CVD Flashcards

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1
Q

most CVD starts with atheroma formation. How is atheroma formed

A

walls of arteries is smooth and endothelium are usually smooth and unbroken

if danger occur to the endothelium there will be an inflammatory response (White Blood Cells and macrophages moves to that area)
These WBC and lipids clump together under the endothelium to form fatty acid
Over time, More WBC, connective tissues and lipids build up and form a fibrous plaque called atheroma
This plaque partially blocks the lumen of the artery, reducing the blood flow which causes blood pressure to increase.

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2
Q

how blood clots form

A

a protein called thromoplastin is released from the damaged blood vessel.
Thromboplastin and calcium from the plasma trigger the conversion of prothrombin to thrombin
Thrombin the catalyses a conversion of fibronigen into fibrin
the fibrin tangle together and form a mesh which platelets and red blood cells get trapped - this forms blood clot

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3
Q

how do blood clots cause heart attack

A

the heart muscle is supplied with blood by the coronary artery
this blood contains the oxygen that is needed for the heart muscle cells to carry out respiration
If a coronary artery becomes completely blocked by a blood clot then that area of the heart will be totally cut off from its blood supply so it wont receive oxygen
this causes a heart attack

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4
Q

LIfestyle factors that cause CVD

A

diet, smoking, high blood pressure and inactivity

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5
Q

diet

A

high in saturated fat - inc blood cholestrol which inc atheroma formation, atheromas can lead to blood clot, which can cause heart attack
high intake of salt - inc blood pressure

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6
Q

high blood pressure

A

inc damages to artery walls, inc risk of atheroma formation, can lead to CVD.
ALCOHOL,STRESS,DIET all cause High Blood Pressure

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7
Q

where do atheromas form

A

walls of arteries

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8
Q

what can atheroma do to the endothelium of an artery

A

rupture

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9
Q

what can blood clots cause in the artery

A

complete blockage of the artery

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10
Q

3 forms of cvd that can be caused by blood clots

A

heart attack
stroke
deep vein thrombosis

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11
Q

what is the protein that can be released from the damaged blood vessel

A

thromboplastin

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12
Q

along with thromboplastin what else allows the conversion of prothrombin into thrombin

A

calcium ions

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13
Q

what is prothrombin converted into

A

thrombin

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14
Q

what gets trapped that forms blood clots

A

platelets and red blood cells

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15
Q

how does carbon monoxide affect ppl that smoke

A

carbon monoxide combines with heamoglobin and reduces oxygen trabsported in the blood which reduces the amount of oxygen in blood and if there is not enough oxygen it can lead to heart attack

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16
Q

how does the nicotine in smoking affect human

A

nicotines makes platelets sticky, which inc the chances of blood clotting, inc the risk of cvd

17
Q

how does the level of antioxidants decresng because of smoking affect human

A

antioxidants are important for protecting cells
fewer antioxident means more chances of cell daage in artery walls caising atheroma formathion that can lead to cvd

18
Q

what are factors that you can not control that inc the chances of CVD

A

genetics, age and gender

19
Q

how does gender inc the chances of CVD

A

men are three times more likely to suffer from CVD than pre-menopausal women due to the diff level of hormones such as women have higher oestrogen levels than males, this inc the level of HDL and as men have lower because of this can lead to higher level of blood cholestrol and inc the risk of CVD

20
Q

how does genetics inc the chances of CVD

A

some ppl inherit that make them more likely to have high blood pressure or high blood cholestrol

21
Q

how does age inc the chances of CVD

A

plaque can build up very slowly over time so as you get older, it eventually leads to CVD

22
Q

what are the treatments of CVD

A

antihypertensives
anticogulant
statins
platelet inhibitory drugs

23
Q

how does antihypertensives help

A

it helps reduces high blood pressure

24
Q

adv of antihypertensives

A

there are many antihypertensives that work in diff ways so can use an combination to reduce blood pressure

25
Q

disadvs of antihypertensives

A

side effects such as palpitations, abnormal heart rhythms, fainting, headaches

26
Q

how does statins help

A

reduces blood cholestrol in the blood by reducing LDL cholestrol produces in the liver, which means reduces atheromaformation

27
Q

advs of statins

A

reduces the risk of developing CVD

28
Q

disadv of statins

A

side effects cuch as muscle and joint pain, digestive systems problrms and inc risk of diabetes. nosebleeds, headache and nausea

29
Q

how does anticoagulant help

A

reduces the formation of blood clots. this means bloodclots a