Endothelial dysfunction and cardiovascular risk factors

被引:114
作者
Grover-Paez, Fernando [1 ]
Zavalza-Gomez, Bertha [1 ]
机构
[1] Hosp Obstet & Gynecol, Div Res, Western Med Natl Ctr, Mexican Inst Social Secur, Guadalajara, Jalisco, Mexico
关键词
Endothelium; Endothelial dysfunction; Coronary risk factors; Nitric oxide; Therapeutic interventions; CORONARY-ARTERY-DISEASE; FLOW-MEDIATED VASODILATION; NITRIC-OXIDE SYNTHASE; PLACEBO-CONTROLLED TRIAL; C-REACTIVE PROTEIN; DIABETES-MELLITUS; HEART-DISEASE; IN-VIVO; HYPERPOLARIZING FACTOR; INSULIN THERAPY;
D O I
10.1016/j.diabres.2008.12.013
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
The endothelium plays an integral role in the regulation of vascular tone, platelet activity, leukocyte adhesion, and thrombosis and is intimately involved in the development of atherosclerosis. Endothelial dysfunction has been observed in patients with established coronary artery disease or coronary risk factors, both in the coronary and peripheral vasculature. Therapeutic interventions with lipid-lowering drugs, ACE inhibitors, physical activity, and antioxidant agents have been shown to improve endothelial function in coronary and peripheral vessels. This systemic manifestation and improvement of endothelial function suggests that a common mechanism may contribute to endothelial dysfunction in the coronary and peripheral circulation. Target audience: Internist, Cardiologists, Family physicians. Learning objectives: After completion of this article, the reader should be able to define the participation of cardiovascular risk factors in the various complications associated with endothelial dysfunction. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:1 / 10
页数:10
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