atherosclerosis Flashcards

(35 cards)

1
Q

what is atherosclerosis

A

an arterial disease characterized by thickening or hardening of the arteries

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2
Q

what is the leading cause of heart and stroke

A

atherosclerosis

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3
Q

what is sufficient for the development of artherosclerosis

A

increased serum cholesterol

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4
Q

normal artery wall consist of what

A

intima
media
adventitia layer

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5
Q

the intima consist of

A

endothetial
subendothelial marix
basement membrane intima

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6
Q

facts about the media

A

middle and thickest
has smooth muscle cells
provides vascular tone

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7
Q

facts about the adventitia layer

A

consist of
collagen fibers
vasovasorums
nerve endings

has sparse cell distribution

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8
Q

Some pathophysiology

A

deposition of lipoproteins
platlet adhesion
lipid accumulation

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9
Q

what is the atherommatous plaque

A

white or yellow lesions that
are elevated from the vessel intima, but may coalesce to form larger
masses

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10
Q

what is an ulcerted plaque

A

take on a red-brown color due to thrombus
accumulating on the plaques

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11
Q

what is the most sensitive method to diagnose atheroosclerosis

A

angiography or Doppler ultrasound

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12
Q

if an atherosclerosis involves the carotid artery it can cause what

A

stroke

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13
Q

if it involves the coronary artery it can cause

A

ischemic heart disease or arrythmia

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14
Q

if it involves renal arteries it can cause

A

kidney disease

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15
Q

plaque rupture occurs as what

A

clinically trigerring of thrombus formation

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16
Q

the thrombus plaque cases what

A

partial or
complete vascular
occlusion and causes
infarction

17
Q

thrombus formation causes what

A

acute myocardial infraction..in stenosis
stroke…
peripheral vascular disease…in extremity vessels

18
Q

what happens after the theres a damage of the atherosclerotic structure

A

vessel wall weakens

19
Q

how does aneurysm happen

A

this happens after the atherosclerotic structure has been damaged the vessel wall in that area weakens

20
Q

treatment

A

exercise
medication
surgery

21
Q

what is coronary artery disease

A

a
decrease in blood flow to the heart as a
result of the development of
atherosclerosis in the epicardial arteries.

22
Q

some other ilnesses that can be seen in patients who have CAD

A

Stable angina or acute coronary syndrome

23
Q

risk factors for CAD

A

diabetes
obesity
high cholesterol
menopose

23
Q

risk factors for CAD

A

diabetes
obesity
high cholesterol
menopose

24
how is ischemia detected in CAD
repolarization anomalies including st segment depression decreased lvef
25
test for cad
Interventional coronary angiography
26
what revascularization surgey is reomommended n.b this surgery is recomended to those with a failed surgery or angina
Percutaneous coronary intervention (PCI) and Coronary Artery Bypass Graft (CABG
27
facts about the percutaneous coronary intervention
its a minimally invasive procedure to improve blood flow includes baloon angioplasty the stents can be drugs or metals
28
what is the most preferred venous graft for the cabg most prefered arterial grafts
saphenous vein internal thoracic arteries and radial arteries
29
the preoperative stay is advised to what kind of pateint
patients at high risk of postoperative pulmonary complications after cabg surgery
30
what period beings in the coronary care unit after the icu
post operative
31
post opertaive
rest teaching techniques to increase ventilation life style change and medical treatment should be advised here
32
things to do in the phase 11 or outpatient rehabilitation phase
start with evaluation patient does maximal extercise test to determine thier exercise capacity or 6 min walk next the patient is subjected to an exercise based pprograme etc
33
what exercise training can be given to d patients
miet ..moderate intensity exer training..should be given at 50-70perc vo2 max or HIIT..80-100 v02 max LIIT..50-70 v02 max
34
large muscle groups should be started with
50 perc of 1 rm and gradually increases to 70-80 perc