Final answer:
Atherosclerosis forms through a series of events starting with endothelial dysfunction, followed by LDL accumulation and macrophage attraction, leading to foam cell and fatty streak formation, and finally resulting in a fibrous cap over the plaque.
Step-by-step explanation:
The formation of atherosclerosis occurs via several steps that involve changes to the artery wall:
- It begins with endothelial dysfunction and the formation of a fatty streak.
- LDL cholesterol enters the fatty streak and attracts macrophages which engulf the oxidized LDL, leading to foam cell formation.
- Proliferating smooth muscle cells, connective tissue, and lipids become incorporated into the growing plaque.
- A "fibrous cap" forms over the plaque structure, signifying a mature plaque.
These plaques can narrow the arteries to the point where they impair blood flow, which can potentially lead to heart attacks, strokes, and other cardiovascular issues.