PREDISPOSING Non-Modifiable AGE (loss of blood vessel elasticity) GENDER FAMILY (hereditary) Modifiable LIFESTYLE DIET (high

fat, sweet) PRECIPITATING Diabetes Mellitus

Insufficient insulin secretion/ production of the pancreas Glucose is not metabolize by the body

Accumulation of glucose in the blood stream

Increase fat deposit on the walls of the blood vessels Narrowing of blood vessel (coronary artery) Atherosclesrosis

Increase viscosity of blood/ sluggish flow of blood

Decrease blood flow through the coronary S/sx: BP: 140/90 mmHg Dyspnea CORONARY ARTERY Decrease blood flow to the heart Increase blood pressure

Pressure on the wall of blood Increase Peripheral Vascular resistance Some fragments joins in circulation (EMBOLISM) Goes to small vessels and clog (deep penetrating arteries especially lacunar region)

Evaluate level of blood glucose/ increase concentration of sugar in blood

S/sx: CBG monitoring: 103-166mg/dL

Obstruction/ interruption of O2 supply due to decreased blood supply

Lacunar infarct Severe elevation in BP w/o progressive target organ Hypertensive

Decrease oxygen supply to basal ganglia (L) INFARCTION

Influences autonomic nervous system

Responsible for cerebellar function
Also affects motor skills of chewing & swallowing (DYSPHAGIA)


If treated:

• Nursing • Diet


Management • Pharmacologic Medication: (Aspirin, ACE inhibitor, Nitroglycerin for angina) • Oxygen Therapy

If untreated: Further complication can occur: • Ischemia • Angina pectoris • MI • Heart attack • CVA

Difficulty in chewing & swallowing could lead to decrease appetite

Causing weight loss

Recove ry