1.

What is the difference between AMI (acute myocard infarct and (SDH) sudden cardiac
death?
 Heart attacks occur when there is a blockage in one or more of the coronary
arteries, preventing the heart from receiving enough oxygen-rich blood symptoms
start slowly and persist for hours, days or weeks 
 In contrast, sudden cardiac death occurs suddenly and often without warning. It is
triggered by an electrical malfunction in the heart that causes an irregular
heartbeat (arrhythmia). With its pumping action disrupted, the heart cannot pump
blood to the brain, lungs and other organs. Seconds later, a person loses
consciousness and has no pulse. Death occurs within minutes if the victim does
not receive treatment.

2. What is the definition of vigorous exercise and what kind of exercise?

Vigorous-intensity exercise—sometimes called high-intensity exercise—is a physical
activity done with a large amount of effort, resulting in a substantially higher heart rate
and rapid breathing. Your exertion would be considered hard to extremely hard, making
it difficult to speak in full sentences. Vigorous-intensity activities burn more than 6
METs.For example: hiking, running, fast swimming, fast dancing, strength training,
cycling more than 10 miles per hour, etc

3. What kind of exercise does recommend to prevent cardiovascular disease ?

The general recommended exercise from the American Heart Association to prevent
CVD is 5 times a week, and the duration of each exercise is 30 minutes (or 150 minutes
per week of moderate exercise like jogging, walking, etc) or 25 minutes, 3 times a week
to reach at least 75 minutes per week of vigorous activity.
 Actually Individuals can choose one way of physical activity or combine moderate and
vigorous activities. They will also be benefited even if they divide the entire time into
several parts of 10 to 15 minutes per day. For those who want to lower the risk for heart
attack and stroke, 40 minutes of moderate to vigorous intensity aerobic activity, 3 or 4
times a week, is recommended

4. Why vigorous exercise in people with structural cardiac disease can increase the risk of
sudden cardiac death (SCD)?
-Because there is an interaction between the structural cardiac disease or substrate and the
acute trigger of exertion plus other possible triggers associated with exercise, including
emotional stress, hemodynamic changes, altered parasympathetic tone, and myocardial
ischemia.
Athletic training itself may increase the risk of sudden death in people with heart disease
by altering the substrate. This alteration could occur by promoting disease progression or
by increasing the risk of cardiac arrhythmia by structural or electrical changes and can
cause SCD
5. What are the risk factor of Coronary Artery Disease (CAD)?
There are divided into 2 beetwen modifiable and non modifiable
 (modifiable) are: High BP; high blood cholesterol levels; smoking; diabetes; overweight
or obesity; lack of physical activity; unhealthy diet and stress.
Those that cannot be controlled (non modiffable ) are: Age (simply getting older
increases risk); sex (men are generally at greater risk of coronary artery disease); family
history; and race.
6. What kind of examination does recommend to diagnose coronary artery disease?
7. Complication of cad:
Aritmia, acure myocard infarction, sudden cardiac death, heart failure