{"id":117317,"date":"2023-08-28T13:13:51","date_gmt":"2023-08-28T13:13:51","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117317"},"modified":"2023-08-28T13:13:54","modified_gmt":"2023-08-28T13:13:54","slug":"nsg-533-advanced-pathophysiology-exam-3","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/nsg-533-advanced-pathophysiology-exam-3\/","title":{"rendered":"NSG 533 Advanced Pathophysiology Exam 3"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">List the novel risk factors for CAD<br>1) markers of inflammation, ischemia, and thrombosis (elevated high sensitivity<br>C-reactive protein, troponin, fibrinogen) 2) adipokines (leptin, adiponectin) 3) CKD<br>4) air pollution and ionizing radiation 5) medications (NSAIDs) 6) coronary artery<br>calcification and carotid wall thickness and 7) microbiome 8) small dense LDL<br>particles and lipoprotein(a) 9) Hyperhomocysteinemia<br>List nonmodifiable risk factors for CAD<br>Advanced age, male gender or woman after menopause, and family history<br>(genetics, shared environmental exposure).<br>List modifiable risk factors for CAD<br>Dyslipidemia, hypertension, cigarette smoking, diabetes and insulin resistance,<br>obesity and sedentary lifestyle, and an atherogenic diet.<br>How does dyslipidemia contribute to CAD?<br>High levels of LDL in the bloodstream leads to LDL oxidation, migration into the<br>vessel wall, and phagocytosis by macrophages, all key steps in the pathogenesis<br>of atherosclerosis.<br>Atherosclerosis<br>A chronic inflammatory condition that results in damage to the arteries.<br>Thickening and hardening of the vessels are caused by the accumulation of<br>1 \/ 2<br>lipid-laden macrophages (foam cells) within the arterial walls, leading to the<br>formation of a plaque.<br>Optimal lipid panal results<br>Total cholesterol (&lt; 200), LDL (&lt; 100), triglycerides (&lt; 150) What is the response-to-injury hypothesis in the development of atherosclerotic lesions? The earliest event in atherogenesis is injury to the endothelium, which could be triggered by hypertension, circulation of ROS (smoking, pollutants), dyslipidemia, and elevated A1C. When foam cells accumulate in a significant amount within the arterial wall, they form <strong><em><strong>_ . What is then released? a lesion called a fatty streak; inflammatory cytokines, damaging enzymes, and growth factors. Growth factors released released in atherogenesis stimulate <em>_<\/em><\/strong><\/em><\/strong><em> , which<br><strong>.<br>smooth muscle cell proliferation; produce collagen and migrate over the fatty<br>streak to form a fibrous plaque.<br>Plaques that have ruptured are called .<br>complicated plaques<br>Plaque rupture occurs because of the <em>_<\/em><\/strong><\/em> .<br>inflammatory activation of proteinases, apoptosis of cells within the plaque, and<br>bleeding within the lesion (plaque hemorrhage)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>List the novel risk factors for CAD1) markers of inflammation, ischemia, and thrombosis (elevated high sensitivityC-reactive protein, troponin, fibrinogen) 2) adipokines (leptin, adiponectin) 3) CKD4) air pollution and ionizing radiation 5) medications (NSAIDs) 6) coronary arterycalcification and carotid wall thickness and 7) microbiome 8) small dense LDLparticles and lipoprotein(a) 9) HyperhomocysteinemiaList nonmodifiable risk factors for 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