Friday, January 15, 2010

Why and how does hyperglycemia makes CVA worse? -

where can i also find an article about hypertensive cardiovascular disease? i couldn t find it in the library. i only found an article about hypertension in the book. is HCVD and hypertension the same?

It is a complicated process and I am not sure there is a consensus answer to your question. Here are a couple of thoughts, though. Hyperglycemia changes the way we process cholesterol and triglycerides. It increases the likelihood of forming significant plaques in the artery. Plaques are what ruptures often causing an embolic or thromboembolic blockage - causing the stroke. (80-90 percent of strokes are ischemic rather than hemorrhagic) The inflammatory process also is affected by hyperglycemia. We have observed that plaques are more irritable and therefore more likely to rupture compared with someone who did not have hyperglycemia. Try going to quot;Pub Medquot; for scientific journal articles briefs. If the articles are too advanced or abstract for your needs, try sites like WebMD. Many hospital sites have information too. Consider visiting the Mayo clinic s site, for instance. Hypertension can cause complications in places other than the heart (which is what CV disease implies). It can affect the kidneys, reproductive function, eyes, stroke (brain), and the vessels themselves - aneurysms and vessel dissections for example. So hypertensive CVD implies - impaired cardiac function due to hypertension. Congestive heart failure and dilated cardiomyopathy are the most common complications.

Hyperglycemia causes the red blood cells to become glycosylated or sticky with sugars. This effects the circulation because the blood cells will stick to each other and to the walls of blood vessels. So you can see how it could make vascular disease worse.

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