ETY Cardiology T2T Mentorship Program,Heart in Systemic Disease
Summary
TLDRProfessor Gila Nas of Suez Canal University Egypt discusses the critical link between systemic diseases and cardiovascular health. Chronic kidney disease, diabetes, endocrine disorders, and thyroid conditions are highlighted as major contributors to heart complications. The presentation emphasizes the importance of a holistic approach to managing systemic diseases to prevent cardiovascular issues, advocating for a preventive strategy with a focus on healthy lifestyle choices.
Takeaways
- 💼 The presentation is by Gila Nas, a professor of Cardiology, emphasizing the importance of understanding the relationship between systemic diseases and cardiovascular health.
- ⏱ Heart disease is a leading cause of death, killing one person every 33 seconds worldwide, highlighting the urgency of addressing heart health.
- 🔍 Systemic diseases can affect the heart through various mechanisms, including increased demands on the heart, causing arrhythmias, affecting heart structure, or promoting cardiovascular disease.
- 🌐 Chronic kidney disease is a systemic condition that has a definite impact on the heart, causing hypertrophy and other structural changes.
- 🚨 Diabetes is a common endocrine and metabolic disease with a well-known relationship to heart disease, causing coronary artery disease, cardiomyopathy, and other complications.
- 🔄 Hyperthyroidism and hypothyroidism are endocrine disorders that can lead to various cardiac issues, including atrial fibrillation and heart failure.
- 🧬 Other systemic diseases, such as malignant carcinoid, acromegaly, and hemochromatosis, can also have significant effects on the heart, leading to valve disease, heart failure, and arrhythmias.
- 🥗 Nutritional deficiencies and obesity are associated with heart disease, with vitamin deficiencies leading to heart failure and obesity causing cardiomyopathy.
- 🤒 Systemic diseases like rheumatoid arthritis and systemic lupus erythematosus can cause pericarditis, myocarditis, and thrombosis, impacting heart function.
- 💊 A holistic approach to managing systemic diseases is necessary to address their cardiovascular implications, with a focus on prevention.
- 🏃♂️ The European Society of Cardiology promotes a healthy lifestyle with the equation '03514 530', encouraging no tobacco, walking 3 km daily, eating five portions of fruits and vegetables, and maintaining healthy blood pressure and lipid levels.
Q & A
What is the Heart Academy of the Egyptian Society of Cardiology?
-The Heart Academy of the Egyptian Society of Cardiology is a collaboration between Egypt, Tunisia, and Yemen, focused on the study and treatment of heart diseases.
How frequently does heart disease kill a person according to the transcript?
-Heart disease kills one person every 33 seconds, as mentioned in the transcript.
Who is Gila Nas and what are her affiliations?
-Gila Nas is a professor of Cardiology at Suez Canal University in Egypt, head of the scientific council of the Egyptian Board of Cardiology, a board member of the Egyptian Society of Cardiology, and a representative for the Africa continent in the International Society of Cardiovascular Disease Prevention.
Why is it important to understand the relationship between systemic diseases and cardiovascular health?
-Understanding the relationship is important because systemic diseases can affect the heart in various ways, such as increasing demands on the heart, causing arrhythmias, affecting the heart's structure, or promoting cardiovascular disease.
How does chronic kidney disease impact the heart according to the transcript?
-Chronic kidney disease affects the heart by causing hypertrophy, leading to changes in the heart's structure, and is associated with various complications that are well known.
What is the relationship between diabetes and heart disease as described in the transcript?
-Diabetes is closely associated with heart disease, causing coronary artery disease, cardiomyopathies, congestive heart failure, and arrhythmias due to factors like hyperglycemia, free fatty acids, and insulin resistance, which lead to oxidative stress, vasel constriction, inflammation, and thrombosis.
How does hyperthyroidism affect the heart?
-Hyperthyroidism can lead to super ventricular tachycardia (SVT), atrial fibrillation (AF), and hypertension, affecting the heart's function and rhythm.
What impact does hypothyroidism have on the heart according to the transcript?
-Hypothyroidism can cause bradycardia, dilated cardiomyopathy, and heart failure, impacting the heart's rate and function.
What are some other systemic diseases mentioned in the transcript that can affect the heart?
-Other systemic diseases mentioned include malignant carcinoid, acromegaly, hemochromatosis, Anderson-Fabry disease, and sarcoidosis, each affecting the heart in different ways such as causing heart failure, arrhythmias, and valvular issues.
What is the significance of the equation '03514 530' mentioned in the transcript for a healthy lifestyle?
-The equation '03514 530' stands for a healthy lifestyle where '0' represents no tobacco, '3' means walking 3 km daily or 30 minutes of moderate activity, '5' suggests taking five portions of fruits and vegetables, '1' is for maintaining blood pressure and lipid levels with total cholesterol less than 5 mmol/L and LDL less than 3 mmol/L, and the second '0' is for avoiding overweight and diabetes.
How does the transcript suggest managing systemic diseases with cardiovascular implications?
-The transcript suggests a holistic approach to managing systemic diseases with cardiovascular implications, emphasizing the need for prevention and adherence to a healthy lifestyle as described by the '03514 530' equation.
Outlines
💓 Systemic Diseases and Their Impact on Cardiovascular Health
The first paragraph introduces the speaker, Professor Gila Nas, and emphasizes the importance of understanding the relationship between systemic diseases and cardiovascular health. It discusses how various systemic diseases, including chronic kidney disease and endocrine/metabolic disorders like diabetes and hyperthyroidism, can affect the heart through different mechanisms such as increased demands, arrhythmias, structural changes, and promoting cardiovascular diseases. The paragraph also highlights the specific impact of diabetes on the heart, including diabetic cardiomyopathy, endothelial dysfunction, arterial stiffness, and atherosclerosis.
🚑 Systemic Conditions Associated with Heart Complications
The second paragraph delves into other systemic diseases that have cardiovascular implications, such as malignant carcinoid, acromegaly, hemochromatosis, and Anderson-Fabry disease. It outlines how these conditions can lead to heart failure, arrhythmias, and other complications. The paragraph also touches on the impact of nutrition-related issues like malnutrition and vitamin deficiencies on the heart, as well as the effects of obesity and multi-system diseases like rheumatoid arthritis and systemic lupus on cardiac health.
🌟 Holistic Management and Prevention of Systemic Disease-Related Heart Issues
The concluding paragraph stresses the need for a holistic approach to managing systemic diseases with potential cardiovascular implications. It presents a preventive equation from the European Society of Cardiology, emphasizing the importance of a healthy lifestyle, including no tobacco use, regular physical activity, a balanced diet rich in fruits and vegetables, maintaining healthy blood pressure and lipid levels, and avoiding overweight and diabetes. The speaker summarizes the key points and thanks the audience for their attention.
Mindmap
Keywords
💡Heart Disease
💡Systemic Diseases
💡Chronic Kidney Disease
💡Diabetes
💡Cardiomyopathy
💡Thyroid Disorders
💡Atherosclerosis
💡Rheumatoid Arthritis
💡Systemic Lupus Erythematosus
💡Obesity
💡Holistic Approach
💡Preventive Approach
Highlights
Heart disease is the leading cause of death globally, killing one person every 33 seconds.
The presentation is focused on the relationship between heart and systemic diseases.
Systemic diseases can affect the heart through various mechanisms, including increased demand, arrhythmia, structural changes, and promoting coronary heart disease.
Chronic kidney disease has a significant impact on the heart, causing hypertrophy and other complications.
Endocrine and metabolic diseases, such as diabetes, are closely related to heart disease, causing coronary artery disease and cardiopathies.
Diabetes affects the heart through hyperglycemia, free fatty acids, insulin resistance, and oxidative stress, leading to various complications.
Diabetic cardiomyopathy impacts the heart muscle and coronary vessels, leading to endothelial dysfunction and atherosclerosis.
Thyroid disorders, both hyperthyroidism and hypothyroidism, have distinct effects on the heart, including arrhythmias and heart failure.
Malignant carcinoid syndrome can lead to pulmonary valve disease and right-side heart failure.
Acromegaly and hemochromatosis are associated with heart failure and arrhythmias due to hormonal imbalances.
Nutritional deficiencies, such as vitamin deficiency, can lead to dilated cardiomyopathy and heart failure.
Obesity is a significant risk factor for heart disease, leading to conditions like 'Obesity heart disease'.
Rheumatoid arthritis and systemic lupus erythematosus can cause various heart complications, including pericarditis and myocarditis.
Amyloidosis, heart failure, and restrictive cardiopathies are associated with systemic diseases.
Sarcoidosis can lead to heart failure and various cardiac abnormalities.
Maran syndrome affects the aorta, potentially causing aortic aneurysm and dissection.
HIV infection can have detrimental effects on the heart, including cardiomyopathy and pericardial effusion.
A holistic approach is necessary for managing systemic diseases with cardiovascular implications.
Prevention is key, and the European Society of Cardiology provides a simple equation for a healthy lifestyle.
The importance of a healthy diet, regular exercise, and avoiding tobacco for cardiovascular health is emphasized.
Transcripts
hello
everybody Heart Academy of the Egyptian
Society of
Cardiology a collaboration between Egypt
Tunisia and
Yemen of course we know that heart
disease kills one person for every 33
second
interval
Nationwide my presentation is about
heart and systemic diseases
this is Gila Nas professor of Cardiology
sus Canal University Egypt head of
scientific Council of the Egyptian Board
of
Cardiology board member of the Egyptian
Society of
Cardiology Africa continent
representative in the international
Society of cardiovascular disease
prevention importance of understanding
the relationship between systemic dis
and the cardiovascular health is really
very
important there is a wide variety of
systemic diseases that may affect the
heart by a number of different
mechanisms including increasing demands
on the heart causing arhythmia affecting
the structure of the
heart or promoting cardiovascular
disease and therefore coronary heart
disease
chronic kidney disease is one form of
systemic disease that may affect the
heart as we all know that chronic kidney
disease has a definite relation between
heart and the impact of chronic kidney
disease on the structure causing
hypertrophy on the other mechanisms
causing a lot of changes and maybe the
complications of chronic kidney disease
is very well known
another common association with systemic
in disease include endocrine and
metabolic disease for example diabetes
very very
well-known
relationship causing coronary artery
disease causing cardiopathies congestive
heart
failure hyperthyroidism as well causing
super ventricular teic cardia AF
hypertension
hypothyroidism causing bradic card
dilated cardiopathy heart failure
pericardial
infusion the very wellknown relationship
between diabetes and heart causing by
the hyperglycemia free fatty acids
insulin resistance all these are doing
some form of oxidative
stress leading to vasel constriction
leading to inflammation thrombosis
and this very important manifestation of
diabetes on the heart the diabetic
cardiomyopathy affecting the heart
muscle the
vessels impact on coronary vessels
leading to endothelial
dysfunction leading to
stiffness increased arterial stiffness
leading coronary artery calcification
accelerated atherosclerosis
as well as doing autonomic impact
leading to reduced heart heart rate
variability increasing resting heart
rate
arhythmia and the impact on the cardiac
muscle leading to diastolic dysfunction
systolic
dysfunction this very ugly looking
artery leading to after
sclerosis and having a lot of of
complications on the vascular system
and this is very important and very ugly
complications leading to a lot of
complications as
well um uh also we do have other
complications as
we that the cardiovascular risk for
diabetes is very specific there is micro
albura this is massive bruttin UA the
platelet function
abnormalities the serum insulin the
thrombotic levels uh as well other
Association rather than diabetes the
hyper thyroidism the
hypothyroidism the
hyperthyroidism by a lot of mechanisms
leading to Super ventricular techic
cardia AF and
hypertension the
hypothyroidism the other side of the
coin leading to Brad cardia dilated
cardiopathy heart failure pericard
infusion
has an impact on this
[Music]
lipidemia the intimate thickness the
blood pressure and leading to heart
failure other association with systemic
diseases include the malignant
carcinoid the FOC chromosoma the
acromegaly the hemocromatosis
the Anderson fabri
disease malignant carcinoid leading to
TripIt pulmonary valve disease right
side heart failure f f chromosoma
leading to hypertension te cardia
congestive heart failure acromegaly
heart failure hemocromatosis heart
failure again arhythmia heart block
Anderson fabri disease leading to
arhythmia coronary artery disease heart
failure we all know that the
carcinoid affecting mainly the tripid
and Pulmonary V self disease leading to
heart failure by different
mechanisms on the other hand F
chromosoma meanly lead to
hypertension and techic
cardia leading to congestive heart
failure at the
end the acromag increase growth hormone
leading to sustained lipolysis inst
resistance increased liver and kidney
glucon
Genesis the increased reduced glucose
uptake in muscle
tissues this only lead to increased
lipid increased triglycerides decreased
HDL diabetes heart
failure other systemic disease include
nutrition malnutrition leading to
dilated cardiomiopathy heart
failure for example vitamin deficiency
as thamin deficiency leading to high
output heart failure D
cardiopathy hyper homos symia leading to
premature
atherosclerosis obesity definitely
leading to cardiopathy and heart failure
and this is the Obesity heart disease a
very common disease and we should
prevent it by many means we all know
that obesity has definitely an impact on
heart other multi-stem disease the
romatoid arites leading to peric carites
bicard effusion coronary arites mardes
vites Ser negative arthropathies leading
to aites aortic and mitro insufficiency
conduction
abnormalities systemic lupus pericard
Libman sex indoc cardit myoc carites
thrombosis both arterial and
Venus this is romatoid arthes as we know
it's definitely has a definite impact on
the heart leading to schic heart disease
maybe many patients of having rheumatoid
arthritis complain silently of uh of
symptoms of heart disease and many of
them experience SCH schic heart disease
in a silent
form systemic lupus very famous to cause
vascules peric carites Libman sex indoc
carites mic carites thrombosis which is
both arterial and
venous other syic diseases like Amy dois
heart disease heart failure restrictive
cardiopathy vular regurgitation
pericardial effusion sarcoidosis leading
to heart failure dilated restrictive
cardiopathies ventricular Aria heart
block Maran syndrome mainly affect aorta
leading to aortic aneurysm this
dissection aortic insufficiency mital
Val prolapse is a very common
Association D syndrome leading to aortic
and coronary aneurysm mitro
prolapse HIV infection mardes di
cardiopathy pericardial infusion a
effect
definitely have an impact on the heart
leading to heart failure restrictive
cardiomiopathy vular
regurgitation pericardial infusion we
have many kinds of amois primary
secondary
senile sosis of course leads a disease
which has an impact on heart leading to
heart failure dilated restrictive
cardiopathy ventricular Aria's heart
block Maran syndrome it has an impact on
the aorta as we can see there is may
lead to aortic aneurysm this is the
ascending aorta and may lead to
dissection aortic insufficiency materal
Val
prolapse and lately the
co we have noticed a lot of patients
having
hypertension and it has lead to
thrombosis thrombosed vessels and many
many other impact on the heart disease
as well so my conclusion is that a
holistic approach to managing systemic
disease under cardiovascular
implications is
needed and definitely we need to have an
A preventive approach by this very nice
equation coming from the European site
of
Cardiology
03514 530 people stay healthy then to
have certain characteristics zero stands
for no tobacco three walk 3 km daily or
30 minutes any moderate activity take
five portions of fruits and vegetables
they being antioxidants as well as
healthy diet 140 keep your blood
pressure um and P amount as well as the
lipid should be total cholesterol is
than 5 m moo LDL Less Than 3 m and zero
avoidance of overweight and diabetes
thank you very much we tried as we can
uh as we can do to put this subject in a
nutshell and in a very very um very few
words to explain the systemic disease
and its impact on heart disease thank
you very much
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