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Summary Diabetes & Vessel Function -- Heart Failure & Therapy

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Summary of the Diabetes & Vessel function lecture in the Heart Failure and Therapy course

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13 . Diabetes & Vessel Function


Microvascular Research is the narrowing of the small blood vessels that branch off the
& send 02 Rich blood to
coronary Artery
Heart muscle This important site
.
is An

for pressure Dissipation and therefore ,



peripheral vascular Resistance .




Diabetes & cub is A global problem .




Diabetes RELATED
-
Loss of Life primarily Due
to vascular complications .
The probability
of survival when having Diabetes is lower
Than no Di Ab .




There are 4 complications when having ☐ inb.:



-
2✗ to ↳ × increase in CVD
mortality .




- LebDing cause of New cases of enb Stage
Renal Disease .




-
Leading cause of new cases of blindness in

ADULTS .




-
Leading cause of non - traumatic Lower

extremity amputations .




The impairment of MYOCARDIAL blood flow is
present before onset of TZD It compares .




Different stages of Diabetes with MYOCARDIAL
blood flow Flow reserve is MEASURED AND
.




On TZD, MYOCARDIAL flow Reserve is Lower .




Furthermore, A COLD pressure test is Done
,

Which Decreases As well .




A Reduced MICROVASCULAR BLOOD Flow
impairs
metabolism & organ function This . risks of getting
Diabetes etc .




Lack of Activity , FOOD pattern genetics AS A cause ,




of arteriole Dysfunction The Different stimuli are.




integrated to Determine perfusion This Determines
.




functioning of brain •Heart & muscles .

, The endothelial cell can modulate the functioning of cardiomyocytes They are triggered by
.




the occurrence of comorbidities One .
function
of endothelium is the secretion of
VASODILATOR RADICAL (NO) This can Dilate

blood vessels & RELAX CARDiomyocyte .




When considering the endothelial contrib .




to Heart failure, you have to remember

that majority of total surface of endothelium
9 Relistionship
is in your capillaries
Carpio myocytes microvascular function .




TNF ✗ impairs the benificinl effect of CARDIAC microvascular endothelial cells on

cardiomyocytes
-




& contraction Relaxation




Mic was .

properties Also predict CVD .




Activating eNos (endothelial NO )
synthase is important for maintaining A

normal vessel tone & organ blood flow This .




Activation is Due to co factor cat
- that binds
to ENOS This.
is increased
by ion channel

Activating Agonist It . can Also be Due to

phosphorylation by kinases .

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Uploaded on
October 5, 2022
Number of pages
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Written in
2021/2022
Type
Summary
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