Friday 27 October 2017

CAD predisposing factors | PGI Nov 2017 Preparations MCQ


CAD predisposing factors 

A. Homocysteinemia 
B. ↓ L Lipoprotein B 
C. ↓ Fibrinogen 
D. ↓ HDL 
E. ↓ plasminogen activator inhibitors 1


Answer. A. Homocystenimia ; (B) ↓ Fibrinogen; (E) ↓ Plasminagen activator
• LDL also called β-lipoprotein is most directly related to CAD.
• HDL also called α-lipoprotein is inversely related to CAD.
• VLDL also called prebeta is associated with premature atherosclerosis. It is strongly associated with
peripheral vascular disease (Intermittent claudication)
• Plasminogen activator inhibitor -1 causes
— Venous thrombosis
— Tail vein thrombosis
— Hind, foot oedema :
• Certain genotypes of PAT-I gene appear to co-related with increased coronary risk.
• Homocysteinemia is associated with coronary artery disease.
• Several makers of hemostatic and thrombotic function in addition to homocysteine level characteristics
event such as MI and stroke
— The markers are
  level of plasminogen activator inhibitor-i,
— Plasma fibrinogen.
— C—Reactive protein
• Infection causing coronary heart disease and atherosclerosis
— Herpes
— Cytomegalo virus

— Chlamydia pneumonia;