pathology of cardiovascular disease Flashcards

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1
Q

what is an atherosclerosis

A

an accumulation of fatty materials that forms an atheroma or plaque beneath the endothelium

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2
Q

what effect does an atheroscerosis have on arteries and blood pressure

A

the atery grows in thickeness and loses its elactisity and the diameter of the lumen reduces

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3
Q

name conditions that can be caused by atherosclerosis

A

root cause of various cardiovascular diseases eg angina, heart attack and stroke

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4
Q

what is a thrombus

A

a blood clot

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5
Q

describe the steps involved in forming a thrombus

A

when an atheroma ruptures damaging the endotheluim
the damage releases clotting factors that result in the enzyme prothrombin being converted to its active form thrombin
thrombin causes molecules of the plasma protein fibrinogen to form threads of fibrin
the fibrin threads form a meshwork that clots the blood

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6
Q

what happens when a thrombus breaks loose

A

forms an embolus which travels through the bloodstream until it blocks a blood vessel

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7
Q

name conditions a thrombus might cause

A

heart attack, stoke or death if tissue

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8
Q

what is peripheral vascular disease

A

the narrowing of the arteries due to the atheroscerosis of arteries other than those in the heart or the brain

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9
Q

what is cholesterol

A

a type of liquid found in the cell membrane

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10
Q

what is cholesterol used to make in the body

A

sex horomes

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11
Q

where is most of the bodied cholesterol made

A

all cells but 25% in the liver

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12
Q

what might cause someone to have high cholesterol

A

high saturated fat diet

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13
Q

what is the difference between LDL and HDL

A

HDL transports cholesterol from the body to the liver for elimination
LDL transports cholesterol to the body cells

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14
Q

how does negative feedback reduce the LDL level in the blood

A

LDL receptors take the LDL into the cell where it releases cholesterol. once a cell has enough cholesterol a negative feedback system inhibits the synthesis of new LDL receptors

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15
Q

how does LDL lead to atheroma forming

A

excess LDL in the blood may deposit cholesterol in the arteries

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16
Q

what is the ideal ratio of HDL to LDL

A

higher HDL and lower LDL

17
Q

what are ways of reducing cholesterol

A

regular physical activity
reduce levels of saturated fats
drugs such as statins