KNES260 Paper Assignment #1- The 10 Year Risk for Cardiovascular Disease
By: Kristine Albanes
Using the Framingham risk equation I was able to calculate the ten year risk of developing heart disease for myself, an older relative (my mother), and a case study whom we will call Danny. I first inserted my data into the equation (SBP of 115, DBP of 70, non-smoker, total cholesterol of 160, HDL-cholesterol of 50, age of 20, and no diabetes) and with that I calculated my ten year risk of 0.036%, approximately 0.04%. Next, I followed the same steps with my mother’s information (SBP of 118, DBP of 75, non-smoker, total cholesterol of 185, HDL-cholesterol of 55, age of 59, and no diabetes) and the result showed her 10 year risk was 7.3689%, approximately
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The Framingham study and others that followed showed us that HDL-cholesterol is an independent cardiovascular risk factor and that the increase of HDL-cholesterol of only 10 mg/dL leads to a risk reduction of 2-3% (PubMed.gov, Nov. 2012). Higher levels of HDL cholesterol result in a risk of cardiovascular disease closer to the default risk. Cardiovascular disease risk increases then plateaus with greater ratios between total cholesterol and HDL cholesterol. Thus, higher levels of HDL cholesterol proportionate to levels of total cholesterol relate to lower cardiovascular disease risk (Lecture #3). Having a HDL-cholesterol of 60 mg/dL and above is the best place for a person to be. A bit lower, but considered a good HDL-cholesterol level standing is 40-49 mg/dL for men and 50-59 mg/dL for women. All three of us, me, my mother, and the case study Danny are in good standing regarding HDL-cholesterol levels, my mother with 55 mg/dL, me with 50 mg/dL, and Danny with 40 …show more content…
However, because Danny does have diabetes, his health is in a poorer state and his risk for developing cardiovascular disease is increased. Diabetes is defined as having a fasting plasma glucose value of 7.0 mmol/l (126 mg/dl) or higher. Every year, diabetes claims many lives; for example, in 2008, diabetes was responsible for 1.3 million deaths all across the world (World Heart Federation, N.p., n.d). When looking at cardiovascular disease with diabetes, data shows that of all diabetics who die, 60% of them die as a result of cardiovascular disease (World Heart Federation, N.p., n.d). Cardiovascular risk increases with raised glucose values. The risk of cardiovascular events is from two to three times higher in people with type 1 or type 2 diabetes and the risk is disproportionately higher in women (World Heart Federation, N.p., n.d). From this we can infer that if my mother or I did have diabetes, it would be likely that that would increase our risk to a greater degree compared to Danny’s risk, because he is a male. Cardiovascular risk increases with raised glucose values. In addition, within certain age groups, people with diabetes have a two-fold increase in the risk of stroke. Patients with diabetes also have a poorer prognosis after cardiovascular events compared to people without diabetes. Primary care access to measurement of blood glucose and cardiovascular risk assessment as well as
Throughout the whole of the United Kingdom, between 2 and 3 of every 100 people have a
Diabetes is a disease where the body is unable to produce or use insulin effectively. Insulin is needed for proper storage and use of carbohydrates. Without it, blood sugar levels can become too high or too low, resulting in a diabetic emergency. It affects about 7.8% of the population. The incidence of diabetes is known to increase with age. It’s the leading cause of end-stage renal disease in the US, and is the primary cause of blindness and foot and leg amputation. It is known to cause neuropathy in up to 70% of diabetic patients. Individuals with diabetes are twice as likely to develop cardiovascular disease. There are two types of diabetes: Type 1 and Type 2.
A higher level of fats in the body puts the patient at higher risk for Cardiovascular diseases(CAD). The patient's' family has a history of CAD. Her mom and one of her sister have CAD (Lewis et al., 2014, pp. 733-734). The patient states that she has been taking her meds for cholesterol atorvastatin regularly. Her lipase level was 8272 on 11/11/16 and 2829 on 11/12/16 U/L 1069 on 11/13/16 (Ref range 73-393 U/L). Her HDL cholesterol level was 21 ( ref range>49 mg/dl), LDL Cholesterol level 148 ( ref range: <130 mg/dL). Patient statin drug was on hold because it is contradicted on the patient with an elevated level of ALT 80, 61(Ref range 0-50 U/L) and AST 61 on 11/12/16 and 64 on 11/13/16 (ref range 0-45 U/L). The uncontrolled level of could be the cause of concern for stroke or acute myocardial
The American Diabetes Association (2004) defines diabetes as a subset of metabolic diseases associated with hyperglycemia secondary to insulin failing to release, act, or both. Complications related to chronic diabetes can be detrimental to one’s health including but not limited to: heart disease, stroke, kidney disease, amputations, blindness, and other optical diseases. Furthermore, the prevalence of diabetes is rising at an astronomical rate within the United States as well as internationally. According to the Center for Disease Control and Prevention (CDC) (2016) an estimated 29 million people suffer with diabetes and 86 million are prediabetic within the United States (US). Without major interventions from the healthcare community,
According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).
Diabetes mellitus (DM) is a pandemic that affects millions of people. The growth rate of unrecognized pre-diabetes in America is expected to rise up to 52% by 2020 (Lorenzo, 2013). As the prevalence of diabetes increases, so will the complications and burden of the disease. One of the leading causes for cardiovascular disease, renal failure, nontraumatic lower limb amputations, stroke, and new cases of blindness is DM (Lorenzo, 2013).
Uncontrolled diabetes can affect nearly every organ of the body; of which, heart disease and kidney failure are most commonly impacted. Known as diabetes mellitus, a collective term for various blood abnormalities, the term diabetes refers to either a scarcity of insulin in the body or the body’s inability to accept insulin. Though the symptoms of diabetes are manageable, many are unaware as to having it. According to the CDC report “2011 Diabetes Fact Sheet,” approximately 6 million people in the United States have undiagnosed diabetes. Undetected, diabetes can become deadly. In a recent World Health Organization report “Diabetes Action Now: An Initiative of the World Health Organization and the International Diabetes Federation,” it
There were three primary goals that this particular project set out to achieve. First was to ensure all parents and guardians had access to K12, MPS websites and enrollment information, including LEP families. When this project was initiated no K12 MPS, or the national K12 sites had a way for LEP parents to access information in their primary language or contact information on how to obtain an interpreter. At the conclusion of the 2015/2016 academic year, 100% of K12 MPS’s have information on their websites on the process and phone number to obtain an interpreter.
Good evening Mr. Brown your test results came in and we found out that your Triglycerides are 145 mg/dL, Cholesterol 210 mg/dL, HDL 33 mg/dL, and LDL 160 mg/dL. Normal triglycerides means there are less than 150 milligrams per deciliter (mg/dL) which you do have which is great. A desirable level of cholesterol would be Below 200 mg/dL, and borderline high would be 200-239 mg/dL so because your cholesterol level is 210 mg/dL you are at borderline high. Ideal LDL level for people at very high risk of heart disease would be below 70 and a high level would be 160-189 mg/dL your LDL level is 160 mg/dL therefore it’s high. The best HDL
High cholesterol is one of the most common diseases that occur in today's society. According to Centers for Disease Control and Prevention, 71 million American adults have high LDL "bad" cholesterol. When cholesterol levels are normal, they normally do not harm the body since cholesterol can be beneficial to the body. However, if excess amounts of cholesterol are in the body, it can become a threat. "Cholesterol is a waxy substance that plays an important role in building cell membranes and sex hormones" (Overview). The certain types of food you consume on a daily basis may affect the cholesterol levels in your blood. There are two types of cholesterol, which is your HDL (high density lipoprotein), "good", cholesterol, and your LDL (low density lipoprotein), which are the "bad" cholesterol. It is critical that an individual maintains his or her cholesterol levels because he or she can increase their risk of cardiovascular disease. LDLs are known to carry cholesterol into your arteries and clog them, which can cause strokes and heart attacks. On the other hand, HDL, help eliminate cholesterol from the arterial vessels and transport it to the liver, which is then defecated with body waste. According to Sroda, an individual's total cholesterol should be less than 200, LDL levels should be less than 130,
Diabetes is a condition that affected nearly one hundred and fifteen millions Americans in 2012 ("Statistics About Diabetes"). A big number of the individuals is being affected, but it is frightening that diabetes awareness is not emphasized as greatly as other conditions. Diabetes is the increase in blood sugar, which can lead to heart disease. Heart disease is still as of today, the leading cause of death in the United States of America, so diabetes should be taken seriously. Although there is no cure as of today, there are a lot of steps that can be taken in order to maintain the condition.
“Diabetes causes 6 deaths every minute and one in 20 deaths in the world is due to the condition. Every year it is estimated that 3.2 million people in the world die due to the diabetes or its related causes.”
Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,
The article I chose for the patient I had in clinical is titled Heart in Diabetes: A microvascular disease. I chose it based on his diagnoses of type 2 diabetes mellitus, coronary artery disease, and his need for coronary artery bypass graft. The study looked at clinical trials for the “common soil hypothesis in diabetes complications” and how diabetes is associated with cardiovascular disease and death. It confirmed that the risk of macrovascular disease, but especially coronary artery disease, is increased two-four times in diabetic patients. The article also said that while there are many other factors in the risk for death from cardiovascular disease, the effects that diabetes has on the microvascular system has a substantially higher detrimental
Diabetes is a major problem in our society today. Many people have heard about the disease; however, they do not know too much about its complications. Diabetes is a chronic, progressive and lifelong condition that affects the body’s ability to use the energy found in food (WebMD, 2016). Many new cases are confirmed every year and unfortunately, many go undiagnosed for years. Diabetes is a serious disease and need to be taking seriously. The disease can lead to many other health problems such as blindness, nerve damage and kidney diseases. The more the community understand and made aware of the seriousness of the disease, the better it can be control and or prevented.