Blood Composition Effect Flashcards

1
Q

What are metabolically active cells of the endothelial lining influenced by

A

constituents of the bloodstream (lipids, glucose, free radicals)

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1
Q

What damages endothelial lining

A

high levels of constituents

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2
Q

Lipids

A

fats that circulate in the bloodstream and make up cell membranes

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3
Q

What is the main lipid found in the bloodstream

A

cholesterol

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4
Q

Where is cholesterol synthesized

A

the liver

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5
Q

Why is cholesterol important

A

helps to maintain cell stability and is a component of steroid hormones and bile acids

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6
Q

Why are lipoproteins formed

A

lipids are insoluble in the blood, so they are carried by proteins

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7
Q

Triglycerides

A

large lipid molecules stored as fat

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8
Q

High density lipoproteins (HDL)

A

lipids that are excreted from the body (good fat)

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9
Q

Low density lipoproteins (LDL)

A

lipids that are deposited on artery walls (bad fat)

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10
Q

Hyperlipidemia

A

elevated lipids in the bloodstream (mainly cholesterol and triglycerides)

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11
Q

What is the fundamental condition that causes atherosclerosis

A

hyperlipidemia due to the interruption/injury to the arterial wall

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12
Q

What does high levels of LDL and low levels of HDL cause

A

CVD

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13
Q

Glycosylation

A

glucose reacts with cell membranes of endothelial cells to form advanced glycosylation end products (AGEs)

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14
Q

What do AGEs do

A

injure the smooth endothelial surface

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15
Q

What do high levels of glucose lead to

A

inflammation and formation of atherosclerotic plaque

16
Q

What does glucose stimulate secretion of

A

endothelin

17
Q

Free radicals

A

molecules with a single unpaired electron in its shell

18
Q

What do free radicals do

A

cause damage to endothelial lining and create inflammation

19
Q

Nicotine effect on arteries

A

vasoconstriction, especially coronary arteries

20
Q

What does nicotine do to BP

A

immediately increase and stay increased for a while

21
Q

What does nicotine do to the nervous system

A

activates the SNS, releasing epinephrine and increases HR (the fight or flight response)

22
Q

What does vasoconstriction from nicotine do

A

increase the inflammatory response, decreasing perfusion

23
Q

Homocysteine

A

an amino acid involved in the metabolism of folic acid and b-vitamins

24
Q

What does a deficiency in folic acid and vitamin b do

A

inables homocysteine to be broken down

25
Q

What do increased homocysteine levels do

A

damage endothelial lining and promote thrombosis formation