Ministry of health of republic of uzbekistan tashkent medical academy

Methods of teaching
Text to lectures, video film, questions, technology "yes-no"
Form of the education	Lazer projector, visual material, special technical equipment, show thematic sick
Facilities of the education	Group
Conditions of the undertaking the scholastic process	Aauditorium

PRODUCTION CHART TO LECTURES

Stages, time	Activity
	Teacher	Students
1 stage Introductory part (5 mines)	1. Tells about subject of the lectures, her purposes and plan	Listen
2 stages Actualization (increasing to value ) of the knowledges (20 mines)	2.1. In purpose of increasing to actualizations (increasing to value) of the knowledges student will assign the questions: Give the determination a term aterocklerozis, H ID? Enumerate diseases being accompanied pain in thorax Enumerate factors of the risk, bring about arising the pains in thorax Enumerate groups a preparation, using for treatment HID 5. What is a heart attack of the myocardium? The clinical variants of the current of the heart attack of the myocardium. Tactics squall conducts questions 2.2. Showing on screen offers to get acquainted the student with purpose and problem to lectures. Slide 1, 2	2.1. Answer questions 2.2 Study slide 1 2.3. Study slide 2
3 stages Main part (information) (55 mines)	3.1. Introduces the student with lecture material, value of the subject and principle of the shaping intelegent cultural personality, in particular squall-teacher. In purpose of increasing to actualizations of the knowledges conducts quick questioning a student: 1. On 1 point of the plan to lectures: tell blood provision of heart. Give determination a notion atherosclerosis container 2. On 2 points of the plan to lectures: enumerate reasons and factors of the risk bring about development atherosclerosis with following development ishemik disease heart 3. On 3 points of the plan to lectures: categorization HID 4. On 4 points of the plan to lectures: Give determination HID and tell clinical current different type heart ishemik disease 5. On 5 points of the plan to lectures: particularities of the current of the sharp heart attack of the myocardium, tactics squall, urgent help 6. On 6 points of the plan to lectures: diagnostics of the diseases being accompanied with pain in thorax 7. On 7 points of the plan to lectures: principles of the treatment, preventive maintenances and dispanserization sick with ishemik by disease heart Sopping for important moment of the lectures offers to write main positions in copy-book	3.1. Together analyse heard lecture material, will assign questions Main moments write in copy-book
4 stages final (10 mines)	4.1. Will Assign questions: 1. Enumerate most often meeting diseases, being accompanied coronary pain in thorax 2. Tell modern categorization an ishemik heart disease 3. Tell main key moments of the clinical current different type HID 4. Name cardinal principles of the treatment, preventive maintenances and rehabilitations sick with sharp heart attack of the myocardium 4.2. Gives task for independent work student: atipic forms of the clinical current of the heart attack of the myocardium, complications	4.1. Answer questions 4.2. Listen, write

Coronary heart disease (CHD) - a disease of the myocardium, caused by acute or chronic mismatch of myocardial oxygen demand and real coronary blood supply of the heart muscle, which is reflected in the development of myocardial ischemic areas, ischemic injury, necrosis and scarring of fields, involving violations of systolic and / or diastolic function of the heart. IBS is one of the most common diseases of the cardiovascular system in all developed countries. According to data from prospective studies, IBS affects approximately 5-8% of men aged 20 to 44 years and 18-24,5% - aged 45 to 69 years. The prevalence of heart disease in women is smaller and the older age group usually does not exceed 13-15%. The share of CHD in more than half of all deaths is from cardiovascular disease. The Russian Federation has one of the highest points in Europe with prevalence and mortality from coronary heart disease. It should also consider the significant socio-economic value of CAD, which results in a relatively early disability and disability.

Morphological basis of ischemic heart disease in more than 95-97% of cases is the coronary artery (CA). Atherosclerotic plaques, narrowing the lumen of the coronary vessels, localized mainly in the proximal (epicardial) spacecraft, mainly in their mouth. In this case, intramural coronary vessels, at least macroscopically, remain intact.
Risk factors for coronary artery disease. We should also mention the importance in the formation of coronary heart disease risk factors (RF), identical risk factors of atherosclerosis. We mention that, one of the most important of them are:
1. Non-modifiable (immutable) DF:
• 50-60 years of age or older;
• gender (male);
• family history.
2. Modifiable (changeable)
• dyslipidemia (high blood levels of cholesterol, triglycerides and atherogenic lipoproteins and / or reduction of antiatherogenic HDL);
• hypertension (AH);
• smoking;
• obesity;
• disorders of carbohydrate metabolism (hyperglycemia, diabetes mellitus);
• lack of exercise;
• poor nutrition;
• hyperhomocysteinemia, etc.
Now it is proved that the greatest prognostic significance has such as coronary heart disease risk factors of dyslipidemia, hypertension, smoking, obesity and diabetes.