Monday, 28 December 2015

CAD Predisposing Factors


CAD prédisposing factors: 

a. Homocysteinemia 
b↑ Lipoprotein B 
c↑ Fibrinogen
d↑ HDL 
e↑ plasminogen activator inhibitor-1


Ans. is a, c and e i.e. Homocysteinemla; ↑ fibrinogen and ↑ Plasminogen activator inhibitor-1 Coronary artery disease which implies atherosclerosis of the epicardial coronary arteries is the most common cause of myocardial ischemia.
Predisposing factors of Coronary artery disease
• Hypertension (BP> 140/90mm Hg; >5 fold 1’ risk with BP> 170/95mm Hg)
• Infections (Chlamydia pneumonia, Cytomegalovirus, Herpes).
• Low HDL cholesterol (or low Lipoprotein A, HDL <40mg/dl)
• Increasing age (men > 45yrs; women >55 years).
• High LDL cholesterol (or high Lipoprotein B)
• Cigarette smoking                                             • Diabetes mellitus
• Alcohol intake                                                   • Lipoprotein (a)
• Homocysteinemia                                             •  fibtinogen levels
• .↓ ↓ - plasmin levels                                      • ↑ ↑ pIasmnogen activator inhibitor-1
• Male gender                                                      • Family history
• Obesity (BMI > 30kg/rn2)                               • Physical inactivity
• Stress (type A personality)                              • Inflammation