Coronary Artery Disease (CAD)

CAD is the most common type of heart disease. In the United States, it is the #1 cause of death for both men and women. Lifestyle changes, medicines, and medical procedures can help prevent or treat CAD. These treatments may reduce the risk of related health problems. CAD happens when the arteries that supply blood to heart muscle become hardened and narrowed. This is due to the buildup of cholesterol and plaque, on the inner walls. This buildup is called atherosclerosis. As it grows, less blood can flow through the arteries. As a result, the heart muscle can’t get the blood or oxygen it needs. This can lead to chest pain (angina) or worse. Most heart attacks happen when a blood clot suddenly cuts off the hearts’ blood supply, causing permanent heart damage.

A patient seen today was admitted in the intesive care unit (ICU) and was referred to the nutrition staff for support in cardiac care.

Background:
The patient experienced a myocardial infarction (MI) and had coronary artery disease (CAD). He was a male, 85 y/o, and admitted for an MI protocol. He was currently on a cardiac diet with no gastric irritants (NGI). NGIs are foods like juices, chili, and black pepper. He was not experiencing shortness of breathe (SOB), nausea, fever, chills, or vomiting.

Anthropometrics:
Ht: 69 in.
CBW: 195# (88.5kg)
BMI: 28.86 (overweight)
IBW: 160# (72.73kg)

Past Medical History (PMH):
• CAD/Cornoary Artery Bypass graft (CABG)
• Deep Veing Thrombosis (DVT)
• Chronic Kidney Disease (CKD)
• Carotid Stenosis
• Hypertension (HTN)
• Peripheral Vascular Disease (PVD)
• Gallbladder Disease
• Microvascular Decompression (MVD)
• Aortic Atherosclerosis
• Renal Neoplasm
• Cholecystitis
• Stable Angina
• Asbestos Exposure
• B-12 Deficiency

Labs:
Glucose: 132 mg/dl (70-109: normal)
Cholesterol: 144 mg/dl (160-200: normal)
TGs: 205 mg/dl (35-160: normal)
HDL: 36.3 mg/dl (40-60: normal)

Assessment:
TLC Diet
• Limit saturated and trans fats
• Limit cholesterol: less than 200 mg/d
• Limit total fats: 25%
• Consume dietary fiber
• Consume more omega-3 fats
• Consume more plant-based meals

Blausen_0259_CoronaryArteryDisease_02

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