CV Risk Factors Flashcards
5 Causative (Major) CV RFs
Cigarette smoking HTN Hypercholesterolemia Low HDL Diabeetus
2 Most Powerful RFs
Age and Diabetes
Best Cholesterol Indicator of Risk
LDL/HDL Ratio
Big Component of Why Diabetes such a Risk
Insulin resistance -> artherosclerosis
HyperTG as RF
Its associations very bad: low HDL, insulin resistance, small dense LDL, glucose intolerance, HTN, obesity
LDL Changes w/ Increasing TG
Ratio changes to more small, dense LDL which is worse
Visceral Fat
Abdominal fat/waist circumference better indicator of CHF than BMI bc its the metabolically active fat
Adipocytokines
Normal weight it produces adiponectin which is anti-artherogenic/diabetogenic, but as get too much there’s a switch from that production to inflammatory cytokines and stress and shit which is opposite
Metabolic Syndrome
3+ of following: Abdominal obestiy/waist circumference, TG, HDL, BP, Fasting Glucose
CRP
Measure of subclinical inflammation, production stimulated by IL-6. Great measure of risk for HD except fluctuates w/ any acute problems
Lp(a) (again)
The “a” is a prot that competes w/ plasminogen, thus inhibiting fibrinolysis