ISCHEMIA
By/Dr.Abdisamad omar ali
Cellular injury
A cellular injury occurs when a stress exceeds cells
ability to adapt
The likelihood of injury depends on the type of
stress, its severity, and the type of cell affected
1. Neurons are highly susceptible to ischemic injury,
whereas, skeletal muscle is relatively more resistant
Common causes of cellular
injury
1. Inflammation
2. Nutritional deficiency or excess
3. Hypoxia
4. Trauma
5. Genetic mutations
Hypoxia
Low oxygen delivery to tissue (important
cause of cellular injury)
Decreased oxygen impairs resulting in
decreased ATP production
Lack of ATP (essential energy source) leads to
cellular injury
Causes of hypoxia
1. Ischemia
2. Hypoxemia
3. Decreased carrying capacity of
blood
Ischemia
Inside and outside
Capillary bed
Arterial blockage (Atherosclerosis)
Atherosclerosis
Venous blockage (Budd chiari syndrome)
Budd chiari syndrome
Cell death (necrosis)
Time to perefusion
Perfusion vs blood flow
Low perefusion
Reperfusion
Myocardial infarction
Myocardial infarction
Myocardial infarction