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Atheroma

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An atheroma, or atheromatous plaque, is an abnormal accumulation of material in the inner layer of an arterial wall. The material consists of mostly macrophage cells, or debris, containing lipids, calcium and a variable amount of fibrous connective tissue. The accumulated material forms a swelling in the artery wall, which may intrude into the lumen of the artery, narrowing it and restricting blood flow. Atheroma is the pathological basis for the disease entity atherosclerosis, a subtype of arteriosclerosis.

Myocardial infarctionMyocardial infarctionInterruption of cardiac blood supplyMedical conditionA myocardial infarction (MI), commonly known as a heart attack, occurs when blood flow decreases or stops in one of the arteries of the heart, causing infarction (tissue death) to the heart muscle. The most common symptom is retrosternal chest pain or discomfort that classically radiates to the left shoulder, arm, or jaw. The pain may occasionally feel like heartburn. This is the dangerous type of acute coronary syndrome.ArteryArteryAn artery (from Greek ἀρτηρία (artēríā)) is a blood vessel in humans and most other animals that takes oxygenated blood away from the heart in the systemic circulation to one or more parts of the body. Exceptions that carry deoxygenated blood are the pulmonary arteries in the pulmonary circulation that carry blood to the lungs for oxygenation, and the umbilical arteries in the fetal circulation that carry deoxygenated blood to the placenta.Vulnerable plaqueA vulnerable plaque is a kind of atheromatous plaque – a collection of white blood cells (primarily macrophages) and lipids (including cholesterol) in the wall of an artery – that is particularly unstable and prone to produce sudden major events such as a heart attack or stroke.AngiographyAngiographyAngiography or arteriography is a medical imaging technique used to visualize the inside, or lumen, of blood vessels and organs of the body, with particular interest in the arteries, veins, and the heart chambers. Modern angiography is performed by injecting a radio-opaque contrast agent into the blood vessel and imaging using X-ray based techniques such as fluoroscopy. With time-of-flight (TOF) magnetic resonance it is no longer necessary to use a contrast.StenosisStenosisStenosis (from Ancient Greek (stenós)'narrow') is the abnormal narrowing of a blood vessel or other tubular organ or structure such as foramina and canals. It is also sometimes called a stricture (as in urethral stricture). Stricture as a term is usually used when narrowing is caused by contraction of smooth muscle (e.g. achalasia, Prinzmetal angina); stenosis is usually used when narrowing is caused by lesion that reduces the space of lumen (e.g. atherosclerosis).Cardiac stress testCardiac stress testA cardiac stress test is a cardiological examination that evaluates the cardiovascular system's response to external stress within a controlled clinical setting. This stress response can be induced through physical exercise (usually a treadmill) or intravenouspharmacological stimulation of heart rate. As the heart works progressively harder (stressed) it is monitored using an electrocardiogram (ECG) monitor.AtherosclerosisAtherosclerosisAtherosclerosis is a pattern of the disease arteriosclerosis, characterized by the development of atheromatous plaques in the walls of arteries. This is a chronic inflammatory disease involving many different cell types and is driven by elevated blood levels of cholesterol, primarily LDL. These lesions lead to narrowing of the arteries. At the onset, there are usually no symptoms, but if they develop, symptoms generally begin around middle age.ArteriosclerosisArteriosclerosisArteriosclerosis, literally meaning "hardening of the arteries", is an umbrella term for a set of vascular disorders characterized by abnormal thickening, hardening, and loss of elasticity in the walls of arteries.MacrophageMacrophageMacrophages () are a type of white blood cell of the innate immune system that engulf and digest pathogens, such as cancer cells, microbes, cellular debris and foreign substances, which do not have proteins that are specific to healthy body cells on their surface. This self-protection method can be contrasted with that employed by Natural Killer cells. This process of engulfment and digestion is called phagocytosis; it acts to defend the host against infection and injury.Lumen (anatomy)Lumen (anatomy)In biology, a lumen (pl.: lumina) is the inside space of a tubular structure, such as an artery or intestine. It comes from Latin lumen'an opening'.Connective tissueConnective tissueConnective tissue is biological tissue that is found in between other tissues in the body. Most types of connective tissue consists of three main components: elastic and collagen fibers, ground substance, and cells. It is one of the four primary types of animal tissue along with epithelial tissue, muscle tissue, and nervous tissue. It develops mostly from the mesenchyme, derived from the mesoderm, the middle embryonicgerm layer.Tunica intimaTunica intimaThe tunica intima (Neo-Latin "inner coat"), or intima for short, is the innermost tunica (layer) of an artery or vein. It is made up of one layer of endothelial cells (and macrophages in areas of disturbed blood flow), and is supported by an internal elastic lamina. The endothelial cells are in direct contact with the blood flow.

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