Pathophysio CVA

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Predisposing Precipitating

 African or American race  HPN and hyperlipidemia


 Family Hx of CVA or  Hypothyroidism
hyperlipidemia  Sedentary lifestyle
 Obesity
 Age over >65 y/o
 DM
 CAD
 Smoking

Hypertension Hyperlipidemia

Vasoconstriction Formation of plaque


deposits
↑ Shearing force
to blood vessels Atherosclerosis

Damage to Inflammatory
endothelial layer response Thrombosis Blockage of a
vessel

↓ Perfusion

HEART BRAIN

Hypoxia
CAD LVH

↓ Brain cell
S/S
metabolism

Dyspnea Edema Cell injury

ECG changes ↑ BP Paralysis

Chest pain Distended neck veins

Angina
PROGNOSIS

If treated: If not treated:

↓ Edema Coma

Return of normal Cerebral death


perfusion

Loss of physiologic
functions

Death

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