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Questions and Answers
What is a primary characteristic of essential hypertension?
What is a primary characteristic of essential hypertension?
- No specific cause can be found. (correct)
- It is solely caused by genetic factors.
- It is always associated with renal artery stenosis.
- It has a single identifiable cause.
Which factor contributes to increased vascular resistance in essential hypertension?
Which factor contributes to increased vascular resistance in essential hypertension?
- Chronic vasoconstriction. (correct)
- Dilation of small blood vessels.
- Reduction in circulating blood volume.
- Decreased renal sodium reabsorption.
What condition is characterized by hypertrophic changes of the arterioles due to benign hypertension?
What condition is characterized by hypertrophic changes of the arterioles due to benign hypertension?
- Cerebrovascular hemorrhage.
- Hyperplastic arteriolosclerosis.
- Hyaline arteriolosclerosis. (correct)
- Aortic dissection.
Which of the following is NOT a known environmental factor linked to hypertension?
Which of the following is NOT a known environmental factor linked to hypertension?
What differentiates hyperplastic arteriolosclerosis from hyaline arteriolosclerosis?
What differentiates hyperplastic arteriolosclerosis from hyaline arteriolosclerosis?
What mechanism contributes to the increased blood volume associated with essential hypertension?
What mechanism contributes to the increased blood volume associated with essential hypertension?
What role do genetic factors play in the development of essential hypertension?
What role do genetic factors play in the development of essential hypertension?
Which condition is NOT associated with accelerated atherogenesis due to hypertension?
Which condition is NOT associated with accelerated atherogenesis due to hypertension?
What is the primary effect of nephrosclerosis in the kidneys?
What is the primary effect of nephrosclerosis in the kidneys?
What microscopic feature is indicative of nephrosclerosis?
What microscopic feature is indicative of nephrosclerosis?
Which condition is most commonly associated with diabetic microangiopathy?
Which condition is most commonly associated with diabetic microangiopathy?
What are the consequences of atherosclerotic plaques in blood vessels?
What are the consequences of atherosclerotic plaques in blood vessels?
What are the constituent materials found within atheromatous plaques?
What are the constituent materials found within atheromatous plaques?
How does atherosclerosis primarily affect vascular function?
How does atherosclerosis primarily affect vascular function?
What is a significant consequence of necrotizing arteriolitis in hypertension?
What is a significant consequence of necrotizing arteriolitis in hypertension?
What is one of the key microscopic characteristics of kidney damage in hypertension?
What is one of the key microscopic characteristics of kidney damage in hypertension?
What happens to the macrophages over time in association with atherosclerosis?
What happens to the macrophages over time in association with atherosclerosis?
Which factor is considered a significant age-related risk factor for myocardial infarction or stroke?
Which factor is considered a significant age-related risk factor for myocardial infarction or stroke?
What is a common modifiable risk factor specifically associated with atherosclerosis?
What is a common modifiable risk factor specifically associated with atherosclerosis?
Which statement best describes the risk of atherosclerosis in women after menopause?
Which statement best describes the risk of atherosclerosis in women after menopause?
Which of the following is NOT considered a constitutional risk factor for atherosclerosis?
Which of the following is NOT considered a constitutional risk factor for atherosclerosis?
What effect does cigarette smoking have on atherosclerosis?
What effect does cigarette smoking have on atherosclerosis?
What are cholesterol and cholesterol esters primarily composed of in the context of atherosclerosis?
What are cholesterol and cholesterol esters primarily composed of in the context of atherosclerosis?
What is a consequence of smooth muscle cell migration in atherosclerosis?
What is a consequence of smooth muscle cell migration in atherosclerosis?
Which area has the highest frequency of severe atherosclerotic lesions?
Which area has the highest frequency of severe atherosclerotic lesions?
What type of lesions appears commonly and increases in size as a patient ages?
What type of lesions appears commonly and increases in size as a patient ages?
What occurs when atherosclerotic plaques undergo acute changes?
What occurs when atherosclerotic plaques undergo acute changes?
Which of the following arteries is typically spared from severe atherosclerotic lesions?
Which of the following arteries is typically spared from severe atherosclerotic lesions?
What does the presence of fatty streaks indicate?
What does the presence of fatty streaks indicate?
What can result from the exposure of thrombogenic substances following plaque rupture?
What can result from the exposure of thrombogenic substances following plaque rupture?
Which vascular locations are primarily affected by atherosclerotic disease by frequency?
Which vascular locations are primarily affected by atherosclerotic disease by frequency?
Which of the following describes an atherosclerotic plaque that has changed due to acute clinically important changes?
Which of the following describes an atherosclerotic plaque that has changed due to acute clinically important changes?
What is the primary aim regarding cholesterol levels in relation to health?
What is the primary aim regarding cholesterol levels in relation to health?
Which statement accurately describes fatty streaks?
Which statement accurately describes fatty streaks?
What effect does obesity have on HDL cholesterol levels?
What effect does obesity have on HDL cholesterol levels?
How do atherosclerotic plaques differ from fatty streaks?
How do atherosclerotic plaques differ from fatty streaks?
What dietary components are associated with raising plasma cholesterol levels?
What dietary components are associated with raising plasma cholesterol levels?
What is the primary factor contributing to essential hypertension?
What is the primary factor contributing to essential hypertension?
Which condition is NOT directly associated with hypertensive vascular disease?
Which condition is NOT directly associated with hypertensive vascular disease?
What mechanism is commonly understood to lead to hypertension?
What mechanism is commonly understood to lead to hypertension?
Which type of vascular disease is characterized by cholesterol deposition leading to vessel narrowing?
Which type of vascular disease is characterized by cholesterol deposition leading to vessel narrowing?
What is NOT a potential risk of untreated essential hypertension?
What is NOT a potential risk of untreated essential hypertension?
What leads to multifactorial hypertension in patients?
What leads to multifactorial hypertension in patients?
Which of the following is a disease affecting small blood vessels?
Which of the following is a disease affecting small blood vessels?
Which condition is characterized by the gradual rise in blood pressure as individuals age?
Which condition is characterized by the gradual rise in blood pressure as individuals age?
Flashcards
Hypertensive Vascular Disease
Hypertensive Vascular Disease
A disease affecting the blood vessels due to high blood pressure.
Essential Hypertension
Essential Hypertension
A gradual increase in blood pressure that happens as we age, and its cause isn't fully understood.
Cardiac Hypertrophy
Cardiac Hypertrophy
A condition where the heart pumps blood with more force, making the heart walls thicker.
Multi-infarct Dementia
Multi-infarct Dementia
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Heart Failure
Heart Failure
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Aortic Dissection
Aortic Dissection
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Renal Failure
Renal Failure
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Stroke
Stroke
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Atherosclerosis
Atherosclerosis
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Hypertension
Hypertension
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Hyperlipidemia
Hyperlipidemia
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Peripheral Artery Disease
Peripheral Artery Disease
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Reduced renal sodium excretion
Reduced renal sodium excretion
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Increased vascular resistance
Increased vascular resistance
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Renal artery narrowing
Renal artery narrowing
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Renovascular hypertension
Renovascular hypertension
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Degenerative changes in large arteries
Degenerative changes in large arteries
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Hyaline arteriolosclerosis
Hyaline arteriolosclerosis
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Hyperplastic arteriolosclerosis
Hyperplastic arteriolosclerosis
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Foamy Macrophage
Foamy Macrophage
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Fatty Streaks
Fatty Streaks
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Atherosclerotic Plaque
Atherosclerotic Plaque
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Atherosclerotic Plaque Enlargement
Atherosclerotic Plaque Enlargement
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What is Hyaline Arteriolosclerosis?
What is Hyaline Arteriolosclerosis?
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Describe the microscopic appearance of Hyaline Arteriolosclerosis.
Describe the microscopic appearance of Hyaline Arteriolosclerosis.
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What is Hyperplastic Arteriolosclerosis?
What is Hyperplastic Arteriolosclerosis?
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What is Atherosclerosis?
What is Atherosclerosis?
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Describe the appearance of atheromatous plaques.
Describe the appearance of atheromatous plaques.
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What are the consequences of Atherosclerosis?
What are the consequences of Atherosclerosis?
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Describe the composition and effects of atheromatous plaques.
Describe the composition and effects of atheromatous plaques.
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How are Hyaline and Hyperplastic Arteriolosclerosis similar and different?
How are Hyaline and Hyperplastic Arteriolosclerosis similar and different?
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Locations of Atherosclerotic Lesions
Locations of Atherosclerotic Lesions
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Plaque Rupture
Plaque Rupture
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Acute Syndrome like Myocardial Infarction
Acute Syndrome like Myocardial Infarction
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Areas Usually Spared
Areas Usually Spared
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Ostia
Ostia
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Study Notes
Cardiovascular Diseases
- Cardiovascular diseases are classified into hypertensive vascular disease, vascular tumors, and vasculitis.
- Arteriolosclerosis affects arterioles.
- Atherosclerosis is a disease affecting blood vessels in hypertension, characterized by gradual age-related increases in blood pressure.
- Atherosclerosis is caused by cholesterol deposition, narrowing the blood vessels.
- Increased risk factors for hypertension include stroke, atherosclerotic coronary heart disease, heart failure, aortic dissection, cardiac hypertrophy, and multi-infarct dementia.
- The mechanisms leading to hypertension are largely unknown but involve a complex interplay of genetic factors and environmental factors.
- Blood pressure is a function of cardiac output and peripheral resistance; increases in either will result in increased blood pressure.
- Diagnosing hypertension requires sustained diastolic pressures over 90 mm Hg or systolic pressures over 140 mm Hg, although lower thresholds may be used for patients with other cardiovascular risk factors.
- Hypertension is categorized into primary idiopathic and secondary types with identifiable underlying conditions.
- Primary idiopathic hypertension (95%) has an unknown cause, often linked to aging and genetics.
- Secondary hypertension (5%) is often associated with younger patients and an identifiable underlying condition like renal disease, and renal artery stenosis, impacting the kidney's vascular system and renin angiotensin production.
- Essential hypertension is characterized by a gradual rise in blood pressure as individuals age.
Pathogenesis
- Mechanisms of essential hypertension include reduced renal sodium excretion, increased vascular resistance (chronic vasoconstriction), and genetic factors.
- Genetic factors influence renin, angiotensin, and angiotensinogen, affecting BP regulation.
- Environmental factors like stress, obesity, smoking, and high-salt consumption are implicated in essential hypertension.
- Accelerated atherosclerosis development is related to degenerative changes in large/medium-sized arterial walls (e.g., aortic dissection, cerebrovascular hemorrhage).
- Small-vessel diseases such as hyaline and hyperplastic arteriolosclerosis are associated with hypertension.
- Hyaline arteriolosclerosis is common in benign hypertension and can lead to nephrosclerosis (glomerular scarring) and renal failure.
- Hyperplastic arteriolosclerosis is frequently found in severe/malignant hypertension.
Athero-sclerosis
- Athero-sclerosis is intimal lesions (atheromas or atherosclerotic plaques) causing stenosis, thrombosis, or aneurysms due to compression of the underlying blood vessel media.
- Athero-sclerotic plaques can cause impairment of blood flow resulting in coronary, cerebral, and peripheral vascular disease.
- Athero-sclerosis begins with fatty streaks (lipid-filled macrophages) in blood vessel walls. These streaks may enlarge and form fibrous caps, leading to atherosclerotic plaques, impeding blood flow.
- Plaques can rupture, leading to thrombosis and acute syndromes (e.g., myocardial infarction).
- Atherosclerotic plaques can erode, develop hematomas, or form aneurysms.
- Athero-sclerosis often involves the coronary, cerebral, and peripheral arteries but can affect other vessels as well.
- Risk factors include genetics, age, gender, hypertension, cigarette smoking, diabetes, and hyperlipidemia.
- Lowering blood pressure, reducing cholesterol levels, and adopting a healthy lifestyle can help prevent complications.
- Critical stenosis frequently causes angina, bowel ischemia, stroke, and limb claudication.
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