Atherosclerosis Flashcards
nonmodifiable risk factors
increasing age, male gender, family history, Genetic abnormalities
Modifiable risk factors
Hyperlipidemia, Hypertension, Diabetes, Smoking
Where does atherosclerosis occur?
Intimal layer of medium and large (>2mm) arteries
3 kinds of arteriosclerosis
Atherosclerosis, Monckeberg medial calcific sclerosis, arteriolosclerosis
4 stages of Atherosclerotic plaque development
Endothelial dysfunction, Fatty streak formation, Plaque growth and maturation, Unstable fibrous plaque
Most important risk factor for atherosclerosis?
Hyperlipidemia
Major factors contributing to atherosclerotic plaque formation
reduction of shear stress, oxidation of lipoproteins and monocyte derived macrophage recruitment, chronic inflammation of macro. and t lymph with platlets make PDGF and increase smooth musc. prolif. and and migration. Neovascularization and apoptosis (eventual rupture
Pathogenesis is based off of
response to injury hypothesis (chronic inflammation caused by endothelial injury and sustained by lipoproteins, macrophages, T lymph, and smooth muscle)
major sites of atherosclerosis
Aorta, coronary arteries, carotids, basilar
Main sites for aneurysm
abdominal aorta, branch points of mesenteric, renal, and iliac arteries.