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Prevention of Coronary Artery Disease

Primary Prevention
Efforts to lower risk of coronary artery disease (CAD) by risk factor modification before clinical manifestations of CAD appear

Secondary Prevention
Efforts to lower risk of repeat CAD event in patients who have already developed clinical manifestation of CAD (e.g., angina, myocardial infarction, etc.)
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Post-MI Complications

Post myocardial infarction you need to be aware of many complications that may arise including:

1)  Recurrent angina
2)  Re-infarction
3)  Mitral regurgitation
4)  Ventricular septal defects
5)  Ventricular wall aneuysms
6)  Cardiogenic shock
7)  Dresslers syndrome/Pericarditis

Cardiac Risk Factors

Risk factors for CAD have a strong epidemiological correlation with likelihood of developing clinical CAD according to Center of Disease Control (CDC).  Multiple risk factors combine to significantly increase CAD risk compared to one factor alone.
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CHF? Or Cor Pulmonale?

Lung disease can affect the heart through structural changes of pulmonary vasculature, hypoxia or peripheral circulartion admixture, increased cardiac output or volume, elevation of ventricular or pulmonary vasculature.  This is why it is important to discuss with your doctor about the various differentials if congestive heart failure is being considered.

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Unstable Angina

Description

Unpleasant chest discomfort, commonly substernal and often described as heaviness or squeezing.  This discomfort can be felt anywhere from epigastrium to pharynx, arm(s), neck or back.  Occurs unpredictably at rest or in a sharply and abruptly worsening pattern compared to stable angina.  Dyspnea may accompany chest discomfort or occur alone.  The episodic duration of unstable anginal attacks generally are 20 minutes or less; an attack greater than 30 minutes is suggestive of myocardial infarction.
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Stable Angina Pectoris

Description

Unpleasant chest discomfort, commonly substernal and often described as heaviness or squeezing sensation.  This discomfort can be felt anywhere from epigastrium to jaw, arm(s), neck, or back.  Dyspnea may accompany chest discomfort or occur alone.  It can be provoked by exertion or emotional upset, relieved within minutes by rest.
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Angioedema

Angioedema

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Types

Hereditary angioedema type I, II, III
Acquired angioedema
Drug-induced angioedema
Angioedema with urticaria
Angioedema without urticarial
Idiopathic angioedema
Narcolepsy or Sleep Apnea?

Narcolepsy or Sleep Apnea?

Narcolepsy, a sleep disorder that causes hypersomnia (i.e., increased sleeping or sleepiness).  The disorder usually starts in adolescence or young adulthood.  Patients often get sudden sleep attacks that are notable for their almost instantaneous onset of REM sleep (decreased REM latency). 
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Strep Throat? Or Infectious Mono?

Strep Throat? Or Infectious Mono?

Complaining of sore throat, rash, fatigue, fever, redness in your throat (pharyngeal erythema) definitely prompts a physician to think about Strep Throat.  However, infectious mononucleosis should be in the differential diagnosis with these upper respiratory infection symptoms — especially in a young adult. 
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Theophylline

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Types

Theophylline is a member of the xanthine family, methylxanthine drug.  It bears structural and pharmacological similarity to caffeine.  It is natural found in tea, although in trace amounts (< 1mg/L).  It is also found in cocoa beans, sometimes as high as 3.7 mg/g have been reported in Criollo cocoa beans.

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