1. The endothelium which lines the arteries is damaged, for instance by high cholesterol levels, smoking or high blood pressure
2. This increases the risk of blood cling in the artery and leads to an inflammatory response causing white blood cells to move into the artery
3. Over me , white blood cells, cholesterol, calcium salts and fibres build up and harden leading to plaque (atheroma) formation
4. The build-up of fibrous plaque leads to narrowing of the artery and restricts blood flow thus increasing the blood pressure which in turn damages the endothelial lining and the process is repeated - an example of positive feedback