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ATHEROSCLEROSIS
By: Sai Swaroop
GENERAL INTRODUCTION TO ATHEROSCLEROSIS
ATHERO= BloodVessel; SCLEROSIS= Hardening
(wordscomefromGreek)
Thishardening isformedfromplaqueformedin
theEndotheliumoftheBloodvesselwhich
narrowsthebloodvessel
Plaqueformedduetoadifferenttypesof
reasons!
COMPARISON BETWEEN NORMAL AND
DISEASED VESSEL
MECHANISM OF ATHEROSCLEROSIS
• TheEndotheliumofaBloodvesselis
damagedatfirstbyavarioussubstances
likechemicalsfromtobaccoetc. Butthe
mainaffectingfactorisLDL
• LowDensityLipoproteindamagesthe
endothelium
• LDLcycleexplainsthereasonwhywehave
thedepositioninthe bloodvessels.
• LDLenterstheendotheliallayerwhich
triggersthemonocytestocomeandstart
tophagocytosize
• DuetothelargeamountofLDLpresent
there, themonocytesphagocytosize too
muchthatmakesthemunabletomove.
• ThesemonocytesreleaseCytotoxins,
which callsothermonocytestocomeand
phagocytosize moreLDL.
• AndthesedeadmonocytesalongwithLDL’sis
calledastheFATSTREAK
• Increaseinthenumberofcellsinthe
endotheliumproducesalesion, whichattracts
theplateletstocomeandformaclotonthe
lesionwhichreleasesthePlatelet-Derived
GrowthFactor(PDGF).
• ThisPDGFencouragesthegrowthofsmooth
muscleintheendotheliallayer(whichare
supposedtobelimitedtothemiddlelayer).
• ThesmoothmusclesIntheendotheliallayer,
producescollagen, proteoglycansandelastic
fibrouscells_-allthesetogethercalledasthe
FIBROUSCAP.
• Calcium isdepositedintheendotheliumby
smoothmusclewhichisremovedbytheHDL
(byreversecholesteroltransportandanti
oxidantproperties)
• ThisFATTYSTREAKalongwiththeFIBROUS
CAPtogetheriscalledasthePLAQUE
CONSEQUENCES OF PLAQUE BUILD-UP
• Bloodvesselsreducesthediameterofthe
bloodvesselseventuallydeceasingtheblood
flow.
• Andifthebloodsupplyisdisrupted, thecells
starttonecrotise.
• Themostcommonlethalconsequenceofthis
narrowingoftheCORONARYARTERY.
• Andothermajoreffectsincludethereduced
supplytokidneywhichcanaffectBlood
Pressure
DIAGNOSIS
• DopplerUltrasound
• Angiography
• PREVENTINGthediseasebyregular
exerciseandnotsmokingarethebest
waystostayhealthy.
AndtheTREATMENTforthisisdoneby:
• Statins
• Angioplasty
Atherosclerosis

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Atherosclerosis