Coronary atherosclerosis. A multifactorial disease.

Abstract:

BACKGROUND:Several of the theories on the pathogenesis of atherosclerosis may be integrated into a single multifactorial one. According to this theory, the most likely sequence of events involved in early atherosclerosis is vascular dysfunction and/or injury, monocyte recruitment and macrophage formation, lipid deposition, vascular smooth muscle cell proliferation (mitogenic factor mediated), and synthesis of extracellular matrix. The interaction of all these factors will configurate the typical characteristic of the atherosclerotic plaque. METHODS AND RESULTS:Accumulating experimental and clinical data suggest two pathways in atherosclerotic progression. In some cases, the very slow process of the pathogenesis of early lesions may be significantly accelerated by means of thrombus formation and organization. Thrombosis is a key process in the pathogenesis of late atherogenesis and in the development of acute ischemic syndromes. CONCLUSIONS:The possibility of retarding human atherosclerosis or even inducing its regression is one of the present therapeutic challenges. Of the different approaches to this question, one approach aims at better control of risk factors, especially plasma lipid levels. Another approach attempts to enhance the removal of lipids from the arterial wall by increasing plasma high density lipoprotein levels. Each of these approaches, by acting on the lipid-rich plaques more prone to rupture, might prevent plaque progression and induce regression to prevent acute coronary events. A third approach, based on the key role of platelet thrombus formation in the conversion of chronic to acute events, would be the use of antithrombotic therapy. This last approach may partially prevent progression of the disease.

journal_name

Circulation

journal_title

Circulation

authors

Badimon JJ,Fuster V,Chesebro JH,Badimon L

subject

Has Abstract

pub_date

1993-03-01 00:00:00

pages

II3-16

issue

3 Suppl

eissn

0009-7322

issn

1524-4539

journal_volume

87

pub_type

杂志文章,评审
  • Operator-independent isotropic three-dimensional magnetic resonance imaging for morphology in congenital heart disease: a validation study.

    abstract:BACKGROUND:Operator-independent isotropic 3D MRI may greatly simplify the assessment of complex morphology in congenital heart disease. We sought to evaluate the reliability of this new approach. METHODS AND RESULTS:In 31 adolescent and adult patients (age, 6 to 42 years; median, 16 years) with congenital heart diseas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000134282.35183.AD

    authors: Sørensen TS,Körperich H,Greil GF,Eichhorn J,Barth P,Meyer H,Pedersen EM,Beerbaum P

    更新日期:2004-07-13 00:00:00

  • Antiarrhythmic Drugs for Nonshockable-Turned-Shockable Out-of-Hospital Cardiac Arrest: The ALPS Study (Amiodarone, Lidocaine, or Placebo).

    abstract:BACKGROUND:Out-of-hospital cardiac arrest (OHCA) commonly presents with nonshockable rhythms (asystole and pulseless electric activity). It is unknown whether antiarrhythmic drugs are safe and effective when nonshockable rhythms evolve to shockable rhythms (ventricular fibrillation/pulseless ventricular tachycardia [VF...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.028624

    authors: Kudenchuk PJ,Leroux BG,Daya M,Rea T,Vaillancourt C,Morrison LJ,Callaway CW,Christenson J,Ornato JP,Dunford JV,Wittwer L,Weisfeldt ML,Aufderheide TP,Vilke GM,Idris AH,Stiell IG,Colella MR,Kayea T,Egan D,Desvigne-Nick

    更新日期:2017-11-28 00:00:00

  • Late dysrhythmias and disturbances of conduction following Mustard operation for complete transposition of the great arteries.

    abstract::Between 1964 and 1971, 49 patients were discharged from hospital following atrial baffle repair for transposition of the great arteries. Electrocardiograms of 47 of these patients were available for review seven months to eight and a half years (average 31 months) after operation. Of the 46 patients in sinus rhythm pr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.3.519

    authors: Clarkson PM,Barratt-Boyles BG,Neutze JM

    更新日期:1976-03-01 00:00:00

  • Costs and benefits of targeted screening for causes of sudden cardiac death in children and adolescents.

    abstract:BACKGROUND:Sudden cardiac death in children is a rare but devastating event. Experts have debated the merits of community-based screening programs using an ECG and targeting 2 potential high-risk groups: school-aged children initiating stimulant medications to treat attention-deficit/hyperactivity disorder and adolesce...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.087940

    authors: Leslie LK,Cohen JT,Newburger JW,Alexander ME,Wong JB,Sherwin ED,Rodday AM,Parsons SK,Triedman JK

    更新日期:2012-05-29 00:00:00

  • Catheter stimulation of cardiac parasympathetic nerves in humans: a novel approach to the cardiac autonomic nervous system.

    abstract:BACKGROUND:Cardiac parasympathetic nerves run alongside the superior vena cava (SVC) and accumulate particularly epicardially adjacent to the orifice of the coronary sinus (CS). In animals, these nerves can be electrically stimulated inside the SVC or CS, which results in negative chronotropic/dromotropic effects and n...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4501.099307

    authors: Schauerte P,Mischke K,Plisiene J,Waldmann M,Zarse M,Stellbrink C,Schimpf T,Knackstedt C,Sinha A,Hanrath P

    更新日期:2001-11-13 00:00:00

  • Inhibition of platelet function in thrombosis.

    abstract::Accumulating experimental and clinical evidence indicates that a time for reappraisal of therapeutic modalities designed to inhibit the eicosanoid pathway as it may affect vascular disease may be approaching. Pharmacologic agents originally used were chosen because they were capable of suppressing platelet functions s...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.72.4.698

    authors: Marcus AJ,Safier LB,Ullman HL,Broekman MJ,Islam N,Oglesby TD,Gorman RR,Ward JW

    更新日期:1985-10-01 00:00:00

  • Transvenous coronary ultrasound imaging. A novel approach to visualization of the coronary arteries.

    abstract:BACKGROUND:Catheter-based ultrasound is a new imaging modality to examine endovascular detail in the coronary circulation. This technique requires direct placement of the catheter in the arterial segment of interest. METHODS AND RESULTS:We examined the feasibility of a less invasive approach by imaging the coronary ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.5.1957

    authors: Sudhir K,Fitzgerald PJ,MacGregor JS,DeMarco T,Ports TA,Chatterjee K,Yock PG

    更新日期:1991-11-01 00:00:00

  • Body mass index: a risk factor for unstable angina and myocardial infarction in patients with angiographically confirmed coronary artery disease.

    abstract:BACKGROUND:In patients with coronary artery disease (CAD), acute thrombosis frequently occurs in coronary arteries with only mild or moderate stenoses. Obesity increases the risk of atherosclerosis, but it is not known whether it also increases the risk of coronary thrombosis. We hypothesized that body mass index (BMI)...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000095270.85646.E8

    authors: Wolk R,Berger P,Lennon RJ,Brilakis ES,Somers VK

    更新日期:2003-11-04 00:00:00

  • Contrasting inotropic effects of endogenous endothelin in the normal and failing human heart: studies with an intracoronary ET(A) receptor antagonist.

    abstract:BACKGROUND:Endothelin-1 (ET-1) is a potent positive inotrope in vitro, but its physiological effects on intrinsic myocardial contractile function in humans in vivo are unknown. Plasma ET-1 levels are elevated in heart failure, and ET-1 may be involved in the pathophysiology of this condition. However, its effects on co...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.2.142

    authors: MacCarthy PA,Grocott-Mason R,Prendergast BD,Shah AM

    更新日期:2000-01-18 00:00:00

  • Cardiac specific creatine phosphokinase isoenzyme in the diagnosis of acute myocardial infarction.

    abstract::The specific and sensitivity of serum creatine phosphokinase cardiac specific isoenzyme (MB) in the diagnosis of acute myocardial infarction (AMI) was evaluated. An ion-exchange chromatographic technique was used to isolate MB. Sera layered on mini-columns of DEAE-Sephadex were eluted with Tris-buffered sodium chlorid...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.51.5.855

    authors: Varat MA,Mercer DW

    更新日期:1975-05-01 00:00:00

  • Early results of a simplified method of mitral valve annuloplasty.

    abstract:BACKGROUND:We hypothesized that a simple, unmeasured posterior annuloplasty technique (two thirds of a 27-mm Duran ring) offered advantages of standardization and ease of insertion. METHODS AND RESULTS:A consecutive series of all patients (n = 418; median age, 67 years) having mitral valve repair performed by two surg...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.150

    authors: Odell JA,Schaff HV,Orszulak TA

    更新日期:1995-11-01 00:00:00

  • Mortality after 16 years for participants randomized to the Multiple Risk Factor Intervention Trial.

    abstract:BACKGROUND:A mortality follow-up of 12,866 men was conducted 16 years after randomization to special intervention (SI) or usual care (UC) groups of the Multiple Risk Factor Intervention Trial to assess the long-term effect of cardiovascular risk factor intervention on coronary heart disease (CHD), cardiovascular death ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.94.5.946

    authors:

    更新日期:1996-09-01 00:00:00

  • Achieving Optimal Population Cardiovascular Health Requires an Interdisciplinary Team and a Learning Healthcare System: A Scientific Statement From the American Heart Association.

    abstract::Population cardiovascular health, or improving cardiovascular health among patients and the population at large, requires a redoubling of primordial and primary prevention efforts as declines in cardiovascular disease mortality have decelerated over the past decade. Great potential exists for healthcare systems-based ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIR.0000000000000913

    authors: Foraker RE,Benziger CP,DeBarmore BM,Cené CW,Loustalot F,Khan Y,Anderson CAM,Roger VL,American Heart Association Council on Epidemiology and Prevention; Council on Arteriosclerosis, Thrombosis and Vascular Biology; and Council on Lifestyl

    更新日期:2021-01-12 00:00:00

  • Accumulation of ultrasmall superparamagnetic particles of iron oxide in human atherosclerotic plaques can be detected by in vivo magnetic resonance imaging.

    abstract:BACKGROUND:One of the features of high-risk atherosclerotic plaques is a preponderance of macrophages. Experimental studies with hyperlipidemic rabbits have shown that ultrasmall superparamagnetic particles of iron oxide (USPIOs) accumulate in plaques with a high macrophage content and that this induces magnetic resona...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.CIR.0000068315.98705.CC

    authors: Kooi ME,Cappendijk VC,Cleutjens KB,Kessels AG,Kitslaar PJ,Borgers M,Frederik PM,Daemen MJ,van Engelshoven JM

    更新日期:2003-05-20 00:00:00

  • Abnormal blood pathways in left ventricular cavity in acute myocardial infarction. Experimental observations with special reference to regional wall motion abnormality and hemostasis.

    abstract::To elucidate the mechanism of regional hemostasis in the left ventricular (LV) cavity during myocardial infarction, the blood pathway in LV cavity was examined with contrast echocardiography injected from the left atrium before and after coronary ligation in nine canines. Before coronary ligation, contrast echoes spre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.78.1.157

    authors: Beppu S,Izumi S,Miyatake K,Nagata S,Park YD,Sakakibara H,Nimura Y

    更新日期:1988-07-01 00:00:00

  • Noninvasive study of early diastole in mitral stenosis.

    abstract::Cardiac events of early diastole were studied in 50 normal subjects and 46 patients with mitral stenosis (MS) by simultaneous recordings of the mitral valve echogram (MVE), phonocardiogram, and apexcardiogram (ACG). Left ventricular isovolumic relaxation time (IRT), measured between A2 and onset of the MVE opening mot...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.4.708

    authors: Toutouzas P,Velimezis A,Castellanos S,Avgoustakis D

    更新日期:1978-04-01 00:00:00

  • Nuclear factor-{kappa}B activation contributes to vascular endothelial dysfunction via oxidative stress in overweight/obese middle-aged and older humans.

    abstract:BACKGROUND:We tested the hypothesis that nuclear factor-kappaB (NF-kappaB) activity contributes to vascular endothelial dysfunction with aging and obesity in humans. METHODS AND RESULTS:We conducted a randomized, double-blind, placebo-controlled crossover study in 14 nondiabetic overweight or obese (body mass index > ...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.108.804294

    authors: Pierce GL,Lesniewski LA,Lawson BR,Beske SD,Seals DR

    更新日期:2009-03-10 00:00:00

  • Amplification of flecainide-induced ventricular conduction slowing by exercise. A potentially significant clinical consequence of use-dependent sodium channel blockade.

    abstract::Proarrhythmic effects of flecainide acetate have been reported during exercise, but the mechanism for the arrhythmogenic interaction between flecainide and exercise is unknown. We hypothesized that the sinus tachycardia of exercise may enhance flecainide-induced conduction slowing by increasing use-dependent sodium ch...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.5.1000

    authors: Ranger S,Talajic M,Lemery R,Roy D,Nattel S

    更新日期:1989-05-01 00:00:00

  • Effect of testosterone on plaque development and androgen receptor expression in the arterial vessel wall.

    abstract:BACKGROUND:-Recent studies have suggested that testosterone has a protective effect in the arterial vascular system. However, little is known about the molecular aspects of the mechanism(s) involved in these processes. The aim of the present study was to investigate the effect of testosterone on neointimal plaque devel...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.10.1382

    authors: Hanke H,Lenz C,Hess B,Spindler KD,Weidemann W

    更新日期:2001-03-13 00:00:00

  • Comparison between 201Tl and 99mTc sestamibi uptake during adenosine-induced vasodilation as a function of coronary stenosis severity.

    abstract:BACKGROUND:Myocardial uptake of either 201Tl or 99mTc-sestamibi (sestamibi) is known to plateau at high coronary flow rates. However, few direct comparisons have been made between these tracers to determine what effect differences in the uptake plateau for the two tracers may have on the detection of coronary stenoses ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.91.3.813

    authors: Glover DK,Ruiz M,Edwards NC,Cunningham M,Simanis JP,Smith WH,Watson DD,Beller GA

    更新日期:1995-02-01 00:00:00

  • Anisotropic reentry in a perfused 2-dimensional layer of rabbit ventricular myocardium.

    abstract:BACKGROUND:Anisotropy creates nonuniformity in electrical propagation and may contribute to the occurrence of unidirectional conduction block and reentry. We describe the characteristics of reentrant tachycardia in a 2D layer of anisotropic ventricular myocardium. METHODS AND RESULTS:A Langendorff-perfused epicardial ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.21.2650

    authors: Schalij MJ,Boersma L,Huijberts M,Allessie MA

    更新日期:2000-11-21 00:00:00

  • Chymase inhibition prevents fibronectin and myofibrillar loss and improves cardiomyocyte function and LV torsion angle in dogs with isolated mitral regurgitation.

    abstract:BACKGROUND:The left ventricular (LV) dilatation of isolated mitral regurgitation (MR) is associated with an increase in chymase and a decrease in interstitial collagen and extracellular matrix. In addition to profibrotic effects, chymase has significant antifibrotic actions because it activates matrix metalloproteinase...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.921619

    authors: Pat B,Chen Y,Killingsworth C,Gladden JD,Shi K,Zheng J,Powell PC,Walcott G,Ahmed MI,Gupta H,Desai R,Wei CC,Hase N,Kobayashi T,Sabri A,Granzier H,Denney T,Tillson M,Dillon AR,Husain A,Dell'italia LJ

    更新日期:2010-10-12 00:00:00

  • Increased immunoreactivity of plasma after fibrinolytic activation in an anti-DD ELISA system. Role of soluble crosslinked fibrin polymers.

    abstract::After addition of a low concentration of thrombin to normal plasma, a progressive and significant increase in crosslinked fibrin polymers was found by sodium dodecyl sulfate agarose gel electrophoresis, reaching 27% of total fibrinogen and fibrin before gel formation. As measured by enzyme-linked immunosorbent assay w...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.3.666

    authors: Francis CW,Doughney K,Brenner B,Klingbiel K,Marder VJ

    更新日期:1989-03-01 00:00:00

  • Detection of adenoviral genome in the myocardium of adult patients with idiopathic left ventricular dysfunction.

    abstract:BACKGROUND:The use of molecular biological techniques has demonstrated the importance of enteroviral infection of the myocardium in the pathogenesis of myocarditis and dilated cardiomyopathy in adults and adenovirus and enterovirus infection in children. The aim of this study was to determine the frequency of adenovira...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.10.1348

    authors: Pauschinger M,Bowles NE,Fuentes-Garcia FJ,Pham V,Kühl U,Schwimmbeck PL,Schultheiss HP,Towbin JA

    更新日期:1999-03-16 00:00:00

  • Noninvasive assessment of cardiac function and ventricular dyssynergy by precordial Q wave mapping in anterior myocardial infarction.

    abstract::To determine whether multiple lead precordial electrocardiographic recordings offer an improved index for noninvasive estimation of left ventricular hemodynamic function and segmental dyssynergy, precordial mapping was performed in patients with anterior myocardial infarction, and the number of pathologic Q waves (gre...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.6.833

    authors: Awan NA,Miller RR,Vera Z,Janzen DA,Amsterdam EA,Mason DT

    更新日期:1977-06-01 00:00:00

  • Effects of L-arginine supplementation on endothelium-dependent coronary vasodilation in patients with angina pectoris and normal coronary arteriograms.

    abstract:BACKGROUND:The pathogenesis of impaired endothelium-dependent coronary vasodilation in angina pectoris and normal coronary arteriograms (microvascular angina pectoris) is not known. We examined whether supplementation with L-arginine, a precursor of endothelium-derived nitric oxide, improves endothelium-dependent coron...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.2.130

    authors: Egashira K,Hirooka Y,Kuga T,Mohri M,Takeshita A

    更新日期:1996-07-15 00:00:00

  • Intrinsic coagulation activation and the risk of arterial thrombosis in young women: results from the Risk of Arterial Thrombosis in relation to Oral contraceptives (RATIO) case-control study.

    abstract:BACKGROUND:Classically, intrinsic coagulation proteins are thought to have a minor role in hemostasis. Recently, these proteins, especially FXII, were implicated as possible key players in the pathogenesis of arterial thrombosis. This study aims to determine the risks of arterial thrombosis conferred by increased activ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.943738

    authors: Siegerink B,Govers-Riemslag JW,Rosendaal FR,Ten Cate H,Algra A

    更新日期:2010-11-02 00:00:00

  • Regional differences in function within noninfarcted myocardium during left ventricular remodeling.

    abstract:BACKGROUND:The mechanisms of ventricular enlargement and dysfunction during postinfarct remodeling remain largely unknown. Although global left ventricular architectural changes after myocardial infarction are well documented, differences in function between adjacent and remote noninfarcted myocardium during left ventr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.88.3.1279

    authors: Kramer CM,Lima JA,Reichek N,Ferrari VA,Llaneras MR,Palmon LC,Yeh IT,Tallant B,Axel L

    更新日期:1993-09-01 00:00:00

  • Ventricular function after atrial cardioplegia.

    abstract::Continuous retrograde coronary sinus cardioplegia (CSCP) has previously been carefully evaluated experimentally and shown to be efficacious during ischemia, even in the presence of coronary lesions and in the hypertrophied state. A new technique of retrograde cardioplegia delivery through the right atrium, using right...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Salter DR,Goldstein JP,Abd-Elfattah A,Murphy CE,Brunsting LA,Wechsler AS

    更新日期:1987-11-01 00:00:00

  • Effect of rate on left ventricular volumes and ejection fraction during chronic ventricular pacing.

    abstract::Resting left ventricular (LV) function was evaluated in 22 patients with permanent ventricular pacemakers. LV ejection fraction and volume indexes were determined by gated blood pool scintigraphy at ventricular pacing rates of 50-100 beats/min. In patients with a normal heart size, increases in pacing rates resulted i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.67.2.323

    authors: Narahara KA,Blettel ML

    更新日期:1983-02-01 00:00:00