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Ischemic Heart Disease. Alternative Names; Coronary Heart Disease (CAD) Arteriosclerotic Heart Disease (AHD) Jonas Vegsundvaag. Epidemiology. Ischemia occur when the oxygen and metabolic demands are not met. Khouri, 1965. Several Causes; Atherosclerosis Thrombosis Emboli.

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ischemic heart disease

Ischemic HeartDisease

Alternative Names;

Coronary Heart Disease (CAD)

Arteriosclerotic Heart Disease (AHD)

Jonas Vegsundvaag

slide4

Several Causes;

Atherosclerosis

Thrombosis

Emboli

risk factors
Risk Factors
  • Age and Gender
  • Type of Diet (Esp. Saturated Fatty Acids)
  • Smoking
  • Previous Heart Attack and Strokes
  • Hereditary Risk Factors
  • Stress, Type A Personality
  • Temperature
slide6

Left ventricle

Right ventricle

Mitral valve

Tricuspidal valve

Left atrium

Right atrium

slide7

Parasternal cross-section

of the heart

RV

LV

Normal situation

Stimulated heart (dobutamin (β1))

↑ inotropy, ↑ heart rate

slide8

Dobutamin-stressecho,

parasternal cross-section

At rest

Myocardial

infaction

area with

scar

Dilated

left ventr.

Ischemic stimulation: reduced contraction of

viable myocardium and cavity dilatation

Sub-ischemic stimulation: increased contrac-

tion of viable myocardium and reduced cavity

slide9

Pathophysiology; Clinical Consepts and Onset of Disease 6th Edition; Cardiovascular System Disorders; 466:470.

  • Price et Wilson
  • Department of Internal Medicine, Alesund Hospital, Alesund, Norway
  • http://www.heartstats.org/datapage.asp?id=5712
  • http://www.healthline.com/adamcontent/coronary-heart-disease
  • http://www.ssb.no/