Atherosclerosis Flashcards
Atherosclerosis
Chronic inflammatory disease of the inner layer (tunica intima) or arteries. Causes narrowing and hardening of arteries due to lipid garbage from fibrosis.
Atherosclerotic CV disease is the most common cause of death in US
true
What size arteries does atherosclerosis prefer?
medium and large
Especially coronary, cerebral, aorta
Step one of atherosclerotic injury
injury to the endothelial cells causes cytokine release, increased permeability,
Step two
accumulation of lipid (LDL) which is trapped by proteoglycans in the ECM who’se production increases in hypertension.
Step 3
Leukocyte recruitment to teh tunica intima and smooth muscle cells which turn into phagocytes
Step 4
Foam cell formation, macrophages phagocytose modified LDL
Step 5
ECM deposition and collagen deposition.
Earleist visible pathology
fatty streaks
What do atheromatous plaques look like?
soft yellow core called atheroma with a white fibrous cap.
Thrombosis superimposed on atherosclerosis
BAD
Three factors predispose to thrombosis
endothelial injury, hypercoagulability, abnormal blood flow