PT326&lpg=PT326&dq=Nelms+Figure+13.1&source=bl&ots
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The Heart
Arteries
Capillaries
Veins
Depolarization is carried
from the atria to the
ventricles through the AV
node and carried into
ventricles
https://books.google.com/books?id=B25GEf4Vz1AC&pg=PT326&lpg=PT326&dq=Sherwood
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http://empatheticmedic.blogspot.com
Cardiac cycle
Systole (contraction)
Diastole (relaxation)
Renin-angiotensin system
Renal function
http://image.slidesharecdn.com/hypertensionpart1-141101233058-conversion-gate02/95/all-about-hypertension-for-omfsurgeons-part-1-15-638.jpg?cb=1414885017
https://books.google.com/books?
id=5TJBBAAAQBAJ&pg=PT327&lpg=PT327&dq=Nelms+figure+13.4&source=bl&ots=uY3uSe4LdY&sig=TGsMuF8IMibkrii5D9LCHGl64xM&hl=en&sa=X&ved=0CB8Q6AEwAGo
Hypertension
140/80 or 120/90
Silent killer
Increases the risk for congestive heart failure,
kidney failure, myocardial infarction, stroke,
aneurysms, and vision problems
Hypertension
Etiology
Primary or essential
Secondary
Inflammatory response
Hypertension
Pathophysiology
Hypertension
Treatment
Treat through
Medication classes
Loop diuretics
Thiazides
Nutrition Diagnosis
Overweight/obesity (NC-3.3)
Weight loss
Decrease sodium
Atherosclerosis
presence of plaque
Atherosclerosis
Etiology
Family history
Obesity
Dypslipidemia
Hypertension
Physical inactivity
Atherogenic diet
Diabetes mellitus
Cigarette smoking
Atherosclerosis
Pathophysiology
Inflammation response
Attracts platelets
Continued migration of
cells to that area
Proliferation of plaque
https://books.google.com/books?
id=5TJBBAAAQBAJ&pg=PT339&lpg=PT339&dq=Nelms+figure+13.7&source=bl&ots
=uY3uSe6K9S&sig=47p28MAwDna0lfL_Cu5cY_neG9c&hl=en&sa=X&ved=0CCUQ6A
EwAWoVChMIr7Dl-ePtxwIVi3E-Ch3sNAn0#v=onepage&q=Nelms%20figure
%2013.7&f=false
Atherosclerosis
Clinical manifestations
Asymptomatic
Medical Treatment
Medical Procedures
Laser Angioplasty
Nutrition Assessment
Nutrition Diagnosis
Nutrition Intervention
Weight loss
Physical activity
Total dietary fat
Saturated fat and cholesterol
Trans fatty acids
Monounsaturated fat
oxygen)
Occlusion caused by atherosclerosis
Angina (chest pain)
Etiology
Pathophysiology
Sudden blockage
Hemorrhage
Arterial Spasm
Pathophysiology
Tachycardia
Heart failure
Intracardial thrombi
Pericarditis
Cardiac rupture
Ventricular aneurysm
Clinical Manifestations
Stable angina
Rythmic abnormalities
Medical Diagnosis
Non-invasive tests
Imaging
Nutrition Intervention
Post MI
Definition
Pathophysiology
Treadmill test
Major risk for amputation
Heart Failure
Definition
End-Stage CVD
Heart Failure
Etiology/Pathophysiology
Progressive disease
Heart Failure
Clinical Manifestations
Cardiac edema
Cardiac cachexia
Heart Failure
Treatment
Early satiety
Drug/nutrient interactions
Nutrition Intervention
Drug-nutrient interactions
Case Study
GG is a 49-year-old African-American male
Case Study
1. What are the criteria for diagnosis with Stage
Case Study
2. What complications would result from
untreated HNT?
Congestive heart failure can result from
Case Study
3. What are the mechanisms through which
Case Study
4. Assess the clients usual intake using
Case Study
5. Evaluate the patients weight history. Is this a
Case Study
Case Study
= 66.5+ 1542.84+940-333.2
=2216.32 kcal
He has sedentary = REE x 1.2
Case Study
The patient needs to lose weight by subtracting 500 kcal from his
caloric needs. In the meantime GG needs to increase his physical
activity. Since sodium has a negative impact on blood pressure
causing it to increase, GG needs to reduce his sodium intake by
1000 mg/day or follow DASH diet which would provide him with
less than 2400 mg/ day.
Case Study
For this patient there are three pieces of data that should be
collected and monitored: Weight, dietary intake, dash diet, and
blood pressure.