chap 18 Flashcards

1
Q

LDL

A

BAD cholestrol
main carrier cholesterol
uptake of LDL= tissues become saturadted and the rest is uptaken by cells near endothetial cells

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2
Q

HDL

A

good chol
syn in liver
-reverse transport of chol, carrying cholesterol from the tissue back to the liver

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3
Q

hypercholestremia

A

increased lvl of CHOL in the blood

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4
Q

CHOL is transported in blood by

A

VLDL, LDL, HDL

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5
Q

primary hypercholestremia and secondary hypercholestremia

A
  1. genetic basis

2. obesity with high-calorie intake, sedentary lifestyle, and diabetes mellitus.

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6
Q

no risk person should have LDL CHOL GOAL OF

A

160 MG/DL

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7
Q

excess cals

A

ower HDL and elevate LDL

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8
Q

saturated fats

A

influnce CHOL the raise VLDL and LDL lvls

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9
Q

men are at greater risk of developing

A

CAD than premenopausal women probs because of estrogens

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10
Q

of studies say that CRP(c-reactive proteins)

A

can predict future cardiovascular events in healthy ppl

-CRP is an inflamm phase reactant, so hospitalization can elevate CRP lvls.

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11
Q

lipoprotein

A

risk fctor for the development of atherosclerosis

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12
Q

fatty streak

A

, fibrous plaque, complicated lesion

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13
Q

developement of atherosclerosis

A
  1. endothial cell injury
  2. miigration of inflamm cells.
  3. lipid accumulation and smooth muscle cell proliferation
  4. plaque structure
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14
Q

earliest responses to elevated CHOL lvls

A

is the attachment of monocytes to the endothelium, where theyare transformed into macropahges. the macrophages relase free radicals that oxidize LDL (which is toxic to endothelium) this leads to platelet adhesion and aggreation.

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15
Q

VASCULITIDES

A

group of vascular disorders that cause inflam innjury and necrosis of the blood vessel wall.

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16
Q

types of vascultides

A

1, small vessel vascultides involve the skin and are often a complication of an underlying disease

  1. medium-sized= necrosis to arteries to large organs
  2. large= inflam?
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17
Q

effects are similar

A

of the periphral vascular disorders and crnary and cerebral shit

18
Q

PAD (perpiheral artery disease)

A

atherso in the distal part of the aorta most common in men in their 60s and 70s, heavy smokers.
+ primary symp= claudication or pain with walking
+TISSUE necrosis and pain come after
+palpation of pulses allows to see the degree of the obstruction

19
Q

thromboangiitis obliterans

A
medium sized arts.
25-40 years men smokers
pain 
peripheral pulses and dim or gone 
chronic- malformed nails
20
Q

raynaud phenomenon

A

functional disorder caused by intense vasospasm of arts in finger and sometimes toes

21
Q

aneurysm

A

dilation of blood vessel
true ane= its bounded by a complete vessel wall, blood remains
flase ane= tear in wall, vessel enlargment

22
Q

abd aneurysm

A

most common form of ane, ass with atherosc
freq in men
asymptomatic
CALCIFICATION= EXISTS ON THE WALL OF THE ANEURYSM MAY BE DETECT IN XRAY

23
Q

aortic dissection

A

acute life threatening condition, hemmrrhage into the vessel wall forming a blood-filled channel
CB conditions that weaken layers of aorta .
pain in chest and back then pulse cannot be read

24
Q

the artial blood pressure

A

reflects the rhythmic ejection of blood from the left ventrical into the aorta

25
Q

short term reg of BP relais on

A

nerual and humoral mechanisms

26
Q

neural mech

A

in medulla and pons where ANS responses occur
(cardiovasular center). transmits parasym impluses to heart VIA heart and symp impluses to the blood vessels thorugh spinal cord.

27
Q

vagal stim

A

slowing of the heart

28
Q

sympatheic stim

A

increase in heart rate and cardiac contractability

29
Q

intinsic reflex

A

rapid and short term reg of BP

30
Q

extrinsic reflexes

A

mediate blood pressure responses assosiated with factors such as pain and cold.

31
Q

atrial chemoreceptors

A

are cells that monitor the O2, CO2 and H ions in blood

can cause VASOCON

32
Q

ANGIOTENSIN SHIT

A

renin is relased in response to ^ in sympa nervous sys or a decrease in BP. converts to angio 1 the to 2. angio 2 is the short and long term reg of BP, vasocon, and sodium excretion.

33
Q

vasopressin

A

anitdiuretic hormone, vaso con

34
Q

long term reg

A

KIDNEYS and extracelluar fluid

35
Q

increased adrenocortical hormones

A

can give rise to hypertension. the faciliate salt and water retention by the kidney.

36
Q

coarctation of the aorta

A

narrowing of the aorta

increase in systolic BP and blood flow to the upper part of the body

37
Q

borth control

A

can cause hypertenison

38
Q

hypertension increases the workload of

A

the left ventricle by increasing the pressure against the heart which it has to pump as it ejects blood in the sys sirc. as the workload increases, heart gotta hypertrophies to comp increased pressure work

39
Q

preeclampsia-eclampsia

gestatinal hypertension

A
  1. 140/ 90 or more and proteinuria

2. “ and no protein

40
Q

orthostatic hypten

A

early sign of reduced BV of fluid deficit

41
Q

venous sys in the legs involves two things:

A

superficial veins and deep venous channels

42
Q

venous thormbosis (3things)

A

stasis of blood
^blood coagulability
vessel wall injury