31 träffar

ArticleCardiology
Statin Intolerance and Statin-Associated Muscle Symptoms

…effects beyond LDL C reduction, including modulation of inflammation, oxidative stress, endothelial function, plaque stability, thrombogenic responses and immune activity. Statin intolerance refers to adverse…

ArticleCardiology
Dietary Patterns and Cardiovascular Outcomes

…such as cholesterol. Dietary composition may influence blood pressure, glucose–insulin homeostasis, lipids and apolipoproteins, endothelial function, systemic inflammation, liver fat synthesis, adiposity, thrombosis and…

ArticleCardiology
Lipid-Lowering Therapy: Statins as First-Line Treatment

…triglycerides. The benefit of statins extends beyond angiographic reduction of coronary obstruction. Intensive lipid lowering improves endothelial function, lowers circulating high sensitivity C reactive protein…

ArticleCardiology
Metabolic Syndrome: Definition and Clinical Significance

…vasculature, heart and kidneys. Advanced glycation end products activate inflammatory and profibrotic signalling through their receptor. Endothelial dysfunction, increased vascular stiffness, impaired coronary circulation, vascular…

ArticleCardiology
Primary Aldosteronism: Screening and Management

…major target—where MR activation promotes sodium transport—MRs are also present in cardiac myocytes, vascular smooth muscle, endothelial cells, macrophages, neurons and other tissues…

ArticleCardiology
Refractory Angina: Options When Standard Therapy Fails

…In ANOCA/INOCA, coronary atherosclerosis, endothelial dysfunction, and distinct coronary functional abnormalities may produce ischaemia without an obstructive epicardial lesion. Once conventional anti ischaemic targets…

ArticleMyocardial ischemia and infarction
Type 2 Myocardial Infarction: Mechanisms and Management

…include fixed coronary atherosclerosis without plaque rupture, coronary artery spasm, coronary microvascular dysfunction (encompassing endothelial dysfunction, smooth muscle cell dysfunction, and dysregulation of sympathetic innervation)…

ArticleMyocardial ischemia and infarction
Unstable Angina: Definition and Contemporary Management

…to atheromatous plaque producing progressive narrowing or obstruction of epicardial coronary arteries. Endothelial dysfunction, coronary microvascular disease and vasospasm may coexist with atherosclerosis or may…

ArticleCardiology
Anticoagulation Strategies in Atrial Fibrillation

…understanding of the underlying pathophysiology, which is classically framed by Virchow’s triad: blood stasis, endothelial dysfunction, and hypercoagulability [1] [2] . Mechanical stasis in AF…

ArticleMyocardial ischemia and infarction
Intravascular Imaging: IVUS and OCT for PCI Optimisation

…apposition, edge dissections, and endothelial coverage. Complementary Characteristics IVUS and OCT are complementary rather than interchangeable. IVUS generally provides better visualization of overall vessel dimensions…

ArticleCardiology
Microvascular Angina and INOCA: Diagnosis with CFR and IMR

…ANOCA/INOCA is heterogeneous. Potential mechanisms include: CMD; epicardial coronary vasospasm; microvascular spasm; endothelial dysfunction; concealed diffuse atherosclerosis; myocardial bridging; myocardial metabolic abnormalities; and abnormal…

ArticleCardiology
Obesity and Cardiovascular Disease: Assessment and Treatment

…low grade systemic inflammation Insulin resistance Abnormal adipokine signalling Endothelial dysfunction Dyslipidaemia A prothrombotic state Albuminuria and declining estimated glomerular filtration rate Development of type…

ArticleCardiology
Heart Failure with Preserved Ejection Fraction (HFpEF)

…a chronic, systemic proinflammatory state. This circulating inflammation leads to coronary microvascular endothelial dysfunction, characterized by the upregulation of adhesion molecules (e.g., VCAM 1…

ArticleCPR
Risk factors for sudden cardiac arrest

…atherosclerotic plaque coincides with a pro thrombogenic moment in thrombocytes, coagulation factors, endothelial function, etc . The perfect storm implies that plaque disruption occurs when pro…