Topic 1 - Blood Clotting And Atherosclerosis Flashcards

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1
Q

What is coronary heart disease (CHD)

A

When the coronary arteries supplying the heart become blocked, cutting off oxygen and glucose

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2
Q

What can CHD cause

A

A section of the heart muscle to die

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3
Q

What is angina

A

When coronary arteries become partially blocked, causing heart to respire anaerobicly, produces lactic acid

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4
Q

What is Thrombosis

A

Formation of blood clot inside vessel, obstructing flow

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5
Q

What is death of areas of cardiac muscle referred to as?

A

A heart attack

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6
Q

What usually causes heart attacks or strokes

A

Atherosclerosis

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7
Q

What is the inner lining of an artery called

A

The endothelium

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8
Q

What does a healthy endothelium do

A

Prevents toxins from penetrating the smooth muscle of a blood vessel

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9
Q

What happens when the endothelium gets damaged (endothelium dysfunction)

A

Lipids and toxins enter smooth muscle cells

Endothelium has been disrupted

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10
Q

What are the four stages leading from disrupter to positive feedback?

A

1) inflammatory response
2) calcium salts and fibrous tissue build up
3) plaque causes endothelium to tear
4. Narrowing caused by plaque narrows vessel

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11
Q

What is an inflammatory response?

A

This accumulate cholesterol from the blood

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12
Q

What is the mound of fat-laden cells called

A

An atheroma

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13
Q

What does the atheroma do?

A

Causes calcium salts and fibrous tissue to build up in area, producing plaque

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14
Q

What happens as the plaque grows

A

It bulges into lumen of artery, causing a reduction of elasticity

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15
Q

What is a reduction of elasticity known as?

A

Atherosclerosis

Hardening of the arteries

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16
Q

How can a large plague cause a thrombus?

A

Exposes underlying cells to blood

17
Q

Why does a plaque raise blood pressure

A

Narrows arteries, making it harder to pump blood around the body

18
Q

How is a high blood pressure an example of positive feedback?

A

Higher blood pressure in turn will make new plaques more likely, thus increasing blood pressure further

19
Q

What causes the blood clotting processes to begin

A

Direct contact between blood and collagen (in artery wall)

20
Q

What two things catalyse the conversion of pro thrombin to thrombin?

A

Thromboplastin + calcium ions

21
Q

What is Thromboplastin

A

Released by platelets

22
Q

Where does the calcium come from

A

In blood plasma

23
Q

What is prothrombin

A

Plasma protein

24
Q

What’s thrombin

A

Converts fibrinogen to fibrin threads

25
Q

What is fibrinogen?

A

A soluble plasma protein

26
Q

What do fibrin threads do?

A

Mesh together to plug wound

27
Q

How long does blood clotting process take?

A

About 20 seconds

28
Q

What is an aneurysm

A

Increases risk of rupture