Coronary Artery Disease

There are different types of heart disease but the most common is coronary artery disease (CDC, 2017). Other related heart disease conditions are arrythmia, atrial fibrillation, cardiomyopathy, heart failure, rheumatic heart disease, angina (Papadakis & McPHEE, 2018). The clinical description of heart disease varies depending on the type of heart related disease. The clinical descriptive symptoms of heart disease are dyspnea, syncope, chest pain, peripheral edema, palpitation, fatigue, heart murmur, ASCVD risk > 7.5% (Papadakis & McPHEE, 2018). Additional clinical manifestations are abnormal EKG (ST elevation and depressed T wave), systolic ejection fraction (-- removed HTML --) 50%, anorexia, orthopnea, increased jugular vein distention, …show more content…
In addition, with the help of implementing public health surveillance, it allows public health clinicians to monitor pattern of disease occurrence and potential in a community. The health information data collected will guide public health decision making and guide health action. The determinants of cardiovascular heart disease are uncontrolled hypertension, hypercholesterolemia, obesity, sedentary lifestyles, smoking poor diet and family history of heart disease. A research was conducted by Nahhas, Daguise, Ortaglia, & Merchant on “Determinants of major cardiovascular risk factors among participants of the South Carolina wisewoman program, 2009-2012,” the result revealed that a) the prevalence of risk factors was 34.7% for uncontrolled hypertension, 9.3% for hypercholesterolemia, and 21% for diabetes, (b) prevalence of untreated hypertension was 15.6%; hypercholesterolemia, 8%; and diabetes, 4% (Nahhas, Daquise, Ortaglia, Merchant, 2012). The greatest significant predictor of hypercholesterolemia was hypertension (PR = 4.37) and vice versa (PR = 2.39) and greatest significant predictors of diabetes were obesity (PR = 2.23), family history of diabetes (PR = 2.02), and hypercholesterolemia (PR = 1.85). Being obese (PR = 1.36), overweight (PR = 1.23), aged 60 …show more content…
Which indicated that socioeconomically disadvantaged community have a greater exposure to cardiovascular risk factors such as smoking, increasing incidence of heart disease risk factors, poor working and living conditions, stress, poor education, and reduced access to health care and health education. Examples of socio-economical determinants are, vailability of resources to meet daily needs, such as educational and job opportunities, living wages, or healthful foods, social norms and attitudes, such as discrimination, exposure to crime, violence, and social disorder, such as the presence of trash, social support and social interactions, exposure to mass media and emerging technologies, such as the Internet or cell phones, socioeconomic conditions, such as concentrated poverty, quality schools, transportation options, public safety, and residential segregation (Healthy people 2020,

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