UHS Cardiovascualr package

DEPARTMENT OF CARDIOLOGY

CARDIOVASCULAR DISEASE

For Appointments Call: +971 6 505 8555 Or Visit: www.uhs.ae

What is Cardiovascular Disease ?

Cardiovascular disease generally refers to conditions that involve narrowed or blocked blood vessels that can lead to a heart attack, chest pain (angina) or stroke. Other heart conditions, such as those that affect your heart's muscle, valves or rhythm, also are considered forms of heart disease.

Who Is at Risk for Heart Disease?

Certain traits, conditions, or habits may raise your risk for coronary heart disease (CHD). These conditions are known as risk factors. The majority of cardiovascular disease (CVD) is caused by risk factors that can be controlled, treated or modified, such as high blood pressure, cholesterol, overweight/obesity, tobacco use, lack of physical activity and diabetes. However, there are also some major CVD risk factors that cannot be controlled.

The American Heart Association recommends beginning heart disease prevention early in life, starting by assessing your risk factors and working to keep them low. The sooner you know and manage your risk factors, the better your chances of leading a heart-healthy life.

Hypertension (High Blood Pressure) High blood pressure increases the heart's workload, causing the heart muscle to thicken and become stiffer. This stiffening of the heart muscle is not normal, and causes the heart not to work properly. It also increases your risk of stroke, heart attack, kidney failure and congestive heart failure. When high blood pressure exists with obesity, smoking, high blood cholesterol levels or diabetes, the risk of heart attack or stroke increases even more.

Raised Blood Glucose (Diabetes) Diabetes seriously increases your risk of developing cardiovascular disease. Even when glucose levels are under control, diabetes increases the risk of heart disease and stroke, but the risks are even greater if blood sugar is not well controlled.

If you have diabetes, it's extremely important to work with your healthcare provider to manage it and control any other risk factors you can.

Physical Inactivity An inactive lifestyle is a risk factor for coronary heart disease. Regular, moderate-to-vigorous physical activity helps reduce the risk of heart and blood vessel disease. Even moderate-intensity activities help if done regularly and long term. Physical activity can help control blood cholesterol, diabetes and obesity, as well as help lower blood pressure in some people.

Obesity and Overweight People who have excess body fat — especially if a lot of it is at the waist — are more likely to develop heart disease and stroke even if they have no other risk factors. Overweight and obese adults with risk factors for cardiovascular disease such as high blood pressure, high cholesterol, or high blood sugar can make lifestyle changes to lose weight and produce clinically meaningful reductions in triglycerides, blood glucose, HbA1c, and risk of developing Type 2 diabetes. To achieve optimal health, the median BMI for adult populations should be in the range of 21–23 kg/m2, while the goal for individuals should be to maintain a BMI in the range 18.5–24.9 kg/m2.

Unhealthy Diet High dietary intakes of saturated fat, trans-fats and salt and low intake of fruits, vegetables and fish are linked to cardiovascular risk. The amount of dietary salt consumed is an important determinant of blood pressure levels and overall cardiovascular risk and the WHO recommends a population salt intake of less than 5 grams/person/day to help the prevention of CVD. Frequent consumption of high-energy foods, such as processed foods that are high in fats and sugars, promotes obesity compared to low-energy foods. High consumption of saturated fats and trans-fatty acids is linked to heart disease; elimination of trans-fat and replacement of saturated with polyunsaturated vegetable oils lowers coronary heart disease risk.

In addition to the modifiable risk factors, there are some risk factors that cannot be changed.

Simply getting old is a risk factor for cardiovascular disease; risk of stroke doubles every decade after age 55. Your family’s history of cardiovascular disease indicates your risk. If a first-degree blood relative has had coronary heart disease or stroke before the age of 55 years (for a male relative) or 65 years (for a female relative) your risk increases.

Your gender is significant: as a man you are at greater risk of heart disease than a pre-menopausal woman. But once past the menopause, a woman’s risk is similar to a man’s. Risk of stroke is similar for men and women. Your ethnic origin plays a role. People with African or Asian ancestry are at higher risks of developing cardiovascular disease than other racial groups.

Since you can't do anything about these risk factors, it's even more important for you to manage the risk factors that can be changed.

Heart disorders usually present silent symptoms. Early diagnosis and treatment may prevent further complications from arising.

Waiting for your heart to give the warning signals could possibly threaten your life. Tracking potential heart ailments and redressing them is crucial for risk-free living. Hence, carefully choosing the cardiac care that is most suitable to you is essential. Your hearts deserves only the best and for this University Hospital Sharjah have deliberated a heart care package that lays impetus on checking and accurately determining the condition of your heart. Aimed to offer the perfect solution to all major cardiac issues the package include tests that can discover conditions which may not present any symptoms, allowing for earlier diagnosis and treatment. They also include a consultation with a heart specialist who can help manage your heart health and follow up with you on the results of the screening.

CARDIAC DIAGNOSTIC PACKAGES:

CARDIAC SCREENING: LOW RISK PATIENTS < 40 year male or < 50 years female with no or one risk factor- (CAD, Asymptomatic with good exercise tolerance

CPT/UHS Description Consultant Consultation Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Cholesterol, serum or whole blood, total Lipoprotein, direct measurement; LDL cholesterol Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Triglycerides Glucose; quantitative, blood (except reagent strip) Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; complete

Package Price

AED 1,600/-

CARDIAC DIAGNOSTIC PACKAGES:

CARDIAC SCREENING: INTERMEDIARY RISK PATIENTS

> 40 Years Male; or > 50 Years Female with 2 Risk factors out of - CAD, and Diabetic, Asymptomatic or those with a typical exertion relation symptoms

CPT/UHS Description Consultant Consultation Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Cholesterol, serum or whole blood, total Lipoprotein, direct measurement; LDL cholesterol Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Triglycerides Glucose; quantitative, blood (except reagent strip) Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; complete Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report Dietician Consultation C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP)

Package Price

AED 3,500/-

CARDIAC DIAGNOSTIC PACKAGES:

CARDIAC INVESTIGATION: HIGH RISK PATIENTS

Symptomatic male/female patients with multiple risk factors for CAD, Diabetes with stable exertion related symptoms, stable patients with previous cardiac intervention PCI Vs. CABG

CPT/UHS Description Consultant Consultation Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report Cholesterol, serum or whole blood, total Lipoprotein, direct measurement; LDL cholesterol Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol) Triglycerides Glucose; quantitative, blood (except reagent strip) Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count Echocardiography, transthoracic, real-time with image documentation (2D) with or without M-mode recording; complete Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed) Dietician Consultation C-REACTIVE PROTEIN; HIGH SENSITIVITY (HSCRP)

Package Price

AED 5,300/-

Guidelines for Cardiac Screening As the blood test requires fasting, please abstain from food and drinks for at least 10 hours before your scheduled appointment. Sips of plain water are allowed.

Please do not take medicine or insulin for diabetes on the morning of the scheduled appointment. Regular high blood pressure and/or heart medication can be continued. Always check with your doctor on medica tion needs prior to screening.

Please bring along your sports attire for the cardiac evaluation. Don't forget your sports shoes and socks.

For your comfort and convenience at the medical examination, it is advisable to wear a two-piece outfit.

(For ladies only) It is advisable for the urine test to be conducted at least 5 days before the start of menstruation or 5 days after the end of menstruation.

Disclaimer: The purpose of health screening is to identify as early as possible certain health problems which may help to improve quality of life or slow down the progression of certain diseases, however, screening tests are not diagnostic and it is recommended that the patientâ&#x20AC;&#x2122;s doctor should perform additional testing to make diagnosis.

We deal with most of the insurance companies

‫دﻟﯾل ﻓﺣص اﻟﻘﻠب ‪:‬‬ ‫ ‬

‫اﻟﺻﯾﺎم‪ ،‬ﻟذﻟك ﯾرﺟﻰ اﻹﻣﺗﻧﺎع ﻋن اﻟطﻌﺎم واﻟﺷراب ﻟﻣدة ‪ 10‬ﺳﺎﻋﺎت ﻋﻠﻰ اﻷﻗل ﻗﺑل اﻟﻣوﻋد‬ ‫ﯾﺗطﻠب ﻓﺣص اﻟدم ِ‬ ‫اﻟﻣﻘرر‪ ،‬ﯾُﺳﻣﺢ ﺑﻘﻠﯾل ﻣن اﻟﻣﺎء ﻓﻘط‪.‬‬

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‫ﯾُرﺟﻰ ﻋدم أﺧذ اﻟدواء أو اﻷﻧﺳوﻟﯾن ﻟﻣرﺿﻰ اﻟﺳﻛري ﻓﻲ ﺻﺑﺎح ﯾوم اﻟﻣوﻋد اﻟﻣﻘرر‪ ،‬ﻣﻊ اﻹﺳﺗﻣرار ﻓﻲ أﺧذ اﻷدوﯾﺔ‬ ‫اﻟﻣﻧﺗظﻣﺔ ﻣﺛل أدوﯾﺔ اِرﺗﻔﺎع ﺿﻐط اﻟدم و‪/‬أو أدوﯾﺔ اﻟﻘﻠب‪ .‬رﺟﺎءا ً إﺳﺗﺷﯾروا طﺑﯾﺑﻛم اﻟ ُﻣﻌﺎﻟﺞ ﺣول اﻷدوﯾﺔ اﻟﺿروري‬ ‫ﺗﻧﺎوﻟﮭﺎ ﻗﺑل اﻟﻔﺣص‪.‬‬

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‫ﯾُرﺟﻰ إﺣﺿﺎر اﻟﻣﻼﺑس اﻟرﯾﺎﺿﯾﺔ اﻟﺧﺎﺻﺔ ﺑك ﻟﻌﻣل ﻓﺣص اﻟﻘﻠب )ﻻ ﺗﻧﺳﻰ اﻷﺣذﯾﺔ اﻟرﯾﺎﺿﯾﺔ واﻟﺟوارب(‪.‬‬

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‫ﻣن أﺟل راﺣﺗك‪ ،‬ﻓﺈﻧﮫ ﻣن اﻟﻣﺳﺗﺣﺳن أن ﺗرﺗدي ﻗطﻌﺗﯾن ﻣن اﻟﻣﻼﺑس ﻟﺗﺳﮭﯾل اﻟﻔﺣص اﻟطﺑﻲ‪.‬‬

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‫)ﻟﻠﺳﯾدات ﻓﻘط( ﻣن اﻟ ُﻣﺳﺗﺣﺳن إﺟراء إﺧﺗﺑﺎر اﻟﺑول ﻋﻠﻰ اﻷﻗل ‪ 5‬أﯾﺎم ﻗﺑل ﺑدء اﻟدورة اﻟﺷﮭرﯾﺔ أو ‪ 5‬أﯾﺎم ﺑﻌد إﻧﺗﮭﺎء‬ ‫اﻟدورة اﻟﺷﮭرﯾﺔ‪.‬‬

‫إﺧﻼء اﻟﻣﺳؤوﻟﯾﺔ‪:‬‬ ‫إن اﻟﻐرض ﻣن اﻟﻔﺣص اﻟﺻﺣﻲ ھو اﻟﻛﺷف ﻋن ﻣﺷﺎﻛل ﺻﺣﯾﺔ ﻣﻌﯾﻧﺔ )إن ُوﺟدت( ﻓﻲ وﻗت ﻣﺑﻛر واﻟﺗﻲ ﯾﻣﻛن‬ ‫أن ﺗُﺳﺎﻋد ﻓﻲ ﺗﺣﺳﯾن ﻧوﻋﯾﺔ اﻟﺣﯾﺎة أو إﺑطﺎء ﺗطور ﺑﻌض اﻷﻣراض ﻻﺳﻣﺢ ﷲ‪ .‬وﻣﻊ ذﻟك‪ ،‬ﻓﺈن ھذه اﻟﻔﺣوﺻﺎت‬ ‫ﻟﯾﺳت ﻟﻠﺗﺷﺧﯾص وﯾﺟب أن ﯾُﺟري اﻟطﺑﯾب اﻟﻣﻌﺎﻟﺞ إﺧﺗﺑﺎرات ﻟﻠﻣرﯾض ﻣن أﺟل دﻗﺔ أﻛﺛر ﻟﻠﺗﺷﺧﯾص واﻟﺑدء ﻓﻲ‬ ‫اﻟﻌﻼج‪.‬‬

‫ﻧﺗﻌﺎﻣل ﻣﻊ ﻣﻌظم ﺷرﻛﺎت اﻟﺗﺄﻣﯾن‬

‫ﺑﺎﻗﺎت ﻓﺣوﺻﺎت اﻟﻘﻠب‪:‬‬ ‫ﻓﺣص اﻟﻘﻠب )ﻣرﺿﻰ اﻟﻣﺧﺎطر اﻟﻌﺎﻟﯾﺔ(‪:‬‬ ‫اﻟﻣرﺿﻰ ﻣن اﻟذﻛور‪/‬اﻹﻧﺎث اﻟذﯾن ﯾﻌﺎﻧون ﻣن أﻣراض ﻋﺎﻟﯾﺔ اﻟﺧطورة‪ :‬ﻛﻣرض اﻟﻘﻠب اﻟﺗﺎﺟﻲ‪ ،‬داء اﻟﺳﻛري ﻣﻊ أﻋراض‬ ‫داﺋﻣﺔ‪ ،‬أﻣراض ﺗداﺧل اﻟﻘﻠب )ﺟراﺣﺔ ﻓﺗﺢ ﻣﺟرى ﺟﺎﻧﺑﻲ ﻟﻠﺷرﯾﺎن اﻟﺗﺎﺟﻲ ﻣﻘﺎﺑل ﻗﺛطرة اﻟﻘﻠب(‪.‬‬

‫وﺻف اﻟﺑﺎﻗﺔ‬ ‫إﺳﺗﺷﺎرة طﺑﯾﺔ ﻣن أﺣد إﺳﺗﺷﺎرﯾﻲ اﻟﻣﺳﺗﺷﻔﻰ‪.‬‬ ‫اﻟﻣﺧطط اﻟﻛﮭرﺑﺎﺋﻲ ﻟﻠﻘﻠب‪ ،‬اﻟﻔﺣص اﻟروﺗﯾﻧﻰ )‪ 12 - (ECG‬اﺗﺟﺎه ﻋﻠﻰ اﻷﻗل ﻣﻊ ﺗﺣدﯾد اﻻﺗﺟﺎھﺎت واﻟﺗﻘرﯾر‪.‬‬ ‫ﻗﯾﺎس اﻟﻛوﻟﯾﺳﺗرول ﻓﻲ اﻟدم‪ ،‬ﻋﯾﻧﺔ ﻣﺻل اﻟدم أو ﺻورة دم ﻛﺎﻣﻠﺔ‪.‬‬ ‫إﺧﺗﺑﺎر اﻟﺑروﺗﯾن اﻟﺷﺣﻣﻲ‪ ،‬اﻟﻘﯾﺎس اﻟﻣﺑﺎﺷر‪ ،‬اﻟﻛوﻟﺳﺗرول ﻣﻧﺧﻔض اﻟﻛﺛﺎﻓﺔ )اﻟﻛوﻟﺳﺗرول اﻟﺿﺎر(‪.‬‬ ‫إﺧﺗﺑﺎر اﻟﺑروﺗﯾن اﻟﺷﺣﻣﻲ‪ ،‬اﻟﻘﯾﺎس اﻟﻣﺑﺎﺷر‪ ،‬اﻟﻛوﻟﺳﺗرول ﻋﺎﻟﻲ اﻟﻛﺛﺎﻓﺔ )اﻟﻛوﻟﺳﺗرول اﻟﺣﻣﯾد(‪.‬‬ ‫اﻟدھون اﻟﺛﻼﺛﯾﺔ‪.‬‬ ‫ﺗﺣﻠﯾل اﻟﺳﻛر اﻟﺗراﻛﻣﻲ ﻓﻲ اﻟدم )ﻣﺎﻋدا ﺗﺣﻠﯾل اﻟﺑول اﻟﺷرﯾط اﻟﻛﺎﺷف(‪.‬‬ ‫ﺻورة دم ﻛﺎﻣﻠﺔ‪) ،‬ﻗﯾﺎس ﺗرﻛﯾز اﻟﮭﯾﻣوﺟﻠوﺑﯾن‪ ،‬ﻗﯾﺎس ﻧﺳﺑﺔ اﻟﮭﯾﻣﺎﺗوﻛرﯾت‪ ،‬ﻋدد ﻛرﯾﺎت اﻟدم اﻟﺣﻣراء‪ ،‬ﻋدد‬ ‫ﺧﻼﯾﺎ اﻟدم اﻟﺑﯾﺿﺎء‪ ،‬ﻋدد اﻟﺻﻔﺎﺋﺢ اﻟدﻣوﯾﺔ(‪ ،‬ﺧﻼﯾﺎ اﻟدم اﻟﺑﯾﺿﺎء اﻟﺗﻔرﯾﻘﯾﺔ‪.‬‬ ‫ﺗﺧطﯾط ﺻدى اﻟﻘﻠب‪ ،‬ﺗﺧطﯾط ﺻدى اﻟﻘﻠب ﻋﺑر اﻟﺻدر‪ ،‬ﺗﺧطﯾط ﺻدى اﻟﻘﻠب اﻟﺛﻧﺎﺋﻲ اﻟﺑﻌد )‪ ،(2D‬ﻣﻊ أو ﺑدون‬ ‫ﺗﺧطﯾط ﺻدى اﻟﻘﻠب اﻷﺣﺎدي اﻟﺑﻌد‪.‬‬ ‫رﺳم اﻟﻘﻠب ﺑﺎﻟﻣﺟﮭود ﺑﺎﺳﺗﺧدام ﺟﮭﺎز اﻟﻣﺷﻲ أو اﻟدراﺟﺔ‪ ،‬اﻟﻣراﻗﺑﺔ اﻟﻣﺳﺗﻣرة ﻟﻠﻣﺧطط اﻟﻛﮭرﺑﺎﺋﻲ ﻟﻠﻘﻠب و‪ /‬أو‬ ‫اﺧﺗﺑﺎر اﻟﺗﺣﻣل اﻟدواﺋﻲ‪ ،‬ﺗﺣت إﺷراف اﻟطﺑﯾب ﻣﻊ اﻟﺗﻔﺳﯾر واﻟﺗﻘرﯾر‪.‬‬ ‫ﺗﺻوﯾر اﻷوﻋﯾﺔ اﻟطﺑﻘﻲ اﻟﻣﺑرﻣﺞ ﻟﻠﻘﻠب‪ ،‬ﺟراﺣﺔ ﻓﺗﺢ ﻣﺟرى ﺟﺎﻧﺑﻲ ﻟﻠﺷرﯾﺎن اﻟﺗﺎﺟﻲ )ﻓﻲ ﺣﺎﻟﺔ وﺟوده(‬ ‫ﺑﺎﺳﺗﺧدام أﺷﻌﺔ اﻟﺻﺑﻐﺔ‪ ،‬ﺗﺗﺿﻣن ﺻورة ﺛﻼﺛﯾﺔ اﻷﺑﻌﺎد ﻣﺣﻣﺿﺔ )ﺗﺣﺗوي ﻋﻠﻰ ﺗﺣﻠﯾل ﻟﮭﯾﻛل اﻟﻘﻠب‪ ،‬دراﺳﺔ‬ ‫اﻟﺷﻛل‪ ،‬ﺗﻘﯾﯾم وظﯾﻔﺔ اﻟﻘﻠب‪ ،‬ﺗﻘﯾﯾم اﻟﮭﯾﺎﻛل اﻟورﯾدﯾﺔ‪ ،‬ﻓﻲ ﺣﺎﻟﺔ أداﺋﮭﺎ(‪.‬‬ ‫إﺳﺗﺷﺎرة أﺧﺻﺎﺋﻲ اﻟﺗﻐذﯾﺔ‪.‬‬ ‫اﻟﺑروﺗﯾن اﻟﻣﺗﻔﺎﻋل‪ ،C -‬ﻋﺎﻟﻲ اﻟﺣﺳﺎﺳﯾﺔ‪.‬‬

‫ﺳﻌر اﻟﺑﺎﻗﺔ‪:‬‬

‫‪ 5,300‬درھم إﻣﺎراﺗﻲ*‬

‫ﺑﺎﻗﺎت ﻓﺣوﺻﺎت اﻟﻘﻠب‪:‬‬ ‫ﻓﺣص اﻟﻘﻠب )ﻣرﺿﻰ اﻟﻣﺧﺎطر اﻟﻣﺗوﺳطﺔ(‪:‬‬ ‫اﻟذﻛور أﻛﺛر ﻣن ‪ 40‬ﺳﻧﺔ ‪ -‬اﻹﻧﺎث أﻛﺛر ﻣن ‪ 50‬ﺳﻧﺔ ﻣﻊ وﺟود اﺣد اﻟﻌواﻣل اﻵﺗﯾﺔ‪) :‬ﻣرض اﻟﻘﻠب اﻟﺗﺎﺟﻲ وداء‬ ‫اﻟﺳﻛري ‪ -‬أو ﻣن ﻟدﯾﮭم أﻋراض ﻟﮭﺎ ﻋﻼﻗﺔ ﺑﺎﻟﻣﺟﮭود اﻟﻘﯾﺎﺳﻲ‪.‬‬

‫وﺻف اﻟﺑﺎﻗﺔ‬ ‫إﺳﺗﺷﺎرة طﺑﯾﺔ ﻣن أﺣد إﺳﺗﺷﺎرﯾﻲ اﻟﻣﺳﺗﺷﻔﻰ‪.‬‬ ‫اﻟﻣﺧطط اﻟﻛﮭرﺑﺎﺋﻲ ﻟﻠﻘﻠب‪ ،‬اﻟﻔﺣص اﻟروﺗﯾﻧﻰ )‪ 12 - (ECG‬اﺗﺟﺎه ﻋﻠﻰ اﻷﻗل ﻣﻊ ﺗﺣدﯾد اﻻﺗﺟﺎھﺎت واﻟﺗﻘرﯾر‪.‬‬ ‫ﻗﯾﺎس اﻟﻛوﻟﯾﺳﺗرول ﻓﻲ اﻟدم‪ ،‬ﻋﯾﻧﺔ ﻣﺻل اﻟدم أو ﺻورة دم ﻛﺎﻣﻠﺔ‪.‬‬ ‫إﺧﺗﺑﺎر اﻟﺑروﺗﯾن اﻟﺷﺣﻣﻲ‪ ،‬اﻟﻘﯾﺎس اﻟﻣﺑﺎﺷر‪ ،‬اﻟﻛوﻟﺳﺗرول ﻣﻧﺧﻔض اﻟﻛﺛﺎﻓﺔ )اﻟﻛوﻟﺳﺗرول اﻟﺿﺎر(‪.‬‬ ‫إﺧﺗﺑﺎر اﻟﺑروﺗﯾن اﻟﺷﺣﻣﻲ‪ ،‬اﻟﻘﯾﺎس اﻟﻣﺑﺎﺷر‪ ،‬اﻟﻛوﻟﺳﺗرول ﻋﺎﻟﻲ اﻟﻛﺛﺎﻓﺔ )اﻟﻛوﻟﺳﺗرول اﻟﺣﻣﯾد(‪.‬‬ ‫اﻟدھون اﻟﺛﻼﺛﯾﺔ‪.‬‬ ‫ﺗﺣﻠﯾل اﻟﺳﻛر اﻟﺗراﻛﻣﻲ ﻓﻲ اﻟدم )ﻣﺎﻋدا ﺗﺣﻠﯾل اﻟﺑول اﻟﺷرﯾط اﻟﻛﺎﺷف(‪.‬‬ ‫ﺻورة دم ﻛﺎﻣﻠﺔ‪) ،‬ﻗﯾﺎس ﺗرﻛﯾز اﻟﮭﯾﻣوﺟﻠوﺑﯾن‪ ،‬ﻗﯾﺎس ﻧﺳﺑﺔ اﻟﮭﯾﻣﺎﺗوﻛرﯾت‪ ،‬ﻋدد ﻛرﯾﺎت اﻟدم اﻟﺣﻣراء‪ ،‬ﻋدد‬ ‫ﺧﻼﯾﺎ اﻟدم اﻟﺑﯾﺿﺎء‪ ،‬ﻋدد اﻟﺻﻔﺎﺋﺢ اﻟدﻣوﯾﺔ(‪ ،‬ﺧﻼﯾﺎ اﻟدم اﻟﺑﯾﺿﺎء اﻟﺗﻔرﯾﻘﯾﺔ‪.‬‬ ‫ﺗﺧطﯾط ﺻدى اﻟﻘﻠب‪ ،‬ﺗﺧطﯾط ﺻدى اﻟﻘﻠب ﻋﺑر اﻟﺻدر‪ ،‬ﺗﺧطﯾط ﺻدى اﻟﻘﻠب اﻟﺛﻧﺎﺋﻲ اﻟﺑﻌد )‪ ،(2D‬ﻣﻊ أو ﺑدون‬ ‫ﺗﺧطﯾط ﺻدى اﻟﻘﻠب اﻷﺣﺎدي اﻟﺑﻌد‪.‬‬ ‫اﻷﺷﻌﺔ اﻟﻣﻘطﻌﯾﺔ ﻋﻠﻰ اﻟﻘﻠب ﺑدون ﺻﺑﻐﺔ ﻣﻊ اﻟﺗﺣﻠﯾل اﻟﻛﻣﻲ ﻟﻠﻛﺎﻟﺳﯾوم اﻟﺧﺎص ﺑﺎﻟﺷرﯾﺎن اﻟﺗﺎﺟﻲ‪.‬‬ ‫رﺳم اﻟﻘﻠب ﺑﺎﻟﻣﺟﮭود ﺑﺎﺳﺗﺧدام ﺟﮭﺎز اﻟﻣﺷﻲ أو اﻟدراﺟﺔ‪ ،‬اﻟﻣراﻗﺑﺔ اﻟﻣﺳﺗﻣرة ﻟﻠﻣﺧطط اﻟﻛﮭرﺑﺎﺋﻲ ﻟﻠﻘﻠب و‪ /‬أو‬ ‫اﺧﺗﺑﺎر اﻟﺗﺣﻣل اﻟدواﺋﻲ‪ ،‬ﺗﺣت إﺷراف اﻟطﺑﯾب ﻣﻊ اﻟﺗﻔﺳﯾر واﻟﺗﻘرﯾر‪.‬‬ ‫إﺳﺗﺷﺎرة أﺧﺻﺎﺋﻲ اﻟﺗﻐذﯾﺔ‪.‬‬ ‫اﻟﺑروﺗﯾن اﻟﻣﺗﻔﺎﻋل‪ ،C -‬ﻋﺎﻟﻲ اﻟﺣﺳﺎﺳﯾﺔ‪.‬‬

‫ﺳﻌر اﻟﺑﺎﻗﺔ‪:‬‬

‫‪ 3,500‬درھم إﻣﺎراﺗﻲ*‬

‫ﺑﺎﻗﺎت ﻓﺣوﺻﺎت اﻟﻘﻠب‪:‬‬

‫ﻓﺣص اﻟﻘﻠب )ﻣرﺿﻰ اﻟﻣﺧﺎطر اﻟﻣﻧﺧﻔﺿﺔ(‪:‬‬ ‫اﻟذﻛور أﻗل ﻣن ‪ 40‬ﻋﺎم‪ -‬اﻹﻧﺎث أﻗل ﻣن ‪ 50‬ﻋﺎم ﻣﻊ ﻋدم وﺟود ﻋواﻣل ﺧطر أو وﺟود ﺧطر واﺣد ﻋﻠﻰ‬ ‫اﻷﻛﺛر‪) -‬ﻣرض اﻟﻘﻠب اﻟﺗﺎﺟﻲ‪ -‬أﻋراﺿﮫ ﻣﻊ اﺧﺗﺑﺎر ‪( ETT‬‬

‫وﺻف اﻟﺑﺎﻗﺔ‬ ‫إﺳﺗﺷﺎرة طﺑﯾﺔ ﻣن أﺣد إﺳﺗﺷﺎرﯾﻲ اﻟﻣﺳﺗﺷﻔﻰ‪.‬‬ ‫اﻟﻣﺧطط اﻟﻛﮭرﺑﺎﺋﻲ ﻟﻠﻘﻠب‪ ،‬اﻟﻔﺣص اﻟروﺗﯾﻧﻰ )‪ 12 - (ECG‬اﺗﺟﺎه ﻋﻠﻰ اﻷﻗل ﻣﻊ ﺗﺣدﯾد اﻻﺗﺟﺎھﺎت واﻟﺗﻘرﯾر‪.‬‬ ‫ﻗﯾﺎس اﻟﻛوﻟﯾﺳﺗرول ﻓﻲ اﻟدم‪ ،‬ﻋﯾﻧﺔ ﻣﺻل اﻟدم أو ﺻورة دم ﻛﺎﻣﻠﺔ‪.‬‬ ‫إﺧﺗﺑﺎر اﻟﺑروﺗﯾن اﻟﺷﺣﻣﻲ‪ ،‬اﻟﻘﯾﺎس اﻟﻣﺑﺎﺷر‪ ،‬اﻟﻛوﻟﺳﺗرول ﻣﻧﺧﻔض اﻟﻛﺛﺎﻓﺔ )اﻟﻛوﻟﺳﺗرول اﻟﺿﺎر(‪.‬‬ ‫إﺧﺗﺑﺎر اﻟﺑروﺗﯾن اﻟﺷﺣﻣﻲ‪ ،‬اﻟﻘﯾﺎس اﻟﻣﺑﺎﺷر‪ ،‬اﻟﻛوﻟﺳﺗرول ﻋﺎﻟﻲ اﻟﻛﺛﺎﻓﺔ )اﻟﻛوﻟﺳﺗرول اﻟﺣﻣﯾد(‪.‬‬ ‫اﻟدھون اﻟﺛﻼﺛﯾﺔ‪.‬‬ ‫ﺗﺣﻠﯾل اﻟﺳﻛر اﻟﺗراﻛﻣﻲ ﻓﻲ اﻟدم )ﻣﺎﻋدا ﺗﺣﻠﯾل اﻟﺑول اﻟﺷرﯾط اﻟﻛﺎﺷف(‪.‬‬ ‫ﺻورة دم ﻛﺎﻣﻠﺔ‪) ،‬ﻗﯾﺎس ﺗرﻛﯾز اﻟﮭﯾﻣوﺟﻠوﺑﯾن‪ ،‬ﻗﯾﺎس ﻧﺳﺑﺔ اﻟﮭﯾﻣﺎﺗوﻛرﯾت‪ ،‬ﻋدد ﻛرﯾﺎت اﻟدم اﻟﺣﻣراء‪ ،‬ﻋدد ﺧﻼﯾﺎ‬ ‫اﻟدم اﻟﺑﯾﺿﺎء‪ ،‬ﻋدد اﻟﺻﻔﺎﺋﺢ اﻟدﻣوﯾﺔ(‪ ،‬ﺧﻼﯾﺎ اﻟدم اﻟﺑﯾﺿﺎء اﻟﺗﻔرﯾﻘﯾﺔ‪.‬‬ ‫ﺗﺧطﯾط ﺻدى اﻟﻘﻠب‪ ،‬ﺗﺧطﯾط ﺻدى اﻟﻘﻠب ﻋﺑر اﻟﺻدر‪ ،‬ﺗﺧطﯾط ﺻدى اﻟﻘﻠب اﻟﺛﻧﺎﺋﻲ اﻟﺑﻌد )‪ ،(2D‬ﻣﻊ أو ﺑدون‬ ‫ﺗﺧطﯾط ﺻدى اﻟﻘﻠب اﻷﺣﺎدي اﻟﺑﻌد‪.‬‬

‫ﺳﻌر اﻟﺑﺎﻗﺔ‪:‬‬

‫‪ 1,600‬درھم إﻣﺎراﺗﻲ*‬

‫اﻟﺣﻣﯾﺔ ﻏﯾر اﻟﺻﺣﯾﺔ ‪:‬‬ ‫ِ‬ ‫اﻟﻣﺗﺣوﻟﺔ‪ ،‬اﻟﻣﻠﺢ‪ ،‬ﻗﻠﺔ ﺗﻧﺎول اﻟﻔواﻛﮫ واﻟﺧﺿروات واﻷﺳﻣﺎك‬ ‫ﯾؤدي ﺗﻧﺎول اﻟوﺟﺑﺎت اﻟﻐذاﺋﯾﺔ ﻋﺎﻟﯾﺔ اﻟدھون اﻟﻣﺷﺑﻌﺔ‪ ،‬اﻟدھون‬ ‫ّ‬ ‫ﻟﻣﺧﺎطر أﻣراض اﻟﻘﻠب واﻷوﻋﯾﺔ اﻟدﻣوﯾﺔ ﺑﺻﻔﺔ ﻋﺎﻣﺔ‪ .‬وﯾﻌﺗﺑر ﻣﻌدل ﻛﻣﯾﺎت اﻟﻣﻠﺢ اﻟﻣﺳﺗﮭﻠﻛﺔ ﻣن اﻟﻌواﻣل اﻟﮭﺎﻣﺔ ﻓﻲ‬ ‫ﺗﺣدﯾد ﻣﺳﺗوﯾﺎت ﺿﻐط اﻟدم وﻣﺧﺎطر اﻟﻘﻠب واﻷوﻋﯾﺔ اﻟدﻣوﯾﺔ ﺑﺷﻛل ﻋﺎم‪ ،‬ﺣﯾث ﺗم اﻗﺗراح ﺗﻧﺎول أﻗل ﻣن ‪ 5‬ﻏرام ﻣن‬ ‫اﻟﻣﻠﺢ ﻟﻠﺷﺧص اﻟواﺣد ﻓﻲ اﻟﯾوم اﻟواﺣد ﻟﻠﻣﺳﺎﻋدة ﻣن ﻣﻧظﻣﺔ اﻟﺻﺣﺔ اﻟﻌﺎﻟﻣﯾﺔ ﻟﻠوﻗﺎﯾﺔ ﻣن اﻷﻣراض اﻟﻘﻠﺑﯾﺔ اﻟوﻋﺎﺋﯾﺔ‪.‬‬ ‫ﻛﺛرة اﺳﺗﮭﻼك اﻷطﻌﻣﺔ ذات اﻟطﺎﻗﺔ اﻟﻌﺎﻟﯾﺔ‪ ،‬ﻣﺛل اﻷطﻌﻣﺔ اﻟﻣﺻﻧﻌﺔ اﻟﺗﻲ ﺗﺣﺗوي ﻋﻠﻰ ﻧﺳﺑﺔ ﻋﺎﻟﯾﺔ ﻣن اﻟدھون واﻟﺳﻛرﯾﺎت‬ ‫ﺗﻌزز اﻟﺳﻣﻧﺔ ﺑﺎﻟﻣﻘﺎرﻧﺔ ﻣﻊ اﻷطﻌﻣﺔ ﻣﻧﺧﻔﺿﺔ اﻟطﺎﻗﺔ‪ ،‬وﯾرﺗﺑط اﺳﺗﮭﻼك ﻛﻣﯾﺎت ﻛﺑﯾرة ﻣن اﻟدھون اﻟﻣﺷﺑﻌﺔ واﻷﺣﻣﺎض‬ ‫اﻟدھﻧﯾﺔ اﻟﻣﺗﺣوﻟﺔ ﺑﺄﻣراض اﻟﻘﻠب‪ ،‬ﻟذﻟك ﻓﺈن اﻟﻘﺿﺎء ﻋﻠﻰ اﻟدھون اﻟﻣﺗﺣوﻟﺔ واﺳﺗﺑدال اﻟﻣﺷﺑﻌﺔ ﻣﻧﮭﺎ ﺑﺎﻟزﯾوت اﻟﻧﺑﺎﺗﯾﺔ ﻏﯾر‬ ‫اﻟﻣﺷﺑﻌﺔ ﯾﺧﻔض ﺧطر اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب اﻟﺗﺎﺟﯾﺔ‪.‬‬ ‫ﺑﺎﻹﺿﺎﻓﺔ إﻟﻰ ﻋواﻣل اﻟﺧطر اﻟﻘﺎﺑﻠﺔ ﻟﻠﺗﻌدﯾل‪ ،‬ھﻧﺎك ﺑﻌض اﻟﻌواﻣل اﻟﺗﻲ ﻻ ﯾﻣﻛن ﺗﻐﯾﯾرھﺎ‪.‬‬ ‫ﺑﺑﺳﺎطﺔ إن اﻟﺗﻘدم ﻓﻲ اﻟﻌﻣر ھو ﻋﺎﻣل ﺧطر ﻟﻺﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب واﻷوﻋﯾﺔ اﻟدﻣوﯾﺔ‪ ،‬ﺧطر اﻹﺻﺎﺑﺔ ﺑﺎﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ‬ ‫ﯾﺗﺿﺎﻋف ﻛل ﻋﻘد ﺑﻌد ﺳن ‪ 55‬ﻋﺎم‪ .‬ﻛﻣﺎ ﯾﻌﺗﺑر ﻋﺎﻣل اﻟوراﺛﺔ ﻣن اﻟﻌواﻣل اﻟﻣؤﺛرة ﻛذﻟك ﺣﯾث ﺗﺗﺿﺎﻋف ﻧﺳﺑﺔ إﺻﺎﺑﺗك‬ ‫إذا ﻛﺎن ﻟدﯾك ﻗرﯾب ﻣن اﻟدرﺟﺔ اﻷوﻟﻰ ﻣرﯾض ﺑﻣرض اﻟﺷرﯾﺎن اﻟﺗﺎﺟﻲ أو اﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ ﻗﺑل ﺳن ال‪ 55‬ﻋﺎم )اذا ﻛﺎن‬ ‫اﻟﻘرﯾب ذﻛر( أو ‪ 65‬ﻋﺎم )اذا ﻛﺎﻧت اﻟﻘرﯾﺑﺔ أﻧﺛﻰ(‪.‬‬ ‫ﺗﺣدﯾد اﻟﺟﻧس ﻣن اﻟﻌواﻣل اﻟﻣﮭﻣﺔ أﯾﺿﺎً‪ ،‬اﻟرﺟﺎل أﻛﺛر ﻋرﺿﺔ ﻟﺧطر اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب ﻣن اﻟﻧﺳﺎء ﻗﺑل اﻧﻘطﺎع‬ ‫اﻟطﻣث‪ ،‬وﻟﻛن ﺑﻣﺟرد اﻧﻘطﺎع اﻟطﻣث‪ ،‬ﺗﺗﺳﺎوى ﻧﺳﺑﺔ اﻟﺧطر‪ .‬ﺧطر اﻹﺻﺎﺑﺔ ﺑﺎﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ ﻣﺗﺳﺎوي ﻟﻠرﺟﺎل واﻟﻧﺳﺎء‪.‬‬ ‫اﻷﺻل اﻟﻌرﻗﻲ اﻟﺧﺎص ﯾﻠﻌب دورا ً ﻓﻲ ذﻟك ﺑﺣﯾث ﺗرﺗﻔﻊ ﻧﺳﺑﺔ ﺧطر اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب واﻷوﻋﯾﺔ اﻟدﻣوﯾﺔ‬ ‫ﻟﻸﺷﺧﺎص ذو اﻷﺻول اﻷﻓرﯾﻘﯾﺔ أو اﻵﺳﯾوﯾﺔ أﻛﺛر ﻣن اﻟﺟﻣﺎﻋﺎت اﻟﻌرﻗﯾﺔ اﻷﺧرى‪.‬‬ ‫ﺑﻣﺎ أﻧﮫ ﯾوﺟد ﻋواﻣل ﻻ ﯾﻣﻛن اﻟﺗدﺧل ﻓﻲ ﺗﻐﯾﯾرھﺎ ﻣﺛل ﻋﺎﻣل اﻟﺳن ﻓﯾﺟب ﻋﻠﻰ اﻟﺷﺧص ﻣﺣﺎوﻟﺔ ﺗﻐﯾﯾر ﻣﻌدﻻت ﻋواﻣل‬ ‫اﻟﺧطر اﻟﻣذﻛورة ﺳﺎﺑﻘﺎ ً اﻟﻘﺎﺑﻠﺔ ﻟﻠﺗﻐﯾﯾر ﻣﺛل اﻟﺗﻐذﯾﺔ واﻟوزن ﻟﻠوﻗﺎﯾﺔ و ﻟﻠﺗﻣﺗﻊ ﺑﺻﺣﺔ أﻓﺿل‪.‬‬

‫ﻋﺎدة ﻣﺎ ﺗﻛون أﻋراض اﻷﻣراض اﻟﻘﻠﺑﯾﺔ ﺻﺎﻣﺗﺔ‪ ،‬ﻟﻛن اﻟﺗﺷﺧﯾص واﻟﻌﻼج اﻟﻣﺑﻛر ﯾﻣﻛن أن ﯾﻣﻧﻌﺎ اﻟﻣزﯾد ﻣن‬ ‫اﻟﺗﻌﻘﯾدات ﻣن اﻟظﮭور‪.‬‬ ‫رﺑﻣﺎ ﻗد ﯾﮭدد اﻧﺗظﺎر ﻗﻠﺑك ﻹﻋطﺎء إﺷﺎرات اﻟﺗﺣذﯾر ﺣﯾﺎﺗك‪ ،‬ﻟذﻟك ﻓﺗﺗﺑﻊ أﻣراض اﻟﻘﻠب اﻟ ُﻣﺣﺗﻣﻠﺔ وﻣﻌﺎﻟﺟﺗﮭﺎ ھو أﻣر‬ ‫ﺑﺎﻟﻎ اﻷھﻣﯾﺔ ﻟﺣﯾﺎة ﺧﺎﻟﯾﺔ ﻣن اﻟﻣﺧﺎطر وﺑﺎﻟﺗﺎﻟﻲ‪ ،‬ﻓﺈن اﺧﺗﯾﺎر اﻟرﻋﺎﯾﺔ اﻟﻘﻠﺑﯾﺔ اﻷﻛﺛر ﻣﻼﺋﻣﺔ ﻟك ھو أﻣر ﺿروري‪.‬‬ ‫ﻗﻠوﺑﻛم ﺗﺳﺗﺣﻖ ﻓﻘط اﻷﻓﺿل وﻟﮭذا ﻓﺈن ﻣﺳﺗﺷﻔﻰ اﻟﺟﺎﻣﻌﺔ ﺑﺎﻟﺷﺎرﻗﺔ ﺧﺻص ﻟﻛم ﺑﺎﻗﺎت رﻋﺎﯾﺔ اﻟﻘﻠب اﻟﺗﻲ ﺗُرﻛز ﺑﻘوة‬ ‫ﻋﻠﻰ ﻓﺣص وﺗﺣدﯾد ﺣﺎﻟﺔ ﻗﻠﺑك ﺑدﻗﺔ‪ .‬ﺗﮭدف اﻟﺑﺎﻗﺔ إﻟﻰ ﺗﻘدﯾم اﻟﺣل اﻷﻣﺛل ﻟﺟﻣﯾﻊ ﻣﺷﺎﻛل اﻟﻘﻠب اﻟرﺋﯾﺳﯾﺔ ﺣﯾث أﻧﮭﺎ‬ ‫ﺗﺷﻣل اﺧﺗﺑﺎرات ﺗﺳﺗطﯾﻊ أن ﺗﻛﺗﺷف اﻟﺣﺎﻻت اﻟﺗﻲ ﻗد ﺗﻛون ﺑدون أي أﻋراض‪ُ ،‬ﻣﺗﯾﺣﺔ اﻟﻔرﺻﺔ ﻟﻠﺗﺷﺧﯾص واﻟﻌﻼج‬ ‫اﻟﻣﺑﻛر‪ .‬ﻛﻣﺎ ﺗﺷﻣل أﯾﺿﺎ ً اﺳﺗﺷﺎرة أﺧﺻﺎﺋﻲ اﻟﻘﻠب اﻟذي ﯾﺳﺎﻋدك ﻓﻲ ﻛل ﻣراﺣل اﻟﺗﺷﺧﯾص واﻟﻌﻼج‪.‬‬

‫ﻣﺎ ھﻲ أﻣراض اﻟﻘﻠب اﻟوﻋﺎﺋﯾﺔ؟‬

‫ﺗﺷﯾر أﻣراض اﻟﻘﻠب اﻟوﻋﺎﺋﯾﺔ ﺑوﺟﮫ ﻋﺎم إﻟﻰ اﻟﺣﺎﻻت اﻟﺗﻲ ﺗﻧطوي ﻋﻠﻰ ﺗﺿﯾﻖ‪ ،‬اِﻧﺳداد أو ﺗﺻﻠب ﻓﻲ اﻷوﻋﯾﺔ‬ ‫اﻟدﻣوﯾﺔ واﻟﺗﻲ ﻣن اﻟﻣﻣﻛن أن ﺗؤدي إﻟﻰ ﺳﻛﺗﺔ ﻗﻠﺑﯾﺔ‪ ،‬أﻟم ﻓﻲ اﻟﺻدر )اﻟذﺑﺣﺔ اﻟﺻدرﯾﺔ( أو اﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ‪ .‬ﺗﻌﺗﺑر‬ ‫ﺣﺎﻻت اﻟﻘﻠب اﻷﺧرى ﻣﺛل ﺗﻠك اﻟﺗﻲ ﺗؤﺛر ﻋﻠﻰ ﻋﺿﻼت اﻟﻘﻠب‪ ،‬ﺻﻣﺎم اﻟﻘﻠب‪ ،‬إﯾﻘﺎع اﻟﻘﻠب ﻣن أﺷﻛﺎل أﻣراض‬ ‫اﻟﻘﻠب اﻷﺧرى ﻛذﻟك‪.‬‬

‫ﻏﯾرھم؟‬ ‫ﻣن ُھم اﻷﺷﺧﺎص اﻟ ُﻣﻌرﺿون ﻟﺧطر اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب أﻛﺛر ﻣن ِ‬

‫ﺑﻌض اﻟﻌﺎدات واﻟﺳﻠوﻛﯾﺎت ﻣن اﻟﻣﻣﻛن أن ﺗرﻓﻊ ﺧطر إﺻﺎﺑﺗك ﺑﻣرض اﻟﻘﻠب اﻟﺗﺎﺟﻲ )‪ ،(CHD‬ھذه اﻟﺣﺎﻻت ﺗُﻌرف‬ ‫ﺑﻌواﻣل اﻟﺧطرﺣﯾث ﺗﺣدث أﻏﻠﺑﯾﺔ أﻣراض اﻟﻘﻠب اﻟوﻋﺎﺋﯾﺔ ﻧﺗﯾﺟﺔ ﻋواﻣل اﻟﺧطر واﻟﺗﻲ ﯾﻣﻛن اﻟﺳﯾطرة ﻋﻠﯾﮭﺎ‪ ،‬ﻣﻌﺎﻟﺟﺗﮭﺎ‬ ‫أو ﺗﺧﻔﯾﻔﮭﺎ ﻣﺛل ﺿﻐط اﻟدم اﻟﻣرﺗﻔﻊ‪ ،‬اﻟﻛوﻟﺳﺗرول‪ ،‬زﯾﺎدة اﻟوزن ‪ /‬اﻟﺳﻣﻧﺔ‪ ،‬اﻟﺗدﺧﯾن‪ ،‬ﻗﻠﺔ اﻟﻧﺷﺎط اﻟﺑدﻧﻲ وداء اﻟﺳﻛري‪ .‬وﻣﻊ‬ ‫ذﻟك‪ ،‬ﻓﺈﻧﮫ ﻻ ﯾﻣﻛن اﻟﺳﯾطرة ﻋﻠﻰ ﺑﻌض ﻋواﻣل اﻟﺧطر اﻟﻣرﺗﺑطﺔ ﺑﺄﻣراض اﻟﻘﻠب اﻟوﻋﺎﺋﯾﺔ‪.‬‬ ‫ﺗﻘﺗرح ﺟﻣﻌﯾﺔ اﻟﻘﻠب اﻷﻣرﯾﻛﯾﺔ اﻟﺑدء ﻓﻲ ﻣﻧﻊ أﻣراض اﻟﻘﻠب ﻓﻲ وﻗت ﻣﺑﻛر ﻣن اﻟﺣﯾﺎة ﺑداﯾﺔ ﻣن ﺗﻘﯾﯾم ﻋواﻣل اﻟﺧطر‬ ‫اﻟﺧﺎﺻﺔ ﺑﺎﻟﺷﺧص واﻟﻌﻣل ﻋﻠﻰ إﺑﻘﺎء ھذه اﻷﺧﯾرة داﺋﻣﺎ ً ﻓﻲ درﺟﺎت ﻣﻧﺧﻔﺿﺔ ﻣن أﺟل اﻟوﻗﺎﯾﺔ ﻣن ﻣﺧﺎطرھﺎ ﻋﻠﻰ اﻟﻣدى‬ ‫اﻟﺑﻌﯾد‪ .‬ﻓﻛﻠﻣﺎ ﻛﺎن اﻟﺷﺧص ﯾﻌرف ﻛﯾف ﯾُدﯾرﻋواﻣل اﻟﺧطراﻟﻣرﺗﺑطﺔ ﺑﺻﺣﺗﮫ‪ ،‬ﻛﻠﻣﺎ ﻋزز ذﻟك ﻓرﺻﺗﮫ ﻓﻲ ﻋﯾش ﺣﯾﺎة‬ ‫ﺻﺣﯾﺔ أﻛﺛر وﺑﻘﻠب ﺳﻠﯾم‪.‬‬

‫اِرﺗﻔﺎع ﺿﻐط اﻟدم‪:‬‬ ‫ﯾزﯾد اِرﺗﻔﺎع ﺿﻐط اﻟدم ﻣن اﻟﺿﻐط ﻋﻠﻰ ﻋﻣل اﻟﻘﻠب‪ ،‬ﻣﺳﺑﺑﺎ ً ﺗﺿﺧم ﻋﺿﻠﺔ اﻟﻘﻠب ﺣﯾث ﺗﺻﺑﺢ أﻛﺛر ﺻﻼﺑﺔ‪ ،‬وﻛَوﻧﮭﺎ‬ ‫ﻋﺿﻠﺔ ﺻﻠﺑﺔ ﻟﯾس ذﻟك ﺷﯾﺋﺎ ً طﺑﯾﻌﯾﺎً‪ .‬ﯾُؤدي إرﺗﻔﺎع ﺿﻐط اﻟدم إﻟﻰ ﺧطر اﻹﺻﺎﺑﺔ ﺑﺎﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ‪ ،‬اﻟﻧوﺑﺔ اﻟﻘﻠﺑﯾﺔ‪ ،‬اﻟﻔﺷل‬ ‫اﻟﻛﻠوى‪ ...‬وﺗزﯾد ﻋواﻣل ﻣﺛل اﻟﺳﻣﻧﺔ‪ ،‬اﻟﺗدﺧﯾن‪ ،‬اِرﺗﻔﺎع ﻣﺳﺗوى اﻟﻛوﻟﺳﺗرول ﻓﻲ اﻟدم أو داء اﻟﺳﻛري ﺧطر اﻹﺻﺎﺑﺔ‬ ‫ﺑﺎﻟﻧوﺑﺔ اﻟﻘﻠﺑﯾﺔ أو اﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ‪.‬‬

‫اِرﺗﻔﺎع اﻟﺳﻛر ﻓﻲ اﻟدم )داء اﻟﺳﻛري( ‪:‬‬ ‫ﯾزﯾد ﻣرض اﻟﺳﻛري ﻣن ﺧطر اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب اﻟوﻋﺎﺋﯾﺔ ﺑﺷﻛل ﻛﺑﯾر‪ ،‬ﺣﺗﻰ ﻋﻧدﻣﺎ ﺗﻛون ﻣﺳﺗوﯾﺎت اﻟﺟﻠوﻛوز‬ ‫ﺗﺣت اﻟﺳﯾطرة‪ ،‬وﻗد ﯾؤدي إﻟﻰ اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب و اﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ وﻟﻛن اﻟﺧطر ﯾﻛون أﻛﺑر إذا ﻟم ﺗﺗم اﻟﺳﯾطرة‬ ‫ﻋﻠﻰ ﺳﻛر اﻟدم ﺑﺷﻛل ﺟﯾد‪.‬‬ ‫إذا ﻛﺎن ﻟدﯾك داء اﻟﺳﻛري‪ ،‬ﻓﺈﻧﮫ ﻣن اﻟﺿروري ﺟدا ً أن ﺗﻌﻣل ﻋﻠﻰ اﻟﺳﯾطرة ﻋﻠﯾﮫ وﻋﻠﻰ ﻣﺿﺎﻋﻔﺎﺗﮫ أو أي ﻋواﻣل ﺧطرة‬ ‫أﺧرى ﺑﻣﺳﺎﻋدة طﺑﯾﺑك اﻟﺧﺎص‪.‬‬

‫اﻟﻛﺳل اﻟﺑدﻧﻲ‪:‬‬ ‫ﯾُﻌﺗﺑر ﻧﻣط اﻟﺣﯾﺎة اﻟﺧﺎﻣﻠﺔ أﺣد اﻟﻌواﻣل اﻟﺧطﯾرة اﻟﺗﻲ ﺗؤدي إﻟﻰ ﻣرض اﻟﻘﻠب اﻟﺗﺎﺟﻲ‪ .‬ﯾﺳﺎﻋد اﻟﻧﺷﺎط اﻟﺑدﻧﻲ اﻟﻣﻧﺗظم‬ ‫واﻟﻣﺗوﺳط إﻟﻰ اﻟﻧﺷِط ﻓﻲ ﺗﻘﻠﯾل ﻣﺧﺎطر اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب واﻷوﻋﯾﺔ اﻟدﻣوﯾﺔ‪ ،‬ﺣﺗﻰ اﻷﻧﺷطﺔ ذات اﻟﺣدة اﻟﻣﻌﺗدﻟﺔ‬ ‫ﺗؤدي ﻧﻔس اﻟﻐرض إذا ﺗﻣت ﻣﻣﺎرﺳﺗﮭﺎ ﺑﺷﻛل ﻣﻧﺗظم وﻋﻠﻰ ﻣدى طوﯾل‪ .‬اﻟﻧﺷﺎط اﻟﺑدﻧﻲ ﯾﻣﻛن أن ﯾﺳﺎﻋد ﻓﻲ اﻟﺳﯾطرة ﻋﻠﻰ‬ ‫اﻟﻛوﻟﯾﺳﺗرول ﻓﻲ اﻟدم‪ ،‬ﻣرض اﻟﺳﻛري واﻟﺳﻣﻧﺔ‪ ،‬ﻓﺿﻼ ﻋن اﻟﻣﺳﺎﻋدة ﻋﻠﻰ ﺧﻔض ﺿﻐط اﻟدم ﻟدى ﺑﻌض اﻷﺷﺧﺎص‪.‬‬

‫اﻟﺳﻣﻧﺔ وزﯾﺎدة اﻟوزن‪:‬‬

‫اﻷﺷﺧﺎص اﻟذﯾن ﯾﻌﺎﻧون ﻣن دھون زاﺋدة ﻓﻲ اﻟﺟﺳم ‪ -‬وﺧﺎﺻﺔ ﻓﻲ ﻣﻧطﻘﺔ اﻟوﺳط ‪ -‬ھم أﻛﺛر ﻋرﺿﺔ ﻷﻣراض اﻟﻘﻠب‬ ‫واﻟﺳﻛﺗﺔ اﻟدﻣﺎﻏﯾﺔ ﺣﺗﻰ إذا ﻟم ﯾﻛن ﻟدﯾﮭم أي ﻋواﻣل ﺧطر أﺧرى‪ .‬ﯾُﻣﻛن ﻟﻸﺷﺧﺎص اﻟﺑﺎﻟﻐﯾن اﻟذﯾن ﯾﻌﺎﻧون ﻣن زﯾﺎدة اﻟوزن‬ ‫واﻟﺳﻣﻧﺔ وﻟدﯾﮭم ﻋواﻣل ﺧطر أﺧرى اﻹﺻﺎﺑﺔ ﺑﺄﻣراض اﻟﻘﻠب اﻟوﻋﺎﺋﯾﺔ ﻣﺛل ارﺗﻔﺎع ﺿﻐط اﻟدم‪ ،‬ارﺗﻔﺎع اﻟﻛوﻟﺳﺗرول أو‬ ‫ارﺗﻔﺎع ﻧﺳﺑﺔ اﻟﺳﻛر ﻓﻲ اﻟدم إذا ﻟم ﯾﻐﯾرو ﻣن ﻧﻣط ﺣﯾﺎﺗﮭم‪ ،‬ﺑﻔﻘدان اﻟوزن و ﺑﺗﺣﻘﯾﻖ اﻧﺧﻔﺎض ﻣﻠﺣوظ ﺳرﯾرﯾﺎ ً ﻓﻲ ﻣﻌدﻻت‬ ‫اﻟدھون اﻟﺛﻼﺛﯾﺔ‪ ،‬ﻧﺳﺑﺔ اﻟﺟﻠوﻛوز ﻓﻲ اﻟدم‪ ،‬ﻣﻌدل اﻟﺳﻛر اﻟﺗراﻛﻣﻲ وﺧطر اﻹﺻﺎﺑﺔ ﺑﻣرض اﻟﺳﻛري ﻣن اﻟﻧوع اﻟﺛﺎﻧﻲ‪.‬‬ ‫ﻟِﺗﺣﻘﯾﻖ ﺻﺣﺔ أﻓﺿل‪ ،‬ﯾﺟب أن ﯾﻛون ﻣﺗوﺳط ﻣؤﺷر ﻛﺗﻠﺔ اﻟﺟﺳم ﻟﻸﺷﺧﺎص اﻟﺑﺎﻟﻐﯾن ﺑﯾن ‪ 21-23‬ﻛﻎ‪/‬م‪ 2‬ﻓﻲ ﺣﯾن أﻧﮫ‬ ‫ﯾﻧﺑﻐﻲ أن ﯾﻛون اﻟﮭدف ﻟﻸﻓراد اﻟﺣﻔﺎظ ﻋﻠﻰ ﻣؤﺷر ﻛﺗﻠﺔ اﻟﺟﺳم ﻓﻲ ﺣدود ‪18.5‬ﺣﺗﻲ ‪ 24.9‬ﻛﻎ‪/‬م‪.2‬‬

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