chap 18 Flashcards
LDL
BAD cholestrol
main carrier cholesterol
uptake of LDL= tissues become saturadted and the rest is uptaken by cells near endothetial cells
HDL
good chol
syn in liver
-reverse transport of chol, carrying cholesterol from the tissue back to the liver
hypercholestremia
increased lvl of CHOL in the blood
CHOL is transported in blood by
VLDL, LDL, HDL
primary hypercholestremia and secondary hypercholestremia
- genetic basis
2. obesity with high-calorie intake, sedentary lifestyle, and diabetes mellitus.
no risk person should have LDL CHOL GOAL OF
160 MG/DL
excess cals
ower HDL and elevate LDL
saturated fats
influnce CHOL the raise VLDL and LDL lvls
men are at greater risk of developing
CAD than premenopausal women probs because of estrogens
of studies say that CRP(c-reactive proteins)
can predict future cardiovascular events in healthy ppl
-CRP is an inflamm phase reactant, so hospitalization can elevate CRP lvls.
lipoprotein
risk fctor for the development of atherosclerosis
fatty streak
, fibrous plaque, complicated lesion
developement of atherosclerosis
- endothial cell injury
- miigration of inflamm cells.
- lipid accumulation and smooth muscle cell proliferation
- plaque structure
earliest responses to elevated CHOL lvls
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.
VASCULITIDES
group of vascular disorders that cause inflam innjury and necrosis of the blood vessel wall.
types of vascultides
1, small vessel vascultides involve the skin and are often a complication of an underlying disease
- medium-sized= necrosis to arteries to large organs
- large= inflam?