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Literature review of atherosclerosis
Literature review of atherosclerosis
Literature review of atherosclerosis
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Atherosclerosis is a cardiovascular disorder that causes a buildup of plaque in the arteries. The plaque is made of substances found in the blood, such as calcium, cholesterol, and fat, (“What is Atherosclerosis”). This buildup can eventually lead into other serious diseases. One disease that atherosclerosis leads to is coronary heart disease, which is the number one fatal disease for males and females in the United States, (“10 Important Facts”) . Atherosclerosis is a developmental disorder, meaning the buildup takes place as the person ages. The exact cause is still unknown, but certain traits and tasks have proved to be leading factors in the buildup. The more risk factors a person has, the more likely they will develop the disorder, (“Who …show more content…
Atherosclerosis takes place in the arteries, which are the blood vessels that transport oxygen-rich blood from the heart to the rest of the body, (“What is Atherosclerosis”). The inner layer of the artery is the tunica interna, which is composed of endothelium. The development of plaque starts when certain risk factor cause damage to that inner layer of endothelium. Those risk factor can include smoking, high cholesterol, and high blood pressure, (“What Causes Atherosclerosis”). The plaque will start to build up and harden, eventually narrowing the artery. The buildup of plaque can rupture and then the blood platelets from the rupture can come together to form a blood clot, which will narrow the artery even more. If the buildup continues to develop, the artery will eventually be blocked off. Once it is blocked, the oxygen-rich blood cannot flow through the artery to the body, (“What Causes …show more content…
Some treatments include lifestyle changes, medicine, and surgery or procedures. “The goals of treatment include: lowering the risk of blood clots forming, preventing atherosclerosis-related diseases, reducing risk factors in an effort to slow or stop the buildup of plaque, relieving symptoms, and widening or bypassing plaque-clogged arteries,” (“How is Atherosclerosis Treated”). Making healthy-heart lifestyle changes will lower the risk factors that aid in the development of atherosclerosis. Some of these changes include heart-healthy eating, a healthy weight, and to quit smoking. If these changes are made at the right time, they can delay or prevent the disorder, (“How is Atherosclerosis Treated”). While making healthy lifestyle changes is beneficial, some changes may not be enough to lower certain risk factors. Doctors will then prescribe different medications to lower a certain risk factor. Medications are used to lower blood pressure, control blood sugar and cholesterol levels, and prevent blood clots, (“How is Atherosclerosis Treated”). When lifestyle changes and medication are not working, surgery or a procedure must be done to treat severe atherosclerosis. The most common procedure and surgeries used are percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), and carotid endarterectomy. PCI, or coronary angioplasty, is a procedure used to open a narrowed or blocked artery. This procedure helps to
In more severe cases, a surgical procedure known as endarterectomy is suggested. An edarterectomy is an operation used to widen the carotid artery. This is usually an option if it has been determined that the internal carotid artery is narrowed by more than 70% and if the person in question has been displaying stroke-like symptoms during the previous six to eight months. This surgery is usually used to prevent the future risk of a stroke. This procedure has been shown to prevent blockage of the internal carotid artery over time and usually involves removing fatty deposits and clots in this important artery.
There are four different categories of treatment: lifestyle changes, surgical procedures, non-surgical procedures, and medications. Lifestyle changes include having a healthy diet; increasing physical activity; eliminating cigarettes, alcoholic beverages, and illicit drugs; and getting enough rest and sleep; losing excess weight. These lifestyle changes are to lower the patient’s blood pressure, cholesterol, and reducing any other future medical conditions. There are also surgical options to help cure, prevent, or control cardiomyopathy. Surgical method include a septal myectomy, surgically implanted devices, and a heart transplant. A septal myectomy is used to specifically treat hypertrophy cardiomyopathy which is where the heart muscle cells enlarge and cause the walls of the ventricles to thicken. The thickening of the walls may not affect the size of the ventricles but instead may affect the blood flow out of the ventricle. Usually along with the ventricles swelling, the septum in between the ventricles can become enlarged and block the blood flow causing a heart attack. When medication is not working well to treat hypertrophic cardiomyopathy, a surgeon will open the chest cavity and remove part of the septum that is blocking blood flow. Surgically implanted devices include a pacemaker, a cardiac resynchronization therapy device, a left ventricular assist device, and an implantable
LDL or bad cholesterol comes from food that is a high source of cholesterol and/or saturated fats. Plaque forms when bad or LDL cholesterol builds up in your bloodstream and attaches to the arterial wall, as more LDL builds up the plaque becomes larger, this can become a major problem for your cardiovascular system. Because plaque is a substance that has rough edges, it reduces the elastic nature of the artery which means your heart will have to work double-time to pump the necessary blood to all your limbs, that will mean your limbs won’t get the amount of oxygen that they require to function properly. Plaque can also narrow the area blood has to pass through, this means your heart has to work overtime and overall capacity of your cardiovascular system is lowered. When the LDL cholesterol embeds itself in the wall of the artery it than damages the artery then blood pressure expands it which causes an aneurysm. When an aneurysm is too weak there is a high possibility of it bursting, when that happens it leaves the cells in and around that area without oxygen. If that artery is connected to a major vital organ the person will most likely die. When the blood flow is slowed it shows a greater risk for blood clots and although blood clots are natural and important to healing broken blood vessels, if blood clots gather inside the blood vessel this proves to be a serious health risk. The clots have the possibility to get stuck and completely cut off the blood flow to cells, leaving them without oxygen and causing them to die. If a clot gets inside a blood vessel connected to a major organ this could cause the person to die. The heart is fed by the coronary artery, if plaque or a blood clot blocks off blood flow to the heart, the heart ...
Coronary artery disease (CAD) is the most common type of multifactorial chronic heart disease. It is a consequence of plaque buildup in coronary arteries. The arterial blood vessels, which begin out smooth and elastic become narrow and rigid, curtailing blood flow resulting in deprived of oxygen and nutrients to the heart [1].
Coronary heart disease is defined by the hardening of the epicardial coronary arteries. The buildup of plaque in the arteries slowly narrows the coronary artery lumen. In order to better understand the physiology of the disease, it is important to first know the basic anatomy of the human heart. The aorta, located in the superior region of the heart, branches off into two main coronary blood vessels, otherwise known as arteries. The arteries are located on the left and right side of the heart and span its surface. They subsequently branch off into smaller arteries which supply oxygen-rich blood to the entire heart (Texas Heart Institute, 2013). Therefore, the narrowing of these arteries due to plaque buildup significantly impairs blood flow throughout the heart.
The hereditary risk factors for cardiovascular disease are primarily those of which individuals are unable to control, the ones for which they are born with. These risk factors would include an individual’s sex, race, age, and genetics. One out of every five males has some form of cardiovascular disease and the same applies for females. More women than men have cardiovascular disease in this country, but this is only due to the fact that there are more women within the U.S. population (Weiss and Lonnquist, 2011). Men percentage wise are at a higher risk than women. There is a somewhat reduced probability for females to have cardiovascular disease before menopause. This is believed by medical researchers and scientists to be directly related to the natural hor...
Atherosclerosis and Arteriosclerosis The underlying cause of CHD, strokes and other diseases of the blood vessels is usually atherosclerosis. Atherosclerosis is caused by the build up of cholesterol and other fatty substances in walls of arteries. Firstly the deposits form small streaks on the endothelium of the artery, but gradually build up to form patches known as atheromatous plaques. The deposit is called an atheroma and causes the arterial walls to thicken, hence narrowing the lumen of the artery. The onset of an atheromatous plaque may be caused by some physical damage to the artery, sometimes caused by high arterial pressure - hypertension.
CHD is primarily due to atherosclerosis, which is the blockage of blood flow in the arteries due to the accumulation of fats, cholesterol, calcium and other substances found in the blood. Atherosclerosis takes place over many years, but when the blood flow becomes so limited due to the build up of plaque in the arteries, there becomes a serious problem. “When...
Atherosclerosis is the most common cause of CAD. Atherosclerosis is a progressive disease characterized by fat deposits in the arteries causing them to block the normal passage of blood. No one is quite sure how atherosclerosis develops. The plaque consists mostly of cholesterol, phospholipids and smooth muscle cells. They also reduce the size of the lumen of the affected artery which impairs the blood flow of this artery and later on could form a thrombus that will completely occlude the vessel. “Unfortunately, signs and symptoms of atherosclerosis usually don’t develop until at least 70% of an artery’s lumen has become obstructed. Angina is almost always the first symptom to appear.”(Journal: The killer behind CAD,2010). Modifiable factors that could prevent the occurrence of CAD include cigarette smoking, obesity, physical inactivity, atherogenic diet like diet high in cholesterol, use of contraceptive and hormone therapy replacement. “Women continue to ...
A myocardial infarction occurs when blood supply to the heart is limited or stopped because of blockage in a coronary artery. Narrowing of coronary arteries as a result of artherosclerotic plaque buildup “causes more than 90% of heart attacks” (Heart and Stroke Foundation of Canada, 2011). As plaque builds up in the arteries, there is an increased chance that the plaque will rupture and cause a bleed that, subsequently, clots (thrombus). Ischemia (reduced blood flow to tissues) to the tissue the coronary artery supplies with become damaged and, with long enough occlusion, die (American Heart Association, 2012).
Artherosclerosis is characterized by fatty deposits that develop as streaks inside the lining of arteries and some streaking can be found in teenagers and then by an increasing proportion of the population from then on. If you were to ask the experts what causes arteriosclerosis the answer would depend on the expert. Researchers do not agree on the causation but they have agreed on possible risk factors such as smoking, a high fat diet, high cholesterol levels, high blood pressure, high iron levels, inflammation and bad genes. None of which appear to be the primary cause because if you were to eliminate one possible cause you should eliminate the disease. Many researchers have begun to think that many diseases including cancers originate as a composite of risk factors and that approach does not make sense because it suggests that Human arteries are so fragile that any one or combination of the...
Although atherosclerosis affects millions of people around the world, there are many ways to prevent and treat it once it has developed. Simple life style changes can greatly reduce the inflammation and damage to the endothelial wall of the artery. It is very important that people who have high blood pressure or diabetes get regular checkups; if atherosclerosis goes untreated, the adverse effects, such as stroke or myocardial infarction can be deadly.
Etiology Myocardial infarction occurs when the coronary arteries are blocked by a blood clot. It is commonly known as a “heart attack”. The heart needs its own constant supply of oxygen and nutrients to work properly. Two coronary arteries deliver oxygenated blood to the heart, and if one of these two arteries fails or becomes blocked, then a portion of the heart will not acquire the necessary oxygen. This clot could be because of CAD (coronary artery disease), which happens when the inner walls of the coronary arteries thicken because of buildup of cholesterol, fatty deposits, calcium among other elements that are carried in the blood (Boston Scientific, 2009).
Carotid endarterectomy procedure “is a surgical procedure to open or clean the carotid artery with the goal of stroke prevention.”4 This procedure is performed on patients who have a moderate (50-79%) blockage and are experiencing symptoms coinciding with a stroke, mini-stroke, or TIA. Also, patients presenting with a severe (more than 80%) blockage whether they have symptoms or not. Carotid artery stenting has been compared to the carotid endarterectomy and for some surgeons it’s considered a good alternative. In a study published in 2016, it was found that stroke/death rates were significantly higher in patients undergoing a carotid artery stent when compared to a carotid endoarterectomy.5 This suggests the carotid endarterectomy is the best option for patients presenting with blockages. Due to this patient’s symptoms we can infer he may have had a mini-stroke or TIA. The patient experienced a temporary episode of stroke like symptoms which commonly occurs when a clot causes a blockage but is then dislodged or
Diabetic patients due to common metabolic, coagulation and vascular abnormalities are more prone to arteriosclerosis and ischemic complications (Beckman et al., 2002). Atherosclerosis is a chronic inflammatory disease characterized by migration of T lymphocytes and monocytes to the area of arterial wall injury. This process plays central role in the pathogenesis of the macrovascular disease leading to luminal stenosis (narrowing of arterial walls) in the peripheral or coronary vascular system (Boyle, 2007; Wagenknecht et al., 2003; Wagenknecht et al., 1997). Large-vessel atherosclerosis is thought to result from the hyperinsulinemia, dyslipidaemia, and hyperglycemia which are characteristic for DM. Clinical manifestations include angina pectoris (chest pain) and miocardial infarcts (MI), transient ischemic attacks (TIA), strokes, and peripheral arterial disease. In diabetic patients, production of cytokines diminishes synthesis of collagen in vascular smooth muscle cells and increases production of matrix metalloproteinases, resulting in an increased tendency for plaque destabilization and rupture (van der Wal and Becker, 1999). Atherosclerosis o...