1. Understanding Your Heart

2. YOUR HEART HOW DOES IT WORK? WHAT IS CORONARY HEART DISEASE? WHY DOES IT HAPPEN? HOW IS IT TREATED? WHAT CAN YOU DO FOR YOUR FUTURE?

4. Inside the heart

5. Heart Valves

7. The coronary arteries

8. SCAN OF CORONARY ARTERIES

9. WHAT IS CORONARY ARTERY DISEASE?

11. PLAQUES INSIDE AN ARTERY

12. WHAT IS ANGINA?

13. Characteristics A FEELING OF PRESSURE OR CONSTRICTION BROUGHT ON BY PHYSICAL ACTIVITY OR EMOTIONAL STRESS YOU MAY FEEL SHORT OF BREATH CAN FEEL LIKE INDIGESTION CAN MAKE YOU BURP ONLY LASTS A SHORT TIME RELIEVED BY REST OR GTN

14. AREAS YOU MAY FEEL ANGINA

15. WHAT IS A HEART ATTACK? WHY DOES IT HAPPEN? HOW DO YOU KNOW? WHAT SHOULD YOU DO?

16. WHY DOES IT HAPPEN?

18. Symptoms chest pain or discomfort, which may spread to the arms, neck, jaw, stomach or back a dull pain, ache or 'heavy' feeling in your chest chest pain or discomfort which feels like indigestion but makes you feel generally unwell Rest and use of GTN does not relief the pain feeling sick, sweaty, breathless, light headed, dizzy or generally unwell as well as pain or discomfort in your chest.

19. WHAT ELSE CAUSES CHEST PAIN? INDIGESTION ANXIETY PULLED MUSCLE AND JOINTS CHEST INFECTIONS etc.

20. WHAT CAN YOU DO TO HELP MINIMISE YOUR FUTURE RISK?

21. Non-modifiable Gender Family history Ethnicity Modifiable Smoking High Blood Pressure High Cholesterol Excess Weight Excess Alcohol Diabetes Physical Inactivity Stress Diet

23. What is the target BP for the general population? a/ 140/90mm/HG b/ 130/90mm/HG c/ 130/80mm/HG

24. What is the target BP for someone with CHD? a/ 140/90mm/HG b/ 130/90mm/HG c/ 130/80mm/HG

25. REDUCING HIGH BLOOD PRESSURE Medication Exercise Healthy diet Weight reduction Reduce alcohol intake Reduce salt Reduce stress

27. What is the target total cholesterol for someone with CHD? a/ Below 4mmols/L b/ Below 4.5mmols/L c/ Below 5mmols/L

28. TYPES OF CHOLESTEROL High density lipoprotein – THE GOOD Low density lipoprotein – THE BAD Triglycerides – THE UGLY

29. What is the ideal BMI? a/ <28 b/ <25 c/ <30 What is the ideal waist measurement for: a/ Men b/ Female

30. KEEP YOUR WEIGHT DOWN AIM FOR A BMI OF 25 OR LESS

31. Men <37 ins Women <32 ins South East Asians: Men <35.5 ins Women <31.5 ins

32. What type of diet do you think a person with CHD should follow?

33. AIM FOR A BLOOD GLUCOSE LEVEL BETWEEN 4-7

34. What are the recommended alcohol units per week for: a/ Men b/ Female How many alcohol free days should you have per week? a/ None b/ 2 c/ 3

35. MEN: 21 units per week Women 14 units per week 2 alcohol free days per week

36. KEEP YOUR LIFE IN BALANCE