stages of Atherosclerosis Flashcards
what are the 5 stages of atherosclerosis
1.endothelial dysfunction
2.immune cell infiltration
3. fatty streak
4.young plaque
5.unstable plaque
endothelial dysfunction is characterised by
increased:
expression of adhesion molecules
chemokine and cytokine secretion
cell permeability
LDL oxidation
what happened in immune cell filtration
immune cells and cholesterol infiltrate sub-endothelial space
recruits monocytes/macrophages
what is the fatty streak phase
yellow layer forms = accumulation of foam cells
what is a foam cell
macrophage consumes too much cholesterol so transforms into foam cell
what is the young plaque phase
accumulation of foam cells and thing of fibrous cap
what happens when foam cells cluster
hypoxic core that becomes necrotic (dies)
what happens in unstable plaque phase
plaque becomes unstable
calcification
likely to rupture and release thrombus
Which types of medications are commonly used to lower blood pressure in metabolic syndrome?
ACE inhibitors
captopril, benazepril
How do statins help in treating metabolic syndrome?
lowers LDL cholesterol
nitric oxide donors improve
vasoresponsiveness
Why are insulin-sensitizing agents used in metabolic syndrome? (metformin)
regulate glucose metabolism
increase fatty acid oxidation
reduce inflammation
How do GLP-1 receptor agonists assist in managing metabolic syndrome?
reduce blood glucose
reduce blood pressure
how do SGLT inhibitors (dapagliflozin, empagliflozin)
contribute to managing metabolic syndrome
reduce blood glucose
reduce blood pressure