stages of Atherosclerosis Flashcards

1
Q

what are the 5 stages of atherosclerosis

A

1.endothelial dysfunction
2.immune cell infiltration
3. fatty streak
4.young plaque
5.unstable plaque

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2
Q

endothelial dysfunction is characterised by

A

increased:
expression of adhesion molecules
chemokine and cytokine secretion
cell permeability
LDL oxidation

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3
Q

what happened in immune cell filtration

A

immune cells and cholesterol infiltrate sub-endothelial space
recruits monocytes/macrophages

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4
Q

what is the fatty streak phase

A

yellow layer forms = accumulation of foam cells

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5
Q

what is a foam cell

A

macrophage consumes too much cholesterol so transforms into foam cell

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6
Q

what is the young plaque phase

A

accumulation of foam cells and thing of fibrous cap

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7
Q

what happens when foam cells cluster

A

hypoxic core that becomes necrotic (dies)

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8
Q

what happens in unstable plaque phase

A

plaque becomes unstable
calcification
likely to rupture and release thrombus

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9
Q

Which types of medications are commonly used to lower blood pressure in metabolic syndrome?

A

ACE inhibitors
captopril, benazepril

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10
Q

How do statins help in treating metabolic syndrome?

A

lowers LDL cholesterol

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11
Q

nitric oxide donors improve

A

vasoresponsiveness

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12
Q

Why are insulin-sensitizing agents used in metabolic syndrome? (metformin)

A

regulate glucose metabolism
increase fatty acid oxidation
reduce inflammation

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13
Q

How do GLP-1 receptor agonists assist in managing metabolic syndrome?

A

reduce blood glucose
reduce blood pressure

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14
Q

how do SGLT inhibitors (dapagliflozin, empagliflozin)
contribute to managing metabolic syndrome

A

reduce blood glucose
reduce blood pressure

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