Question

List down the clinical manifestations of CI-ID. Briefly discuss the dietary modifications of various nutrients in CHD

08 Mar 2018
Answer :
Word Count : 896

Coronary heart disease is a condition in which fatty deposits build up in the walls of the arteries that run to heart. This causes them to narrow, which can reduce the supply of oxygen to heart. This may lead to angina (pain in chest) or a heart attack(myocardial infarction).

Clinical manifestations — Dialysis patients with angina often have a fairly typical history of exercise-induced chest discomfort that is similar to those with normal renal function. However, given the frequent episodes of hypotension during hemodialysis, angina during dialysis is perhaps the most common clinical manifestation of coronary disease in dialysis patients. Additional symptoms and/or signs, such as exertional dyspnea, intradialytic or interdialytic hypotension, sudden cardiac arrest or death, and arrhythmias, can be observed.

For a prospective study of risk factors for coronary heart disease (CHD), defined as acute nonfatal myocardial infarction and acute fatal CHD, 973 men, all aged 50 years, were recruited from a general Swedish urban population. Of the 855 who agreed to participate, 834 who showed no signs of CHD were selected and observed for nine years and four months. Autopsies were performed on all except two of the 55 patients who died during the study. Forty-four men developed clinical manifestations of CHD during this time; 19 of them died.

Using a multiple

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