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Exam 1
Lecture 1- PArt 1
60
Archaeology
5th Grade
02/04/2013

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Term
which cause more disease- arteries or veins
Definition
arteries
Term
2 ways that vascular disease occur
Definition
1) obstruction of vessel (stenosis or complete)
2)weakening of vessel walls
Term
obstruction of the blood vessel happening slowly can be shown as
Definition
astherscelosis
Term
obstruction of the blood vessel happening fast can be shown as
Definition
thrombus., embolis
Term
whcih have thicker walls- veins or arteries? why?
Definition
artereis- withstand higher BP and pulsatile flow
Term
as arteries become smaller- what happens to ratio of wall thickness to lumen diamter
Definition
increases
Term
3 basic components of blood vessel wall are?
the 3 layers are?
Definition
smooth muscle, enothelial, ECM
intima, media, adventia
Term
in normal arteries the intima has a lot of _ but not a lot of?
Definition
endotehial cells
subendotheial connective tissue
Term
what seperates the intima from the media?
Definition
internal elastic lamina
Term
how does the smooth muscle cells in media get nutrients and oxygen?
Definition
diffusion of lumen thru fenestra in the internal elsatic membrane
Term
vaso vasorum is what? why is this needed?
Definition
small arterioles nourish large arteries- 1/2 to 2/3 of outer media;
the diffusion of lamina not enough to noursih the outside media in larger arteries
Term
the outer limit of media is defined from advetnia by the
Definition
external elastic lamina
Term
what does the adventia consist of- 3
Definition
connective tissue, nerves, vaso vasorum
Term
what are the elastic arteries? -2
what is another name for them?
Definition
aorta branches- subclavian, innominate, carotid, iliac
-pulmonary artery;
large
Term
what are the muscular arteries?
what is another name for them?
Definition
aorta branches- coronary and renal
medium sized
Term
the structural variations in the arterial ssytem happen in the - 2
Definition
ECM and media
Term
large arteries (elastic) expand during- systolic or diastolic?
Definition
systolic
Term
in musclualr arteries what regulates the BP?
Definition
changes in the lumen- constriciotn or dilation
Term
what are the principal points of physiologic resistance to blood flow?
why?
Definition
arterioles
resistance to flow is inverse to 4th power of diameter
Term
if change lumen diameter in arteriole by half- what does this do to resistance?
Definition
increase by 16 fold
Term
which part of the circulatory system doesnt have media but does have endothelial?
Definition
capillaries
Term
capillaries have large/small cross section?
what does this do to flow rate?
Definition
large
slows
Term
which tissue has the highest density of capillaries
Definition
metabolic active- like myocardium
Term
in inflammation, vascualr and leukocyte leakage occurs mainly in the
Definition
postcapillary venules
Term
arteries vs veins
-these have smaller diamter
-these have thinner walls
Definition
arteries
veins
Term
arteries vs veins
which are more likely susceptible to tumors and inflammation
Definition
veins
Term
what helps disease disementaion by trnasporting bacteria or tumors to other parts of the body?
Definition
lymphatics
Term
hypertension affects what kind of vessels?
Definition
small muscular and arterioles
Term
astherosclerosis affects what types of vessels
Definition
large elastic and muscualr
Term
this is the remodeling of CURRENT arteries bc of BP changes, etc.
Definition
arteriogenesis
Term
this is process of making new vessels in a MATRUE organism
Definition
angiogenesis
Term
this is the formaiton of new vessels in an EMBRYO
Definition
vasculogenesis
Term
what is the primary form of growth factr for vasculogenesis
Definition
VEGF- vascular endothelial growth factor
Term
weakening of the vascular cell wall can lead to- 3
Definition
astherolsceros
vasculitis
congenital
Term
systemic HTN is problem witht he veins ro arteries?
this will affect what ventricle?
Definition
arteries
left
Term
capillaries are the same size as?
Definition
erythrocytes
Term
are junctions tight or loose in the cpaillaries?
what happne sif increase BP?
Definition
tight;
become looser
Term
if need to increase BP- where do you push blood from?
Definition
veins
Term
what is the antibody for von willebrand vactor that can identify endothelial cells?
what is another factor that can ID these cells?
Definition
CD-31
PECAM-1
Term
the interednotheial junctions are normally-?
but this can change due to- 2
Definition
impermeable
hemodynamic- or vasoactive (histamine/inflamm)
Term
what are the anticoag/fibrinolytic endothial compounds? -4
Definition
prostacyclin (prostaglandins)
thrombomodulin
heparin
plasminogen activoator
Term
what are the prothrombotic endothial compounds? -3
Definition
Von willebrand
tissue factor
plasminogen activator inhibitor
Term
ECM vasoconstricotr compounds
Definition
ACE, endothelin
Term
ECM vasodilator compounds
Definition
NO, prostacyclin
Term
what are the growth inhibitors
Definition
heparin, TGF-B
Term
where do endothelial cells have fenestras?
which is impermeable?
Definition
liver
kidney
nerve/perivascular cells
Term
what endotheial activation inducers cause shock and inflammation-2
Definition
bacteria and cytokines
Term
what endotheial activaiton inducers cause astherscelerosis -2
Definition
lipids and hemodynamics
Term
what endothelial activation inducers are important DM type 2- 1
Definition
endy glycosoyltaiton products
Term
normal ednothelian fucntion is characterized by blance btwn secretion of what 2 factors
Definition
NO
endothelin
Term
endotheial dysfunction is pheno or genotype dysfunction?
Definition
phenoytype
Term
rapid endotheial dysfunction is indepednent of _ synthesis?
example?
Definition
protein
histamine (other vasoactives)
Term
what disease affects the smooth msucle cells?
Definition
astherscerlosis
Term
what cells are repsonsible for vasoconstriciotn or dilation due to stimuli?
Definition
smooth msucle cells- media
Term
if smooth muscle cells are proliferating what does this mean?
Definition
a disease
Term
what can smooth msucle cells secrete? -3
Definition
ECM, growth factors, cytokines
Term
what induces proliferation of smooth muscle cells?
what inhibits? -3
Definition
-endotehlin,thrombin IFN, IL-1, growth factors
TGF-beta, NO, herpain
Term
vascular injury results in formation of?
so this means?
Definition
neointima
it thickens the intima
Term
what causes neointimal response?
Definition
any damage to endothelium/dysfunction regarldess of cause
Term
which type of smooth mucle cells can contract?
which can divide?
Definition
media
neointima
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