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13 Cards in this Set

  • Front
  • Back

Atherosclerosis

Formation of atheromas (fibrofatty plaque) in medium and large arteries

Formation of raised Plaque

Fatty Streak


Fibrofatty plaque


Inflammatory response


Platelets and monocytes adhere to lining


Release GF and cytokines


Recruit smooth muscle and fibroblasts


Produces collagen


Macrophages engulf lipid and cholesterol

Risk factors for atherosclerosis

Smoking


HTN


Elevated cholesterol


Diabetes


Age


Gender


Obesity


Lower socioeconomical status


Ethnicity

Major Sites of atherosclerosis

Heart (angina, MI, chronic heart failure, sudden cardiac death)


Brain (stroke)


Extremeties (caludacation, gangrene)


Kidneys (chornic kidney failure)

Coronary arteries that supply the left ventricle

left circumflex


left anterior descending

Coronary arteries that supply the Right ventricle and the posterior side of the left

Right coronary artery

Angina Pectoris

Due to myocardial ischemia (fixed stenosis)

If an infarct involves full thickness of wall

Transmural

If an infarct involves the inner half of the wall

Subendocardial

Dysrythmias

disturbances in electrical rhythms

Congestive Heart Failure/Cardiogenic shock

too much muscle infarcted, cannot meet the demands of the body


Results in back up congestion of blood to lungs and unadeguate blood to the rest of the body

Ventricular Rupture

When infarcted zone cannot hold together it ruptures


hemorrhage around heart and causes a compression of heart (tamponade)


MI Complications

LV aneurysm


Chronic congestive heart failure