Blood Vessel Pathology - Bikman Flashcards
What are the general steps in getting atherosclerosis?
Injury, monocyte adhesion and migration, macrophage activation, leukocytes and smooth muscle cells engulf lipids, collagen and lipid deposition
What are risk factors for atherosclerosis?
Non-modifiable - age, gender, genetics
Modifiable- lifestyle, cigarette smoking, diabetes, inflammation
What are other complications of atherosclerosis?
Aneurism, thrombosis, embolus, calcification, stenosis, calcification
What are the two types of cholesterol patterns?
Type A- less dense and larger
Type B- dense and small
Which of the two cholesterol patterns is worse?
Type B
Think of the tennis ball and golf ball scenario
What are risk factors for Type B pattern cholesterol?
Genetics, oral contraceptive, diet
Can you measure LDL B? If so, how?
Can be measured in size but usually that is not how it is tested.
Can use the triglyceride:HDL
Less than a 1.5 ratio is good
Is LDL B with no modifications bad?
No; it needs to be oxidized by a free radical such as ROS to cause foam cells
What are the effects of glucagon and insulin on cholesterol?
Glucagon- decreases cholesterol
Insulin- increases cholesterol and absorption of cholesterol in the intestines
What do statins do?
They inhibit HMG-CoA reductase which produces cholesterol
What are the side effects of statins?
Increases risk of diabetes
Kidney failure
Liver failure
Muscle failure (rhabdomyolysis) - decreased ubiquinone decreases the mitochondria
What is an alternative to statins?
Asprin- cheaper and less side effects
What are the functions of cholesterol?
Cell membrane fluidity Steroid synthesis Ubiquinone Bile Salts Vitamin D
Hypertension and the two types
Having blood pressure 140/90
Asymptomatic
Benign-primary (no reason), secondary (from a defect ie.renal defect)
Malignant-lethal within 1-2 years and usually accompanied by renal failure, retinal hemmorrages, papilledema
What is the main benefactor to hypertension?
Insulin resistance