pathology of cardiovascular disease Flashcards

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1
Q

atherosclerosis is the

A

accumulation of fatty material, fibrous material and calcium, forming an atheroma or plaque

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2
Q

An Atheroma forms beneath the endothelium (inner lining) of

A

of the artery wall

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3
Q

as an atheroma grows, the artery

A

thickness and loses its elasticity

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4
Q

an atheroma reduces the diameter of lumen of an artery,which

A

restricts blood flow and results in increased blood pressure

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5
Q

atherosclerosis is the root cause of various cardiovascular diseases such as:

A

angina
heart attack
stroke
peripheral vascular disorders

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6
Q

if an atheroma ruptures , the damage to the endothelium causes

A

clotting factors

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7
Q

clotting factors cause the enzyme prothrombin to be converted

A

into its active form thrombin

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8
Q

thrombin causes molecules of the double plasma protein fibrinogen to form

A

into its active form thrombin

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9
Q

Fibrin threads form a meshwork that paletes adhere to , forming a blood clot, which

A

seals a wound and provides a scaffold for the formation of scar tissue

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10
Q

thrombosis formation of

A

blood clot in a vessel

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11
Q

if thrombosis breaks loose it forms

A

embolus

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12
Q

thrombosis in a coronary artery can lead to a

A

myocardial infarction

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13
Q

thrombosis in an artery in the brain can lead to a

A

stroke

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14
Q

thrombosis normally results in the death of some of the tissue served by the blocked artery as the cells are

A

deprived of oxygen

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15
Q

peripheral vascular disorder include narrowing of arteries due to atherosclerosis of arteries other than those of

A

the heart or brain

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16
Q

blood clots can result in

A

deep vein thrombosis (DVT) and pulmonary embolism

17
Q

DVT is the formation of a blood clot in deep vein, most commonly in the

A

lower part of the leg

18
Q

in DVT pain is experienced in the leg muscles due to a limited

A

supply of oxygen

19
Q

a pulmonary embolism is caused by part of a thrombus breaking free and travelling through the bloodstream to the pulmonary artery,where it can cause

A

blockage, resulting in chest pain and breathing difficulties

20
Q

cholesterol is composed of cell membrane and a precursor for

A

steroids synthesis

21
Q

mos cholesterol is synthesised by the liver from

A

saturated fats in the diet

22
Q

lipoproteins

A

contain lipid and protein

23
Q

high-density lipoproteins (HDL) transports cholesterol from the body cells to the liver for elimination and

A

so prevents the accumulation of cholesterol in the blood.

24
Q

low density lipoprotein LDL transports

A

cholesterol to the body cells

25
Q

most cells have LDL receptors that take LDL into the cell, where it

A

releases cholesterol

26
Q

once a cell has sufficient cholesterol,

A

a negative feedback system inhibits the synthesis of new LDL receptors and so LDL circulates in the blood, which could cause atheromas

27
Q

familial hypercholesterolaemia (FH) is caused by an

A

autosomal dominant allele that results in individuals developing high levels of cholesterol

28
Q

The mutated gene involved in FH results in a decreased number or altered structure of …….
which stops the LDL from unloading its …..

A

LDL receptors on cell membranes,

cholesterol into a cell

29
Q

genetic screening can be carried out to determine if the FH gene has been

A

inherited

30
Q

treatment of FH involves lifestyle modification and drugs such as

A

statins

31
Q

higher ratio of HDL to LDL results in

A

lower blood cholesterol and a reduced chance of atherosclerosis

32
Q

regular physical activity tends to raise

A

HDL levels

33
Q

dietary changes aim to reduce the levels of total fat in the diet and to the replace

A

saturated with unsaturated fats

34
Q

drugs such as stains reduce blood cholesterol by inhibiting the synthesis of cholesterol by

A

liver cells