Atheroma Flashcards
Define atherosclerosis
Progressive narrowing and hardening within an artery, potentially resulting in complete blockage
How is Atheroma buildup initiated?
Injury such as hyperlipidaemia, disturbed flow, smoking or hypertension
Risks from Atheroma in coronary artery?
MI
Angina
IHD
Risks from Atheroma in the aorta?
Aneurysm
Risks from Atheroma in carotid artery?
Stroke
Risks from Atheroma in peripheral artery?
Peripheral vascular disease
Name 3 other presentations of atherosclerosis
Bowel ischaemia
Renal artery stenosis
Emboli
How is Atheroma/atherosclerosis treated?
Revascularization and secondary prevention
What is the cause of IHD?
Imbalance between perfusion and demand of the heart for oxygenated blood
What causes the decreased flow of oxygenated blood?
Atheroma
Embolism
Spasm
What causes increased demand for oxygen in IHD?
Thyrotoxicosis
Myocardial hypertrophy
What are the fixed risk factors of IHD?
Age
Family history
Male sex
Genetic factors
What are the reversible risk factors of IHD?
Hyperlipidaemia Smoking Hypertension Diabetes Lack of exercise Obesity High alcohol intake
Name 5 presentations of IHD
Stable angina Unstable angina NSTEMI STEMI Sudden death
What are the signs of IHD?
Chest pain, SOB, syncope, palpitations