Vascular Disease Basics Flashcards
What are advanced glycation end products (AGEs) ?
Process when glycated products are produced when an oxidative step is involved (ROS accelerates process) leading to glycated proteins, lipids, or nucleic acids (e.g. hemoglobin A1c)
What do AGEs do?
- can induce cross linking of collagen which can cause vascular stiffening and entrapment of low-density lipoprotein particles (LDL) in artery walls
- can glycate LDL which promotes its oxidation
- can bind to RAGE and cause oxidative stress as well as activation of inflammatory pathways in vascular endothelial cells
How will someone with a ruptured Berry aneurysm present?
with pounding headache
Where are Berry aneurysms common?
at branch points because there is more turbulence
What layer of the vessel is thought to be the cause of a Berry aneurysm?
the media
What are the two forms of aneurysm?
Saccular and Fusiform
What are AV fistulas?
abnormal connections of artery and vein without capillary bed
Fibromuscular dysplasia is common in what population?
younger women
What vessel layer is thought to be the source of fibromuscular dysplasia?
media (75%)
What happens in fibromuscular dysplasia?
a ‘string of beads’ look caused by alternating thickening of the media affecting the distal 2/3 of the main renal artery
can lead to HTN (however, it is noninflammatory and nonathersclerotic)
What are some cell wall markers?
CD31, CD34, D2-40
What is an ectasia?
a generic term for local dilatation of a structure
What is a telangiectasia?
permanent dilatation of preexisting small vessels (usually in skin or mucous membranes)
What are some types of vascular estasias?
- nevus flammeus
- spider telangectasias
- Hereditary hemorrhagic telangectasia
can be congenital or acquired- not a true neoplasm
Describe nevus flammeus.
They are usually large flat patches of purple/red skin with well-defined borders. At birth the surface is flat but in time it becomes bumpy and often more unsightly