1. Trabalhamos pela vida Cholesterol? What is This? X

2. Trabalhamos pela vida What is Cholesterol? Cholesterol is a fat found only in animals Important for life: Structure Human Body (cells) for growth, reproduction & vit D But the excess in blood can be fatal!

3. Trabalhamos pela vida Where do we find the Cholesterol? Sources of Cholesterol Made in the body: primarily by the liver Food: Animal foods that have cholesterol: Red meat, butter, cheese, poultry skin Intestine

4. Trabalhamos pela vida LDL X HDL

5. Trabalhamos pela vida Good and bad cholesterol Water (blood) and fat (cholesterol) do not mix Cholesterol is transported in the blood to organs and lipoproteins by the liver LDL-C (bad cholesterol) at high levels can adhere to the wall of the arteries hindering the passage of blood and clog the arteries and cause atherosclerosis mainly in the heart HDL-C (good) cholesterol is the cholesterol that helps remove LDL cholesterol from the body.

6. Trabalhamos pela vida Cholesterol - Silent Enemy Normally the High Cholesterol? Causes no symptoms in most? Persons. High cholesterol levels for? Long resulting in atherosclerosis? Disease (arteries) leading to? Infarction and stroke. In some people high cholesterol produces some signals called xanthomas and xanthelasma.

7. Trabalhamos pela vida TriglicéridesTriglicérides Are an important energy reserve of the body. Are fats in the blood that rise after eating fatty foods. Their increased levels are also harmful and with LDL-C increase, the risk of coronary heart disease.

8. Trabalhamos pela vida Leading causes of death worldwide +

9. Trabalhamos pela vida What is Atherosclerosis? It is the deposit of fat in artery walls, which over time leads to the formation of a plate which hinders the passage of blood, may lead to a blockage in place. This blockage leads to a decrease in blood flow to organs with serious consequences for the heart and the brain.

10. Trabalhamos pela vida Consequences of Atherosclerosis Heart: Angina: Chest pain due to lack of blood and oxygen Infarction: Death of a piece of the heart muscle, a complete lack of circulation and oxygenation on site Brain: Stroke or ischemic stroke: Death of part of the fabric or complete lack of brain circulation and oxygenation in place. Stroke or hemorrhagic stroke: In the place where the atherosclerotic plaque rupture may occur in cerebral vessel, causing the interruption of blood flow and brain tissues leading to death.

11. Trabalhamos pela vida Atherosclerosis is a disease that has many causes and begins in childhood Atherosclerosis begins in childhood and often will manifest after age of 55 in men and 65 in women, however, may begin before! LDL (bad cholesterol high) HDL (good cholesterol low) Older sedentary smoke high pressure diabetes obesity Factors that assist in development of atherosclerosis

12. Trabalhamos pela vida The sum of the risk factors multiply the risk of Coronary Heart Disease 200 Incidence of CHD per 1000 people 160 120 80 60 0 USA - 1984 Risk Factors: - Smoke - High Cholesterol - Hypertension noa factortwo factorsAll? Three factors 6 X more

13. Trabalhamos pela vida Why control factors? Risk? Controlling Cholesterol = - 33% risk of heart attack - 25% risk of death - 20% risk of stroke. Control blood pressure = -15% risk of heart attack - 42% stroke risk Quitting smoking = - 50% risk of heart attack - 70% risk of death. Losing weight and exercising = - 25% risk of diabetes Important: who has diabetes presents a risk about 4 times more likely to die of cardiovascular diseases.

14. Trabalhamos pela vida Progression and Impact of Cardiovascular Disease Angina myocardial infarction hypertrophy ventricular left failure heart Clinical consequences: AVC failure renal disease vascular peripheral

15. Trabalhamos pela vida It is possible to adequately prevent atherosclerosis? To prevent atherosclerosis? Need to identify who is at risk of having this disease. This is very easy, just a consultation with the doctor, By patient history and physical examination and simple blood tests can make a diagnosis and to assess the risk of atherosclerosis

16. Trabalhamos pela vida Who is at risk for heart attack and death from heart disease? Anyone who has had a stroke, obstructions of the arteries in the legs or the aorta Who are diabetic Who has high cholesterol Anyone who has had a heart attack, angina, did surgery bypass grafting or angioplasty Who is familiar with infarction or sudden death Sedentary, obese, smoker

17. Trabalhamos pela vida Why is it important to reduce? High Cholesterol 10% reduction 10% reduction 15% reduction DAC 15% reduction DAC 11% reduction mortality 11% reduction mortality

18. Trabalhamos pela vida Treatment goals Prevent Coronary Artery Disease Prevent mortality Prevent complications: Infarction, stroke, impotence,? Angina (chest pain) Improve the quality of life. Seeing grandchildren grow.

19. Trabalhamos pela vida Reference Values ​​ ? Cholesterol and Triglycerides? For Adults Desirable C - Total < 200 LDL-C < 130 HDL-C  40 TG < 150 If Diabetes: LDL-C 45

20. Trabalhamos pela vida Ways to Fight High Cholesterol Change in eating habits Diet low in fat Against smoking Stop smoking physical exercises daily Change in Lifestyle

21. Trabalhamos pela vida - lean meats Birds and fish Nonfat dairy products Egg whites Vegetable oils: soybean Beans, lentils, chickpeas, spaghetti Fresh fruits and vegetables natural juices PREFER - fatty meats Kidney, liver sausage, bacon Milk and creamy cheeses Foods with eggs Pig fat, coconut and butter Creams and egg pasta sodas AVOID Ways to Fight High Cholesterol Feeding

22. Trabalhamos pela vida Ways to Fight High Cholesterol statins fibrates Treatment with drugs

23. Trabalhamos pela vida Medications to decrease? Cholesterol Medicines called statins is one of main weapons against atherosclerosis. Are effective and safe in reducing the LDL cholesterol. The use of statins reduces the risk of heart attack, stroke, death and the need for surgery Heart angioplasty and about 30%.

24. Trabalhamos pela vida Drugs against cholesterol If not using right no gain Controlling Cholesterol and the pressure is a long-term task. In most cases, the medicine is for the rest of their lives If you stop the medication levels may have risen again. The benefits of treatment are long-term and whether the drugs are suspended there will be no benefit

25. Trabalhamos pela vida How to achieve the benefits? Improving nutrition Losing 5-10% of the weight, if overweight. Stopping smoking Practicing physical exercise at least 4x a week Controlling the pressure Controlling Cholesterol

26. Trabalhamos pela vida The risk of heart disease is increasing

27. Trabalhamos pela vida The risk of heart disease is increasing Although the causes are known, and the need of prevention, but unfortunately the risk of heart diseases has increased. This is linked to lack of control of risk factors, awareness of changes in lifestyle and adherence to prescribed treatments. Awareness, identifying people at risk and adherence to treatment are solution to this problem.

28. Trabalhamos pela vida The doctor is your best friend It is essential to follow all the guidelines of the doctor and the staff involved in your treatment Do not miss the appointments Do not stop or change treatment? Without the knowledge of the physician Do not take medication or use forms? The doctor is always the person qualified?

29. Trabalhamos pela vida THANK YOU