Vascular Remodelling and Aneurysms Flashcards
Endothelial cells
main cellular component of blood vessels
provide vascular resistance
form one cell thick surface
non-thrombogenic interface
tight endothelial cell junctions
enothelial cell functions
regulates cell growth
maintains permeability
vasoconstrict/ dilate
regaulates inflammation and immunity
endothelial activation
response to pathophysiological stimuli
adjusts usual functions
vasoreactions of smooth muscles
produces cytokines, bacterial products and growth factors
endothelial disfunction
impairs vasoreactivity
induces thrombogenic surface
abnormally adhesive to inflammatory cells
what is remodelling
active process of structual change
can include cell death, growth or migration and synthesis or degradation of extracellular matrix
can contribute to cardiovascular disease
remodelling process
change in haemodynamic condition
signal is relayed in adjacent cells
cell synthesis, release, growth or migration
structual change in cell wall
pathogenesis of aneurysms
structure and function of connective tissue is compromised
collagen degrades, atherosclerosis
causes of aneurysms
hypertension
atherosclerosis
trauma
infection
abdominal aortic aneurysm
atherosclerosic plaque narrows and weakens artery walls
mainly affects men, smokers and >50 years
complications abdominal aneurysm
can cause ruptures and embolisms
obstruction of branch vessels