Unit II
Pathophysiology of CVS
By
Hidayat Khan
KMU
Arteriosclerosis and
Coronary Heart Disease
(CHD)
Arteriosclerosis
Disease of the arteries characterized by
thickening, loss of elasticity and calcification of
arterial walls
Resulting in decreased blood supply particularly
to the cerebrum and lower extremities
Often develops with:
• aging
• hypertension
• diabetes
Progression of Arteriosclerosis
Risk factors
High blood pressure (hypertension)
High blood cholesterol
Smoking
Obesity
Physical inactivity
Diabetes
Stress (?) Controllable
Risk Factors (cont’d)
Gender
Heredity
Age
Uncontrollable
Major Risk Factors:
The Big Three
Hypertension
High cholesterol
All three increase risk
Cigarette smoking factor eight times
AND…. we should add LACK OF EXERCISE
Symptoms of CHD
Chest pain (angina)
Shortness of breath
Heaviness, tightness, pain, burning, pressure or
squeezing
behind the breastbone or in the arms, neck, or jaws
Pain may vary
Perhaps no pain
Cause & Consequencess of CHD
Lack of oxygen due to ischemia (lack of blood supply)
Narrowing of coronary arteries
Heart responds with angina
Finally, heart attack (myocardial infarction
local ischemia usually due to thrombus (clot) or embolus
(clot that has moved from another site and lodged in a
smaller vessel)
Possible permanent damage