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3 Cards in this Set

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  • Back

What initiates Atheroscleroticprocess ?

LDL with cholesterol accumulate in intimaas a consequence of endothelial dysfunction




A•dysfunctionalendothelium express vascular cell adhesion molecule-1(VCAM-1) thatenables monocytes toattach to the endothelial cell surface, cross the endothelium and penetrate theintima of the blood vessel•




•Monocytesthen differentiate into macrophages thatexpress scavengerreceptor-A (SR-A)

What do SR-a take up?

•modifiedform of LDL (oxidised LDL) and the massive accumulation transformsmacrophages into cholesterol-laden foam cells




•Macrophagefoam cells constitute the atheroma core ofthe atherosclerotic plaque

•Threepredisposing situations that may result in thrombus formation

Virchow’striad




•Changesin the intimal surface of the vessel•Changesin pattern of blood flow


•Changesin blood constituents – if smoker.