1) Arterial wall injury from risk factors like smoking can cause endothelial injury and desquamation of the endothelial lining, increasing permeability for lipids and platelets.
2) Oxidized LDL attracts monocytes and macrophages, starting plaque formation as lipids are engulfed by foam cells.
3) Plaques grow and smooth muscle cells multiply, decreasing coronary tissue perfusion and oxygenation to cause angina and myocardial infarction.
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Pathophys of CAD
1) Arterial wall injury from risk factors like smoking can cause endothelial injury and desquamation of the endothelial lining, increasing permeability for lipids and platelets.
2) Oxidized LDL attracts monocytes and macrophages, starting plaque formation as lipids are engulfed by foam cells.
3) Plaques grow and smooth muscle cells multiply, decreasing coronary tissue perfusion and oxygenation to cause angina and myocardial infarction.