2.7 Pathology Of CVD Flashcards

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1
Q

What is atherosclerosis?

A

Formation of plaques called atheromas beneath the endothelium in the wall of arteries
Plaques contain cholesterol& overtime can come enlarged by addition of fibrous material, calcium and more cholesterol

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2
Q

What can Large atheromas result in?

A

A reduction in the diameter of arteries lumen
Reduction of bloodflow in the capillary bed served by that Artery
Increase in blood pressure

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3
Q

What happens during hardening of the arteries?

A

Large plaques hardened by deposits of calcium cause arterial walls to become Thicker and lose their elasticity

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4
Q

Atherosclerosis can lead to…

A

Heart disease, angina, stroke, heart attack, peripheral vascular disease

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5
Q

What is Thrombosis?

A

The formation of a blood clot (thrombus) brought about when a atheroma becomes bigger and bursts through endothelium.

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6
Q

Why does blood clot?

A

Blood clotting as a protective action triggered by damage to cells it normally occurs to prevent loss of blood at a wound

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7
Q

The stages of blood clot’s

A

The presence of damage cells releases clotting factors which activate the enzyme prothrombin (inactive in blood plasma) to convert to its active form called thrombin which promotes fibrinogen(soluble plasma protein) into threads of fibrin which forms a meshwork which clots the blood

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8
Q

What is an embolus?

A

A thrombus which breaks loose

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9
Q

What is Coronary Thrombosis?

A

Blockage of a coronary artery by and embolus which blocks an narrowed vessel and restricts blood flow or even brings it to a complete halt.

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10
Q

Thrombus in an artery in a brain

A

Can lead to a stroke and may result in death of some of the tissues served by that artery because they are deprived of oxygen

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11
Q

What is peripheral arteries

A

Arteries other than aorta and coronary and carotid arteries

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12
Q

What is peripheral vascular disease?

A

When peripheral arteries are affected by atherosclerosis and the central cavity becomes narrowed restricting blood flow , most commonly in the leg

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13
Q

What is Deep vein thrombosis

A

Formation of a thrombus in a vein most commonly in the calf of the lower leg can cause pain and swollen leg and veins close to the skin surface can also become engorged with blood

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14
Q

What is a pulmonary embolism?

A

When An embolus is transported via the vena cava and heart chambers to the pulmonary artery where it may block a small arterial branch causing chest pains, breathing difficulties and palpitations

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15
Q

Treatment for Pulmonary Embolism

A

Anticoagulant drugs to thin blood and If untreated can lead to collapse of sudden death

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16
Q

What is cholesterol?

A

A type of leopard found in the cell membrane it can be used to make sex hormones and is produced by all cells (25% produced in liver cells from saturated fats present in normal balanced diet)

17
Q

What are lipoproteins?

A

Molecules made up of lipids (fats) and protein which are found in blood plasma and transport lipids from one part of the body to another

18
Q

How is cholesterol transported by LDL

A

Most body cells synthesise LDL receptors which then become inserted in their cell membrane and when a molecule of LDL carrying LDL cholesterol Comes attached to a receptor the cell engulfs the LDL-cholesterol and the cholesterol is released for use by the cell

19
Q

How is cholesterol transported by high density lipoprotein?

A

Excess cholesterol Is transported by HDL from body cells to the liver for elimination. This prevents high level of cholesterol building up in the bloodstream HDL cholesterol is also not taken into artery walls and therefore does not contribute to atherosclerosis

20
Q

Why do we need more HDL cholesterol (good) than LDL cholesterol (bad)

A

Higher ratio of HDL to LDL results in a decrease in blood cholesterol and Have reduced chance of a atherosclerosis and cardiovascular disease