Atherosclerosis Flashcards

1
Q

Atherosclerosis

A

Chronic inflammatory disease of the inner layer (tunica intima) or arteries. Causes narrowing and hardening of arteries due to lipid garbage from fibrosis.

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2
Q

Atherosclerotic CV disease is the most common cause of death in US

A

true

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3
Q

What size arteries does atherosclerosis prefer?

A

medium and large

Especially coronary, cerebral, aorta

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4
Q

Step one of atherosclerotic injury

A

injury to the endothelial cells causes cytokine release, increased permeability,

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5
Q

Step two

A

accumulation of lipid (LDL) which is trapped by proteoglycans in the ECM who’se production increases in hypertension.

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6
Q

Step 3

A

Leukocyte recruitment to teh tunica intima and smooth muscle cells which turn into phagocytes

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7
Q

Step 4

A

Foam cell formation, macrophages phagocytose modified LDL

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8
Q

Step 5

A

ECM deposition and collagen deposition.

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9
Q

Earleist visible pathology

A

fatty streaks

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10
Q

What do atheromatous plaques look like?

A

soft yellow core called atheroma with a white fibrous cap.

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11
Q

Thrombosis superimposed on atherosclerosis

A

BAD

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12
Q

Three factors predispose to thrombosis

A

endothelial injury, hypercoagulability, abnormal blood flow

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