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Atherosclerosis

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sub-endothelium, the repair has to end up with altered remodeling of local endothelium. This is the manifestation of a misrepair. Important is this altered remodeling makes the local endothelium have increased fragility to damage and have reduced repair efficiency. As a consequence, this part of endothelium has an increased risk factor of being injured and improperly repaired. Thus, the accumulation of misrepairs of endothelium is focalized and self-accelerating. In this way, the growing of a plaque is also self-accelerating. Within a part of the arterial wall, the oldest plaque is always the biggest, and is the most dangerous one to cause blockage of a local artery.
54: 1342: 1156: 1353: 488: 1420: 851: 1384:, in general. However, these methods focus on detecting only severe narrowing, not the underlying atherosclerosis disease. As demonstrated by human clinical studies, most severe events occur in locations with heavy plaque, yet little or no lumen narrowing present before debilitating events suddenly occur. Plaque rupture can lead to artery lumen occlusion within seconds to minutes, and potential permanent debility, and sometimes sudden death. 7967: 1475:. Both anatomic and physiologic methods allow early detection before symptoms show up, disease staging, and tracking of disease progression. Anatomic methods are more expensive and some of them are invasive in nature, such as IVUS. On the other hand, physiologic methods are often less expensive and safer. But they do not quantify the current state of the disease or directly track progression. In recent years, developments in 1108:, and cellular debris. In advanced plaques, the central core of the plaque usually contains extracellular cholesterol deposits (released from dead cells), which form areas of cholesterol crystals with empty, needle-like clefts. At the periphery of the plaque are younger "foamy" cells and capillaries. These plaques usually produce the most damage to the individual when they rupture. Cholesterol crystals may also play a role. 790:. It is characterized by a remodeling of arteries leading to subendothelial accumulation of fatty substances called plaques. The buildup of an atheromatous plaque is a slow process, developed over a period of several years through a complex series of cellular events occurring within the arterial wall and in response to a variety of local vascular circulating factors. One recent hypothesis suggests that, for unknown reasons, 345:. Though it was first described in 1575, there is evidence suggesting that this disease state is genetically inherent in the broader human population, with its origins tracing back to genetic mutations that may have occurred more than two million years ago during the evolution of hominin ancestors of modern human beings. 1005:
atheromatous plaque interfering with the regulation of the calcium deposition, it accumulates and crystallizes. A similar form of intramural calcification, presenting the picture of an early phase of arteriosclerosis, appears to be induced by many drugs that have an antiproliferative mechanism of action (
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and osteochondrocytes. Importantly, genetic lineage-tracing experiments have unequivocally shown that 40-90% of plaque-resident cells are vascular smooth muscle cell derived, therefore, it is important to research the role of vascular smooth muscle cells in atherosclerosis to identify new therapeutic
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rich oils such as fish oil, when being sold in pill form, can hide the taste of oxidized or rancid fat that might be present. In the US, the health food industry's dietary supplements are self-regulated and outside of FDA regulations. To properly protect unsaturated fats from oxidation, it is best to
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prior to excretion. Therefore, we know that ABCA1 plays an important role in preventing cholesterol accumulation in macrophages. By enhancing miR-33 function, the level of ABCA1 is decreased, leading to decrease cellular cholesterol efflux to apoA-1. On the other hand, by inhibiting miR-33 function,
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Medical treatments often focus on alleviating symptoms. However measures which focus on decreasing underlying atherosclerosis—as opposed to simply treating symptoms—are more effective. Non-pharmaceutical means are usually the first method of treatment, such as stopping smoking and practicing regular
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Repeated plaque ruptures, ones not resulting in total lumen closure, combined with the clot patch over the rupture and healing response to stabilize the clot is the process that produces most stenoses over time. The stenotic areas tend to become more stable despite increased flow velocities at these
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of the blood vessel to stretch, compensating for the additional bulk. The endothelial lining then thickens, increasing the separation between the plaque and lumen. The thickening somewhat offsets the narrowing caused by the growth of the plaque, but moreover, it causes the wall to stiffen and become
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or closure of the lumen, or over time and after repeated ruptures, resulting in a persistent, usually localized stenosis or blockage of the artery lumen. Stenoses can be slowly progressive, whereas plaque ulceration is a sudden event that occurs specifically in atheromas with thinner/weaker fibrous
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are only detectable at that particular severity of stenosis. However, clinical trials have shown that only about 14% of clinically debilitating events occur at sites with more than 75% stenosis. The majority of cardiovascular events that involve sudden rupture of the atheroma plaque do not display
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supply blood to the brain and neck. Marked narrowing of the carotid arteries can present with symptoms such as: a feeling of weakness; being unable to think straight; difficulty speaking; dizziness; difficulty in walking or standing up straight; blurred vision; numbness of the face, arms and legs;
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Zimmer S, Grebe A, Bakke SS, Bode N, Halvorsen B, Ulas T, Skjelland M, De Nardo D, Labzin LI, Kerksiek A, Hempel C, Heneka MT, Hawxhurst V, Fitzgerald ML, Trebicka J, Björkhem I, Gustafsson JÅ, Westerterp M, Tall AR, Wright SD, Espevik T, Schultze JL, Nickenig G, Lütjohann D, Latz E (April 2016).
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The key to the more effective approaches is to combine multiple different treatment strategies. In addition, for those approaches, such as lipoprotein transport behaviors, which have been shown to produce the most success, adopting more aggressive combination treatment strategies taken on a daily
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medications are routinely used to control blood pressure. If the combined efforts of risk factor modification and medication therapy are not sufficient to control symptoms or fight imminent threats of ischemic events, a physician may resort to interventional or surgical procedures to correct the
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From clinical trials, 20% is the average stenosis at plaques that subsequently rupture with resulting complete artery closure. Most severe clinical events do not occur at plaques that produce high-grade stenosis. From clinical trials, only 14% of heart attacks occur from artery closure at plaques
1147:(some argue for 90 units) has been the radiographic density usually accepted as clearly representing tissue calcification within arteries. These deposits demonstrate unequivocal evidence of the disease, relatively advanced, even though the lumen of the artery is often still normal by angiography. 1131:
However, atheromas within the vessel wall are soft and fragile with little elasticity. Arteries constantly expand and contract with each heartbeat, i.e., the pulse. In addition, the calcification deposits between the outer portion of the atheroma and the muscular wall, as they progress, lead to a
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work by inhibiting HMG-CoA (hydroxymethylglutaryl-coenzyme A) reductase, a hepatic rate-limiting enzyme in cholesterol's biochemical production pathway. By inhibiting this rate-limiting enzyme, the body is unable to produce cholesterol endogenously, therefore reducing serum LDL-cholesterol. This
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with few side effects. Secondary prevention therapy, which includes high-intensity statins and aspirin, is recommended by multi-society guidelines for all patients with history of ASCVD (atherosclerotic cardiovascular disease) to prevent recurrence of coronary artery disease, ischemic stroke, or
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A controlled exercise program combats atherosclerosis by improving circulation and functionality of the vessels. Exercise is also used to manage weight in patients who are obese, lower blood pressure, and decrease cholesterol. Often lifestyle modification is combined with medication therapy. For
1284:. Atherosclerotic lesions, or atherosclerotic plaques, are separated into two broad categories: Stable and unstable (also called vulnerable). The pathobiology of atherosclerotic lesions is very complicated, but generally, stable atherosclerotic plaques, which tend to be asymptomatic, are rich in 1087:
of the arteries, typically without narrowing the lumen due to compensatory expansion of the bounding muscular layer of the artery wall. Beneath the endothelium, there is a "fibrous cap" covering the atheromatous "core" of the plaque. The core consists of lipid-laden cells (macrophages and smooth
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cells of the surrounding muscular layer, specifically in the muscle cells adjacent to atheromas and on the surface of atheroma plaques and tissue. In time, as cells die, this leads to extracellular calcium deposits between the muscular wall and outer portion of the atheromatous plaques. With the
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components. However, in addition to the fibrous cap, vascular smooth muscle cells also give rise to many of the cell types found within the plaque core and can modulate their phenotype to both promote and reduce plaque stability. Vascular smooth muscle cells exhibit pronounced plasticity within
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in the brain and that of age spots on the skin. Misrepair-accumulation aging theory suggests that misrepair mechanisms play an important role in the focal development of atherosclerosis. Development of a plaque is a result of repair of injured endothelium. Because of the infusion of lipids into
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The fibrous plaque is also localized under the intima, within the wall of the artery resulting in thickening and expansion of the wall and, sometimes, spotty localized narrowing of the lumen with some atrophy of the muscular layer. The fibrous plaque contains collagen fibers
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severe headache; and loss of consciousness. These symptoms are also related to stroke (death of brain cells). Stroke is caused by marked narrowing or closure of arteries going to the brain; lack of adequate blood supply leads to the death of the cells of the affected tissue.
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in early 2006. Ongoing work starting in the 1990s may lead to human clinical trials—probably by about 2008. These may use synthesized Apo-A1 Milano HDL directly, or they may use gene-transfer methods to pass the ability to synthesize the Apo-A1 Milano HDLipoprotein.
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reduced endogenous cholesterol production triggers the body to then pull cholesterol from other cellular sources, enhancing serum HDL-cholesterol. These data are primarily in middle-age men and the conclusions are less clear for women and people over the age of 70.
435:, which supply blood to the legs, arms and pelvis, also experience marked narrowing due to plaque rupture and clots. Symptoms of the narrowing are numbness within the arms or legs, as well as pain. Another significant location for plaque formation is the 4620:
Robbins CS, Hilgendorf I, Weber GF, Theurl I, Iwamoto Y, Figueiredo JL, Gorbatov R, Sukhova GK, Gerhardt LM, Smyth D, Zavitz CC, Shikatani EA, Parsons M, van Rooijen N, Lin HY, Husain M, Libby P, Nahrendorf M, Weissleder R, Swirski FK (September 2013).
1727:. Despite the average age of the soldiers being just 22 years old, 77% of them had visible signs of coronary atherosclerosis. This study showed that heart disease could affect people at a younger age and was not just a problem for older individuals. 1975:
mediates transport of cholesterol from peripheral tissues to Apolipoprotein-1 and it is also important in the reverse cholesterol transport pathway, where cholesterol is delivered from peripheral tissue to the liver, where it can be excreted into
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Methods to increase HDL particle concentrations, which in some animal studies largely reverses and removes atheromas, are being developed and researched. However, increasing HDL by any means is not necessarily helpful. For example, the drug
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is the most important risk factor for cardiovascular problems. The causative basis by which aging mediates its impact, independently of other recognized risk factors, remains to be determined. Evidence has been reviewed for a key role of
365:, occurs. Signs and symptoms only occur after severe narrowing or closure impedes blood flow to different organs enough to induce symptoms. Most of the time, patients realize that they have the disease only when they experience other 1308:
formation in the lumen. Upon formation, intraluminal thrombi can occlude arteries outright (e.g., coronary occlusion), but more often they detach, move into the circulation, and eventually occlude smaller downstream branches causing
6670:"Atherosclerosis in children and young adults: An overview of the World Health Organization and International Society and Federation of Cardiology study on Pathobiological Determinants of Atherosclerosis in Youth study (1985–1995)" 1046:
These capped fatty deposits (now called 'atheromas') produce enzymes that cause the artery to enlarge over time. As long as the artery enlarges sufficiently to compensate for the extra thickness of the atheroma, then no narrowing
5848:"2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines" 1447:
and stress-testing, other detection techniques have been developed in the past decades for earlier detection of atherosclerotic disease. Some of the detection approaches include anatomical detection and physiologic measurement.
5140:"A definition of advanced types of atherosclerotic lesions and a histological classification of atherosclerosis. A report from the Committee on Vascular Lesions of the Council on Arteriosclerosis, American Heart Association" 1851:
HDL in people with unstable angina produced a fairly dramatic reduction in measured coronary plaque volume in only six weeks vs. the usual increase in plaque volume in those randomized to placebo. The trial was published in
2088:(TMAO). Its levels have been associated with atherosclerosis in human studies and animal research suggest that there can be a causal relation. An association between the bacterial genes encoding trimethylamine lyases — the 1016:(LDL) particles. To attract and stimulate macrophages, the cholesterol must be released from the LDL particles and oxidized, a key step in the ongoing inflammatory process. The process is worsened if it is insufficient 1399:
formation. The thrombus then travels downstream to other blood vessels, where the blood clot may partially or completely block blood flow. If the blood flow is completely blocked, cell deaths occur due to the lack of
220:. This is a chronic inflammatory disease involving many different cell types, and driven by elevated levels of cholesterol in the blood. These lesions may lead to narrowing of the arterial walls due to buildup of 8050: 8027: 5263:
McNeal CJ, Dajani T, Wilson D, Cassidy-Bushrow AE, Dickerson JB, Ory M (January 2010). "Hypercholesterolemia in youth: opportunities and obstacles to prevent premature atherosclerotic cardiovascular disease".
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Rancid fats and oils taste very unpleasant in even small amounts, so people avoid eating them. It is very difficult to measure or estimate the actual human consumption of these substances. Highly unsaturated
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exercise. If these methods do not work, medicines are usually the next step in treating cardiovascular diseases and, with improvements, have increasingly become the most effective method over the long term.
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Nordmann AJ, Suter-Zimmermann K, Bucher HC, Shai I, Tuttle KR, Estruch R, Briel M (September 2011). "Meta-analysis comparing Mediterranean to low-fat diets for modification of cardiovascular risk factors".
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Yap SC, Choo YM, Hew NF, Yap SF, Khor HT, Ong AS, Goh SH (December 1995). "Oxidative susceptibility of low density lipoprotein from rabbits fed atherogenic diets containing coconut, palm, or soybean oils".
1051:") of the opening ("lumen") occurs. The artery becomes expanded with an egg-shaped cross-section, still with a circular opening. If the enlargement is beyond proportion to the atheroma thickness, then an 4054:
This early analysis from MESA suggests that higher long-term PM2.5 concentrations are associated with increased IMT progression and that greater reductions in PM2.5 are related to slower IMT progression.
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The distribution of atherosclerotic plaques in a part of arterial endothelium is inhomogeneous. The multiple and focal development of atherosclerotic changes is similar to that in the development of
469:. A much-cited report involved the autopsies of 300 U.S. soldiers killed in Korea. Although the average age of the men was 22.1 years, 77.3 percent had "gross evidence of coronary arteriosclerosis". 2471:"Cyclic phosphatidic acid inhibits the secretion of vascular endothelial growth factor from diabetic human coronary artery endothelial cells through peroxisome proliferator-activated receptor gamma" 1867:
is the most effective agent currently known for raising HDL (by up to 60%). However, in clinical trials, it also raised deaths by 60%. All studies regarding this drug were halted in December 2006.
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If the fibrous cap separating a soft atheroma from the bloodstream within the artery ruptures, tissue fragments are exposed and released. These tissue fragments are very clot-promoting, containing
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Barter PJ, Caulfield M, Eriksson M, Grundy SM, Kastelein JJ, Komajda M, Lopez-Sendon J, Mosca L, Tardif JC, Waters DD, Shear CL, Revkin JH, Buhr KA, Fisher MR, Tall AR, Brewer B (November 2007).
3492:"Benefits & risks of statin therapy for primary prevention of cardiovascular disease in Asian Indians - a population with the highest risk of premature coronary artery disease & diabetes" 1487:
Up to 90% of cardiovascular disease may be preventable if established risk factors are avoided. Medical management of atherosclerosis first involves modification to risk factors–for example, via
1901:, that are a model for human-like lipoprotein metabolism, adding D-PUFAs to diet indeed reduced body weight gain, improved cholesterol handling and reduced atherosclerotic damage to the aorta. 1822:
In 2011, coronary atherosclerosis was one of the top ten most expensive conditions seen during inpatient hospitalizations in the US, with aggregate inpatient hospital costs of $ 10.4 billion.
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In a 2005 report of a study done between 1985 and 1995, it was found that around 87% of aortas and 30% of coronary arteries in age group 5–14 years had fatty streaks which increased with age.
1329:), causing the formation of a thrombus that will rapidly slow or stop blood flow, leading to the death of the tissues fed by the artery in approximately five minutes. This event is called an 761:
via polyunsaturated oils. In another study, rabbits fed heated soybean oil "grossly induced atherosclerosis and marked liver damage were histologically and clinically demonstrated." However,
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secreted by damaged endothelial cells. This causes the formation of a fibrous capsule covering the fatty streak. Intact endothelium can prevent this smooth muscle proliferation by releasing
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Aviram M, Fuhrman B (November 1998). "LDL oxidation by arterial wall macrophages depends on the oxidative status in the lipoprotein and in the cells: role of prooxidants vs. antioxidants".
2052:: calcification of the aortic valve is also frequently observed. These findings link excessive unrepaired DNA damage to premature aging and early atherosclerotic plaque development (see 3869:
Griffin M, Frazer A, Johnson A, Collins P, Owens D, Tomkin GH (June 1998). "Cellular cholesterol synthesis--the relationship to post-prandial glucose and insulin following weight loss".
7819:"Extensive Proliferation of a Subset of Differentiated, yet Plastic, Medial Vascular Smooth Muscle Cells Contributes to Neointimal Formation in Mouse Injury and Atherosclerosis Models" 1920:
of target mRNAs of protein-coding genes, and cause mRNA cleavage or repression of translational machinery. In diseased vascular vessels, miRNAs are dysregulated and highly expressed.
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Velican C, Velican D (March 1985). "Differences in the pattern of atherosclerotic involvement between non-branched regions and adjacent branching points of human coronary arteries".
5401:"Fruit and vegetable consumption and mortality from all causes, cardiovascular disease, and cancer: systematic review and dose-response meta-analysis of prospective cohort studies" 4014:"Fine particulate air pollution and the progression of carotid intima-medial thickness: a prospective cohort study from the multi-ethnic study of atherosclerosis and air pollution" 1391:
of the lesion breaks, usually at the shoulder of the fibrous cap that separates the lesion from the arterial lumen, where the exposed thrombogenic components of the plaque, mainly
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Apart from thromboembolism, chronically expanding atherosclerotic lesions can cause complete closure of the lumen. Chronically expanding lesions are often asymptomatic until lumen
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Li X, Fang P, Li Y, Kuo YM, Andrews AJ, Nanayakkara G, Johnson C, Fu H, Shan H, Du F, Hoffman NE, Yu D, Eguchi S, Madesh M, Koch WJ, Sun J, Jiang X, Wang H, Yang X (June 2016).
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play a key role in atherogenesis and were historically considered to be beneficial for plaque stability by forming a protective fibrous cap and synthesising strength-giving
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without manipulation of the ascending aorta has demonstrated reduced rates of postoperative stroke and mortality compared to traditional on-pump coronary revascularization.
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Staprãns I, Rapp JH, Pan XM, Hardman DA, Feingold KR (April 1996). "Oxidized lipids in the diet accelerate the development of fatty streaks in cholesterol-fed rabbits".
1143:(EBT) as rings of increased radiographic density, forming halos around the outer edges of the atheromatous plaques, within the artery wall. On CT, >130 units on the 8959: 7083:
Rayner KJ, Sheedy FJ, Esau CC, Hussain FN, Temel RE, Parathath S, van Gils JM, Rayner AJ, Chang AN, Suarez Y, Fernandez-Hernando C, Fisher EA, Moore KJ (July 2011).
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peripheral arterial disease. However, prescription of and adherence to these guideline-concordant therapies is lacking, particularly among young patients and women.
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Borissoff JI, Heeneman S, Kilinç E, Kassák P, Van Oerle R, Winckers K, Govers-Riemslag JW, Hamulyák K, Hackeng TM, Daemen MJ, ten Cate H, Spronk HM (August 2010).
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Atherosclerosis generally starts when a person is young and worsens with age. Almost all people are affected to some degree by the age of 65. It is the number one
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is a late event, which may never occur and is often the result of repeated plaque rupture and healing responses, not just the atherosclerotic process by itself.
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Schwartz CJ, Valente AJ, Sprague EA, Kelley JL, Cayatte AJ, Mowery J (December 1992). "Atherosclerosis. Potential targets for stabilization and regression".
4248:"Polyunsaturated (n-3) fatty acids susceptible to peroxidation are increased in plasma and tissue lipids of rats fed docosahexaenoic acid-containing oils" 1128:
that are present. The muscular portion of artery walls usually remains strong, even after they have remodeled to compensate for the atheromatous plaques.
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Singaraja RR, Stahmer B, Brundert M, Merkel M, Heeren J, Bissada N, Kang M, Timmins JM, Ramakrishnan R, Parks JS, Hayden MR, Rinninger F (August 2006).
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Kratz M, Baars T, Guyenet S (February 2013). "The relationship between high-fat dairy consumption and obesity, cardiovascular, and metabolic disease".
318:, and anticoagulant therapies to reduce the risk of blood clot formation. As the disease state progresses more invasive strategies are applied such as 1408:. The narrowing or obstruction of blood flow can occur in any artery within the body. Obstruction of arteries supplying the heart muscle results in a 1325:. These complications of advanced atherosclerosis are chronic, slowly progressive, and cumulative. Most commonly, soft plaque suddenly ruptures (see 4713:
Glagov S, Weisenberg E, Zarins CK, Stankunavicius R, Kolettis GJ (May 1987). "Compensatory enlargement of human atherosclerotic coronary arteries".
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content. Under the microscope, the lesion now appears as a fatty streak. Foam cells eventually die and further propagate the inflammatory process.
7994: 8969: 3955:"Carotid intima-media thickness, a marker of subclinical atherosclerosis, and particulate air pollution exposure: the meta-analytical evidence" 2702:"Global and regional prevalence, burden, and risk factors for carotid atherosclerosis: a systematic review, meta-analysis, and modelling study" 2380: 1701:
Cardiovascular disease, which is predominantly the clinical manifestation of atherosclerosis, is one of the leading causes of death worldwide.
1270:'), which is the nodular accumulation of a soft, flaky, yellowish material at the center of large plaques, composed of macrophages nearest the 1210:(blood clot) overlying the atheroma, which obstructs blood flow acutely. With the obstruction of blood flow, downstream tissues are starved of 4593:
Linton MF, Yancey PG, Davies SS, Jerome WG, Linton EF, Song WL, et al. (2000). "The Role of Lipids and Lipoproteins in Atherosclerosis".
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narrowings. Most major blood-flow-stopping events occur at large plaques, which, before their rupture, produced very little if any stenosis.
224:. At onset there are usually no symptoms, but if they develop, symptoms generally begin around middle age. In severe cases, it can result in 4850: 4499:"Oxidized fatty acids promote atherosclerosis only in the presence of dietary cholesterol in low-density lipoprotein receptor knockout mice" 1600:
are widely prescribed for treating atherosclerosis. They have shown benefit in reducing cardiovascular disease and mortality in those with
6873:"Deuterium-reinforced polyunsaturated fatty acids protect against atherosclerosis by lowering lipid peroxidation and hypercholesterolemia" 1039:, and transform into foam cells themselves. A protective fibrous cap normally forms between the fatty deposits and the artery lining (the 8185: 6087:"Vitamin K Supplementation for the Prevention of Cardiovascular Disease: Where Is the Evidence? A Systematic Review of Controlled Trials" 5224:"Preventing heart disease in the 21st century: implications of the Pathobiological Determinants of Atherosclerosis in Youth (PDAY) study" 2999: 1960: 1952: 1491:
and diet restrictions. Prevention then is generally by eating a healthy diet, exercising, not smoking, and maintaining a normal weight.
8758: 6255:"G protein-coupled estrogen receptor-1 is involved in the protective effect of protocatechuic aldehyde against endothelial dysfunction" 4186: 4012:
Adar SD, Sheppard L, Vedal S, Polak JF, Sampson PD, Diez Roux AV, Budoff M, Jacobs DR, Barr RG, Watson K, Kaufman JD (April 23, 2013).
2080:, processing of nutrients and production of certain metabolites that can get into blood circulation. One such metabolite, produced by 1989:. Suppression of miR-33 will lead to less cellular cholesterol and higher plasma HDL level through the regulation of ABCA1 expression. 402:
in the coronary arteries, which are responsible for bringing oxygenated blood to the heart, can produce symptoms such as chest pain of
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Berbée JF, Mol IM, Milne GL, Pollock E, Hoeke G, Lütjohann D, Monaco C, Rensen PC, van der Ploeg LH, Shchepinov MS (September 2017).
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Zhao DF, Edelman JJ, Seco M, Bannon PG, Wilson MK, Byrom MJ, Thourani V, Lamy A, Taggart DP, Puskas JD, Vallely MP (February 2017).
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If the heart attack is not fatal, fibrous organization of the clot within the lumen ensues, covering the rupture but also producing
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In 2004, US data indicated that in ~66% of men and ~47% of women, the first symptom of atherosclerotic cardiovascular disease was a
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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients)
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Enos WF, Holmes RH, Beyer J (1953). "Coronary disease among United States soldiers killed in action in Korea: Preliminary Report".
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Initial damage to the endothelium results in an inflammatory response. Monocytes enter the artery wall from the bloodstream, with
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Wang J, Michelitsch T, Wunderlin A, Mahadeva R (6 April 2009). "Aging as a consequence of misrepair -- A novel theory of aging".
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any evident narrowing of the lumen. Thus, greater attention has been focused on "vulnerable plaque" from the late 1990s onwards.
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that is greater than 75% was considered the hallmark of clinically significant disease in the past because recurring episodes of
685: 330:. Genetic factors are also strongly implicated in the disease process; it is unlikely to be entirely based on lifestyle choices. 306:, exercising, not smoking, and maintaining normal body weight. Treatment of established disease may include medications to lower 7175:"Hepatic ATP-binding cassette transporter A1 is a key molecule in high-density lipoprotein cholesteryl ester metabolism in mice" 4331:
Greco AV, Mingrone G (1990). "Serum and biliary lipid pattern in rabbits feeding a diet enriched with unsaturated fatty acids".
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Spiteller G (November 2005). "The relation of lipid peroxidation processes with atherogenesis: a new theory on atherogenesis".
705: 5807:"Secondary Prevention for Atherosclerotic Cardiovascular Disease: Comparing Recent US and European Guidelines on Dyslipidemia" 8530: 6403: 5524: 4823: 3763: 3088: 2797: 2770: 2364: 7971: 5948:"Sex-Related Disparities in Cardiovascular Health Care Among Patients With Premature Atherosclerotic Cardiovascular Disease" 1163:
Although the disease process tends to be slowly progressive over decades, it usually remains asymptomatic until an atheroma
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metabolism, may actually promote arterial calcification in the long term despite reducing clot formation in the short term.
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Doppler ultrasound of right internal carotid artery with calcified and non-calcified plaques showing less than 70% stenosis
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In 1953, a study was published which examined the results of 300 autopsies performed on U.S. soldiers who had died in the
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in over 50% of children aged 10–14 and 8% had even more advanced lesions with more accumulations of extracellular lipid.
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A diet high in fruits and vegetables decreases the risk of cardiovascular disease and death. Evidence suggests that the
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Changes in diet may help prevent the development of atherosclerosis. Tentative evidence suggests that a diet containing
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basis and indefinitely has generally produced better results, both before and especially after people are symptomatic.
1569: 319: 7767:"Smooth Muscle Cells Contribute the Majority of Foam Cells in ApoE (Apolipoprotein E)-Deficient Mouse Atherosclerosis" 3196:"Dysfunctional Vascular Endothelium as a Driver of Atherosclerosis: Emerging Insights Into Pathogenesis and Treatment" 950:, which is selectively required for the differentiation of monocytes to macrophages. The monocytes differentiate into 495:
The atherosclerotic process is not well understood. Atherosclerosis is associated with inflammatory processes in the
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atherosclerotic plaque and can modify their gene expression profile to resemble various other cell types, including
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Early atherosclerotic processes likely begin in childhood. Fibrous and gelatinous lesions have been observed in the
8685: 8302: 5621:"Endothelial (dys)function: the target of physical exercise for prevention and treatment of cardiovascular disease" 2289: 2009: 1968: 1135:
The calcification deposits, after they have become sufficiently advanced, are partially visible on coronary artery
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for decades because the arteries enlarge at all plaque locations, thus there is no effect on blood flow. Even most
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The average age was calculated from the ages of 200 of the soldiers. No age was recorded in nearly 100 of the men.
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Tsukahara, Tamotsu; Tsukahara, Ryoko; Haniu, Hisao; Matsuda, Yoshikazu; Murakami-Murofushi, Kimiko (2015-09-05).
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Rabbits fed atherogenic diets containing various oils were found to undergo the most oxidative susceptibility of
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Wu H, Roks AJ (February 2014). "Genomic instability and vascular aging: a focus on nucleotide excision repair".
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Chen WJ, Yin K, Zhao GJ, Fu YC, Tang CK (June 2012). "The magic and mystery of microRNA-27 in atherosclerosis".
6518: 6179:"Dietary intake of menaquinone is associated with a reduced risk of coronary heart disease: the Rotterdam Study" 4942:
Wang-Michelitsch J, Michelitsch TM (2015). "Misrepair mechanism in the development of atherosclerotic plaques".
439:, which supply blood to the kidneys. Plaque occurrence and accumulation lead to decreased kidney blood flow and 8636: 7868:"Role of smooth muscle cells in vascular calcification: implications in atherosclerosis and arterial stiffness" 6046:"Coronary Artery Bypass Grafting With and Without Manipulation of the Ascending Aorta: A Network Meta-Analysis" 4366: 3370: 2258: 2204: 1645: 893:. The primary documented driver of this process is oxidized lipoprotein particles within the wall, beneath the 6371: 2175: 8448: 8003: 6564: 2919:
Velican D, Velican C (June 1979). "Study of fibrous plaques occurring in the coronary arteries of children".
2032:, thus linking DNA damage to plaque formation. DNA strand breaks also increased in atherosclerotic plaques. 1083:
The fibro-lipid (fibro-fatty) plaque is characterized by an accumulation of lipid-laden cells underneath the
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Geleijnse JM, Vermeer C, Grobbee DE, Schurgers LJ, Knapen MH, van der Meer IM, et al. (November 2004).
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will raise HDL level and the expression of miR-33 is down-regulated in humans with atherosclerotic plaques.
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is found in cardiovascular diseases. It is involved in atherosclerotic initiation and progression including
503:(LDL) particles. This retention may be a cause, an effect, or both, of the underlying inflammatory process. 8753: 8673: 8378: 6918:
Tsikas D (September 2017). "Combating atherosclerosis with heavy PUFAs: Deuteron not proton is the first".
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techniques such as PET and SPECT have provided ways of estimating the severity of atherosclerotic plaques.
323: 1757:
is a general term describing any hardening (and loss of elasticity) of medium or large arteries (from
1514:
may improve cardiovascular results. There is also evidence that a Mediterranean diet may be better than a
1300:) is usually weak and prone to rupture. Ruptures of the fibrous cap expose thrombogenic material, such as 8768: 8763: 8490: 8480: 6872: 5709:"Combination therapy for treatment or prevention of atherosclerosis: focus on the lipid-RAAS interaction" 3743: 1745:
The following terms are similar, yet distinct, in both spelling and meaning, and can be easily confused:
1063: 243:
The exact cause of atherosclerosis is unknown and is proposed to be multifactorial. Risk factors include
2443: 1321:
is so severe (usually over 80%) that blood supply to downstream tissue(s) is insufficient, resulting in
1020:(HDL), the lipoprotein particle that removes cholesterol from tissues and carries it back to the liver. 8964: 8869: 8520: 8495: 8312: 8241: 8171: 7085:"Antagonism of miR-33 in mice promotes reverse cholesterol transport and regression of atherosclerosis" 6589:
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1629: 1561: 1341: 889:, then by their migration to the sub-endothelial space, and further activation into monocyte-derived 315: 233: 105: 53: 27: 6622: 1878:
is the term for techniques that modulate immune system function to suppress this macrophage action.
1348:
of atherosclerosis of the abdominal aorta. Woman of 70 years old with hypertension and dyslipidemia.
1079:
Although arteries are not typically studied microscopically, two plaque types can be distinguished:
291:
limits the flow of oxygen-rich blood to parts of the body. Diagnosis is based upon a physical exam,
8879: 8692: 8646: 8641: 8465: 8443: 8069: 7715:"Detection of histone modifications at specific gene loci in single cells in histological sections" 2651:
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chain reaction in atherogenesis triggered research on the protective role of the heavy isotope (
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Microphotography of arterial wall with calcified (violet color) atherosclerotic plaque (
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Treatment of established disease may include medications to lower cholesterol such as
377:. These symptoms, however, still vary depending on which artery or organ is affected. 8606: 8555: 8455: 8080: 7948: 7936: 7897: 7848: 7796: 7744: 7695: 7646: 7592: 7535: 7483: 7442: 7390: 7351: 7297: 7246: 7196: 7155: 7114: 7065: 7008: 6973: 6935: 6892: 6853: 6818: 6777: 6736: 6691: 6650: 6642: 6598: 6546: 6538: 6534: 6503: 6491: 6483: 6444: 6436: 6399: 6353: 6294: 6210: 6159: 6118: 6067: 6026: 5977: 5928: 5879: 5828: 5787: 5738: 5689: 5671: 5632: 5601: 5560: 5520: 5493: 5457: 5430: 5373: 5338: 5281: 5245: 5204: 5161: 5116: 5056: 5021: 4980: 4829: 4819: 4812: 4792: 4730: 4695: 4652: 4598: 4572: 4538: 4520: 4447: 4443: 4401: 4348: 4305: 4269: 4228: 4168: 4154: 4089: 4045: 3994: 3935: 3886: 3851: 3810: 3759: 3726: 3691: 3650: 3609: 3605: 3574: 3513: 3464: 3415: 3311: 3276: 3227: 3176: 3126: 3122: 3084: 3049: 2977: 2936: 2932: 2862: 2793: 2766: 2745: 2733: 2682: 2551: 2508: 2500: 2360: 1996:, removed cholesterol that had built up in the arteries of mice fed a high-fat diet. 1986: 1705: 1519: 1488: 1326: 1089: 959: 898: 653: 638: 525: 393: 381: 358: 292: 66: 8059: 7020: 6904: 5914: 5293: 5068: 4459: 4413: 4068:"Biological gradient between long-term arsenic exposure and carotid atherosclerosis" 3476: 3323: 2814:"Evolutionary gene loss may help explain why only humans are prone to heart attacks" 2520: 1893:(D-PUFAs) that are less prone to oxidation than ordinary PUFAs (H-PUFAs). PUFAs are 8611: 8260: 8163: 7928: 7887: 7879: 7838: 7830: 7786: 7778: 7734: 7726: 7685: 7677: 7636: 7628: 7582: 7574: 7525: 7517: 7473: 7432: 7402: 7382: 7341: 7331: 7318:
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3560: 1971:(ABC) transporters and enhance or represses its expression. Study have shown that 728:. These dietary recommendations reach a consensus, though, against consumption of 8803: 8798: 8710: 8433: 8388: 8074: 7984: 7386: 7232: 7004: 6686: 6669: 6394:
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2044:. WS patients develop a considerable burden of atherosclerotic plaques in their 2033: 1898: 1886: 1633: 1432: 1310: 1271: 1235: 1219: 939: 866: 736: 555: 482: 264: 240:, depending on which body part(s) the affected arteries are located in the body. 237: 109: 5580:"The pathophysiology of cigarette smoking and cardiovascular disease: an update" 4976: 4726: 4606: 1518:
in bringing about long-term changes to cardiovascular risk factors (e.g., lower
1412:, while the obstruction of arteries supplying the brain results in an ischaemic 1352: 769:, or oxidized cholesterols, from fried foods and smoking, that are the culprit. 8852: 8702: 8565: 8525: 8460: 8421: 8332: 7782: 7578: 7217:"Cyclodextrin promotes atherosclerosis regression via macrophage reprogramming" 7051: 6668:
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in the body, can contribute to atherosclerosis in many ways: modulation of the
1758: 1523: 1256: 1116:), precipitates of calcium (hematoxylinophilic), and rarely, lipid-laden cells. 1006: 807: 709: 668: 663: 658: 443:, which, like in all other areas, is typically asymptomatic until late stages. 418:—the heart beating either too slowly or too quickly—are another consequence of 361:
do not produce symptoms until enough narrowing or closure of an artery, due to
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Examples of anatomical detection methods include coronary calcium scoring by
1195: 1084: 1032: 997: 978: 970: 954:, which proliferate locally, ingest oxidized LDL, slowly turning into large " 815: 762: 751: 643: 623: 611: 606: 8547: 8044: 7317: 6154: 6137: 4833: 4224: 3262: 3067:
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In 1992, a report had shown that microscopic fatty streaks were seen in the
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Early atherogenesis is characterized by the adherence of blood circulating
823: 811: 748: 693: 684:
The relation between dietary fat and atherosclerosis is controversial. The
617: 545: 540: 487: 462: 436: 411: 385: 354: 303: 244: 168: 8019: 7150: 7133: 6772: 6755: 6654: 6448: 6085:
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1608: 1597: 1557: 1536: 1413: 1401: 1387:
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1120:
In effect, the muscular portion of the artery wall forms small
1093: 943: 814:
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Calcification at the outer base of older or more advanced
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The progression of atherosclerosis (narrowing exaggerated)
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help to lower cholesterol. Antiplatelet medications like
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4429: 4210: 4116:"Treating Hypothyroidism Reduces Atherosclerosis Risk" 4011: 1247:
The plaque is divided into three distinct components:
720:) recommends much higher levels of fat, especially of 6870: 6729:"Costs for Hospital Stays in the United States, 2011" 6043: 5845: 2993: 2991: 1644:
can reopen narrowed arteries and improve blood flow.
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Progression of atherosclerosis to late complications
171:, exercise, not smoking, maintaining a normal weight 7807: 6726: 6135: 5625:
The Journal of Sports Medicine and Physical Fitness
3830:"Need to test the arterial inflammation hypothesis" 3542: 1967:of genes involved in cholesterol transport such as 1791:is a hardening of an artery specifically due to an 1664:, which inhibit clot formation by interfering with 1443:Besides the traditional diagnostic methods such as 1088:muscle cells) with elevated tissue cholesterol and 826:. The bulk of these lesions is made of excess fat, 7771:Arteriosclerosis, Thrombosis, and Vascular Biology 7320:"DNA Damage: A Main Determinant of Vascular Aging" 7179:Arteriosclerosis, Thrombosis, and Vascular Biology 6801:Arteriosclerosis, Thrombosis, and Vascular Biology 6794: 6461: 6142:Arteriosclerosis, Thrombosis, and Vascular Biology 6136:Price PA, Faus SA, Williamson MK (February 2000). 5945: 5538: 5536: 5004:Arteriosclerosis, Thrombosis, and Vascular Biology 4811: 4213:Arteriosclerosis, Thrombosis, and Vascular Biology 4136: 3251:Arteriosclerosis, Thrombosis, and Vascular Biology 3151:Arteriosclerosis, Thrombosis, and Vascular Biology 2988: 818:, a region of the vessel wall located between the 511:less compliant to stretching with each heartbeat. 410:, dizziness or lightheadedness, breathlessness or 7917:"Vascular smooth muscle cells in atherosclerosis" 7666:"Vascular Smooth Muscle Cells in Atherosclerosis" 7663: 5355: 5215: 4246:Song JH, Fujimoto K, Miyazawa T (December 2000). 3862: 3383: 2905:. National Heart, Lung and Blood Institute. 2011. 1564:, or medications that decrease clotting, such as 8960:Diseases of arteries, arterioles and capillaries 8951: 7414: 7412: 7313: 7311: 7033: 6727:Pfuntner A, Wier LM, Steiner C (December 2013). 5903:Circulation: Cardiovascular Quality and Outcomes 5649: 5398: 5222:McGill HC, McMahan CA, Gidding SS (March 2008). 2897: 2895: 2893: 2765:. Lippincott Williams & Wilkins. p. 2. 2625: 2601:"How Is Atherosclerosis Diagnosed? - NHLBI, NIH" 1839:(HDL) on atherosclerosis has been with the rare 1229: 778:keep them cool and in oxygen-free environments. 747:systems, and accumulated significant amounts of 708:make similar recommendations. In contrast, Prof 7664:Bennett MR, Sinha S, Owens GK (February 2016). 7614: 7552: 7503: 6795:Nilsson J, Hansson GK, Shah PK (January 2005). 5533: 4588: 4586: 4065: 3108: 2699: 2235:DAIC (Diagnostic and Interventional Cardiology) 2095: 1936:, cell type progression and proliferation, and 865:showing significant atherosclerosis and marked 765:claims that it is not dietary cholesterol, but 7499: 7497: 7462:"Role of DNA damage in cardiovascular disease" 6951: 6949: 4137:Bale BF, Doneen AL, Vigerust DJ (April 2017). 3750:. National Academies Press. pp. 481–484. 3591: 3432: 2918: 2352: 2325:"How Is Atherosclerosis Treated? - NHLBI, NIH" 786:Atherogenesis is the developmental process of 8179: 7546: 7453: 7409: 7362: 7308: 7273: 7166: 7125: 7076: 7027: 6984: 6955: 6305: 6246: 6050:Journal of the American College of Cardiology 5852:Journal of the American College of Cardiology 5584:Journal of the American College of Cardiology 4330: 4286: 3365: 3363: 3361: 3359: 3357: 3355: 3353: 3293: 3244: 3193: 3024: 2890: 2657:Journal of the American College of Cardiology 2438: 2436: 2434: 2253: 2251: 2042:repair processes that remove damages from DNA 1912:(miRNAs) have complementary sequences in the 1783:is any hardening (and loss of elasticity) of 1031:encourage the migration and proliferation of 6627:Journal of the American College of Nutrition 6468:Pediatric Pathology & Molecular Medicine 6414: 6311: 5706: 5577: 5510: 5178: 5172: 4583: 4423: 4377: 4005: 3524: 3377: 3351: 3349: 3347: 3345: 3343: 3341: 3339: 3337: 3335: 3333: 3194:Botts SR, Fish JE, Howe KL (December 2021). 3075:, New York, NY: Springer, pp. 899–918, 2284: 2282: 2280: 2199: 2197: 2170: 2168: 2166: 2164: 2162: 499:of the vessel wall associated with retained 7494: 7368: 7324:International Journal of Molecular Sciences 6946: 6523:Journal of the American Medical Association 6415:Strong, J. P.; McGill, H. C. (1969-05-06). 5762:The Cochrane Database of Systematic Reviews 5447: 3946: 3386:"Infection and Atherosclerosis Development" 3144: 2947: 2758: 2593: 2319: 2317: 2315: 2313: 2311: 2205:"What Causes Atherosclerosis? - NHLBI, NIH" 1304:, to the circulation and eventually induce 992: 946:, which recruit circulating monocytes, and 911:(LDL) particles in blood plasma invade the 8759:Chronic cerebrospinal venous insufficiency 8186: 8172: 6990: 6597:, South Dartmouth (MA): MDText.com, Inc., 6417:"The pediatric aspects of atherosclerosis" 6398:(8th ed.). Saunders Elsevier. pp. 348-351 6252: 5080: 5078: 4493:Khan-Merchant N, Penumetcha M, Meilhac O, 3827: 3785:The American Journal of Clinical Nutrition 3187: 2431: 2248: 1874:drive atherosclerotic plaque progression. 1503:has no effect on or decreases the risk of 152:, family history, unhealthy diet (notably 52: 7891: 7842: 7790: 7738: 7689: 7640: 7586: 7529: 7504:Barrington WT, Lusis AJ (December 2017). 7477: 7436: 7345: 7335: 7240: 7190: 7149: 7108: 7059: 6835: 6812: 6771: 6685: 6591:"Is Atherosclerosis a Pediatric Disease?" 6347: 6337: 6288: 6278: 6204: 6194: 6153: 6112: 6102: 6061: 6020: 5971: 5922: 5873: 5863: 5822: 5781: 5732: 5683: 5595: 5424: 5332: 5239: 5198: 5155: 5110: 5015: 4947: 4926: 4889: 4786: 4646: 4514: 4263: 4162: 4083: 4039: 4029: 3988: 3978: 3929: 3845: 3804: 3685: 3644: 3568: 3507: 3458: 3409: 3330: 3270: 3221: 3211: 3170: 3066: 2997:Arrhythmia. Heart and Stroke Foundation. 2971: 2727: 2717: 2676: 2494: 2277: 2194: 2159: 1704:Almost all children older than age 10 in 869:narrowing. Tissue has been stained using 7988:) is being considered for deletion. See 7760: 7758: 7615:Harman JL, Jørgensen HF (October 2019). 6788: 6388: 2830: 2348: 2346: 2308: 1596:The group of medications referred to as 1543:help to prevent clots, and a variety of 1418: 1351: 1340: 1277:Underlying areas of cholesterol crystals 1154: 1062: 849: 486: 302:Prevention guidelines include, eating a 47:Arteriosclerotic vascular disease (ASVD) 7131: 7034:Bommer GT, MacDougald OA (March 2011). 6838:Molecular Nutrition & Food Research 5994: 5542: 5075: 5000:"Concept of vulnerable/unstable plaque" 4818:. Englewood Cliffs, NJ: Prentice Hall. 3384:Campbell LA, Rosenfeld ME (July 2015). 3138: 2444:"What Is Atherosclerosis? - NHLBI, NIH" 2016:, a common type of oxidative damage in 1150: 506:The presence of the plaque induces the 396:and strokes equally affect both sexes. 8952: 7279: 6917: 6588: 4706: 4669: 4383: 4239: 3496:The Indian Journal of Medical Research 3069:"Atherosclerotic Burden and Mortality" 2779: 2402: 2400: 915:and become oxidized, creating risk of 834:. At first, as the plaques grow, only 706:National Cholesterol Education Program 600: 8970:Medical conditions related to obesity 8531:Hereditary hemorrhagic telangiectasia 8167: 7755: 7369:Shah AV, Bennett MR (December 2017). 7089:The Journal of Clinical Investigation 6970:10.1016/j.atherosclerosis.2012.01.020 6932:10.1016/j.atherosclerosis.2017.07.018 6889:10.1016/j.atherosclerosis.2017.06.916 6565:"Stopping Heart Disease in Childhood" 5997:"Questioning the benefits of statins" 5725:10.1016/j.atherosclerosis.2009.09.007 4324: 4280: 3821: 3025:Sims NR, Muyderman H (January 2010). 2343: 2259:"Who Is at Risk for Atherosclerosis?" 1685:  Also, small molecules such as 1404:supply to nearby cells, resulting in 973:proliferation and migration from the 348: 8536:Generalized essential telangiectasia 6516: 5306: 5134:Stary HC, Chandler AB, Dinsmore RE, 4962: 4857:. September 29, 2014. Archived from 4543:The Lecturio Medical Concept Library 3433:Sinha A, Feinstein MJ (March 2019). 3102: 2836: 2785: 2533: 2475:Molecular and Cellular Endocrinology 2353:Aronow WS, Fleg JL, Rich MW (2013). 754:in their blood, livers and kidneys. 283:, and other substances found in the 7261:"A sugar can melt away cholesterol" 6760:The New England Journal of Medicine 6421:Journal of Atherosclerosis Research 4965:The New England Journal of Medicine 4715:The New England Journal of Medicine 3711:The New England Journal of Medicine 3371:"Atherosclerosis | NHLBI, NIH" 3296:Molecular and Cellular Biochemistry 2762:Textbook of Cardiovascular Medicine 2397: 2020:, is found to accumulate in plaque 1947:miR-33a and miR-33b are located on 1876:Immunomodulation of atherosclerosis 1206:. The result is the formation of a 1058: 596:Coronary anatomy and branch pattern 406:and shortness of breath, sweating, 13: 7438:10.1161/01.cir.0000026393.47805.21 7192:10.1161/01.ATV.0000229219.13757.a2 6814:10.1161/01.ATV.0000149142.42590.a2 5200:10.1161/01.CIR.0000070585.48035.D1 4085:10.1161/01.cir.0000015862.64816.b2 3847:10.1161/01.CIR.0000021112.29409.A2 3439:The Canadian Journal of Cardiology 1570:percutaneous coronary intervention 1179:caps that have become "unstable". 885:) to the vascular bed lining, the 781: 735:The role of eating oxidized fats ( 712:(Harvard School of Public Health, 320:percutaneous coronary intervention 14: 8986: 7992:to help reach a consensus. › 7959: 7282:Trends in Cardiovascular Medicine 6235:from the original on 7 April 2010 5824:10.1161/CIRCULATIONAHA.119.044282 5578:Ambrose JA, Barua RS (May 2004). 5511:Paul P, Williams B, eds. (2009). 5241:10.1161/CIRCULATIONAHA.107.717033 5179:Maseri A, Fuster V (April 2003). 3687:10.1161/CIRCULATIONAHA.109.907121 3245:Williams KJ, Tabas I (May 1995). 2139:arteriosclerotic vascular disease 2059: 1459:) measurement by ultrasound, and 8686:Cerebral venous sinus thrombosis 8006:pathophysiology-stages and types 7965: 7908: 7859: 7706: 7657: 7375:European Journal of Pharmacology 7207: 6911: 6864: 6829: 6747: 6720: 6702: 6661: 6614: 6582: 6557: 6535:10.1001/jama.1953.03690120006002 6510: 6455: 6408: 6364: 6253:Kong BS, Cho YH, Lee EJ (2014). 6221: 6170: 6129: 6078: 6037: 5995:Vos E, Rose CP (November 2005). 5988: 5939: 5890: 5478:The American Journal of Medicine 4444:10.1097/00075197-200303000-00004 4155:10.1136/postgradmedj-2016-134279 3828:Bhatt DL, Topol EJ (July 2002). 3123:10.1001/jama.1953.03690120006002 571: 491:Atherosclerosis and lipoproteins 414:. Abnormal heart rhythms called 7621:British Journal of Pharmacology 7259:Hesman Saey T (April 8, 2016). 6517:Enos, William F. (1953-07-18). 6007:(10): 1207, author reply 1210. 5915:10.1161/CIRCOUTCOMES.118.005562 5839: 5798: 5749: 5700: 5643: 5612: 5571: 5504: 5468: 5441: 5392: 5349: 5300: 5266:Current Atherosclerosis Reports 5256: 5181:"Is there a vulnerable plaque?" 5127: 5041:Current Atherosclerosis Reports 5032: 4991: 4956: 4935: 4914: 4873: 4803: 4762: 4741: 4663: 4613: 4556: 4531: 4486: 4466: 4359: 4204: 4130: 4108: 4059: 3897: 3772: 3737: 3702: 3661: 3620: 3585: 3536: 3483: 3426: 3287: 3238: 3060: 3018: 2881: 2806: 2752: 2693: 2644: 2619: 2562: 2527: 2462: 1732:left anterior descending artery 1696: 1646:Coronary artery bypass grafting 692:, promotes a diet of about 64% 472: 8637:Hepatic veno-occlusive disease 7221:Science Translational Medicine 6639:10.1080/07315724.1992.10737984 5774:10.1002/14651858.CD004816.pub5 2575:Canadian Journal of Cardiology 2413:Canadian Journal of Cardiology 2373: 2223: 2131: 1843:human genetic variant of this 1214:and nutrients. If this is the 1124:just large enough to hold the 1067:Severe atherosclerosis of the 838:occurs without any narrowing. 1: 8449:Aneurysm of sinus of Valsalva 8303:Monckeberg's arteriosclerosis 7977: 7835:10.1161/CIRCRESAHA.116.309799 7682:10.1161/CIRCRESAHA.115.306361 6993:Current Opinion in Lipidology 6433:10.1016/S0368-1319(69)80020-7 5358:European Journal of Nutrition 5103:10.1161/CIRCRESAHA.115.306247 4398:10.1016/j.physbeh.2005.08.058 4345:10.1016/S0232-1513(11)80281-1 3883:10.1016/S0021-9150(98)00036-7 3561:10.1161/CIRCRESAHA.119.315644 2719:10.1016/S2214-109X(20)30117-0 2548:10.1016/s0021-9150(03)00012-1 2152: 1999: 1835:An indication of the role of 1482: 1242: 1230:Accelerated growth of plaques 942:induction of factors such as 923:, involving enzymes (such as 702:American Diabetes Association 514: 8754:Chronic venous insufficiency 8379:Aortoiliac occlusive disease 7387:10.1016/j.ejphar.2017.03.050 7233:10.1126/scitranslmed.aad6100 7005:10.1097/MOL.0b013e3283534c9f 6687:10.1016/j.precon.2005.02.010 6372:"The top 10 causes of death" 6339:10.1371/journal.pone.0149394 6280:10.1371/journal.pone.0113242 5964:10.1001/jamacardio.2021.0683 5490:10.1016/j.amjmed.2011.04.024 4479:Food and Drug Administration 4143:Postgraduate Medical Journal 4031:10.1371/journal.pmed.1001430 3980:10.1371/journal.pone.0127014 3606:10.1016/0021-9150(85)90126-1 3402:10.1016/j.arcmed.2015.05.006 3081:10.1007/978-0-387-78665-0_51 3046:10.1016/j.bbadis.2009.09.003 2933:10.1016/0021-9150(79)90117-5 2759:Topol EJ, Califf RM (2007). 2101:Vascular smooth muscle cells 2096:Vascular smooth muscle cells 2040:that is employed in several 1817: 1740: 1656:There is evidence that some 1632:, surgery may be indicated. 1574:coronary artery bypass graft 1551: 1336: 324:coronary artery bypass graft 208:is a pattern of the disease 7: 8769:Inferior vena cava syndrome 8764:Superior vena cava syndrome 8491:Vertebral artery dissection 8481:Intracranial berry aneurysm 4977:10.1056/NEJM199901143400207 4727:10.1056/NEJM198705283162204 1891:polyunsaturated fatty acids 1825: 1768: 'artery' and 1716:fatty streaks beginning in 1529: 1368:Areas of severe narrowing, 1255:("lump of gruel", from 845: 461:of U.S. soldiers killed in 457:Case studies have included 245:abnormal cholesterol levels 10: 8991: 8870:Hypertensive heart disease 8521:Arteriovenous malformation 8496:Familial aortic dissection 7921:Nature Reviews. Cardiology 7783:10.1161/ATVBAHA.119.312434 7579:10.1038/s41467-017-00900-1 7510:Nature Reviews. Cardiology 7052:10.1016/j.cmet.2011.02.004 6714:Merriam-Webster Dictionary 6063:10.1016/j.jacc.2016.11.071 5865:10.1016/j.jacc.2018.11.003 5597:10.1016/j.jacc.2003.12.047 5017:10.1161/ATVBAHA.108.179739 4126:(3): 656. 1 February 2004. 3451:10.1016/j.cjca.2018.11.029 3163:10.1161/ATVBAHA.115.306964 2669:10.1016/j.jacc.2020.11.010 2587:10.1016/j.cjca.2023.09.009 2425:10.1016/j.cjca.2023.09.009 2359:. CRC Press. p. 171. 2054:DNA damage theory of aging 1676:Excessive citations inline 1615: 1591: 1376:, and to a lesser extent " 905:may appear and disappear. 698:American Heart Association 679: 476: 25: 18: 8925: 8895:Renovascular hypertension 8860: 8851: 8838:Hepatic artery thrombosis 8786: 8746: 8701: 8605: 8587: 8578: 8546: 8506: 8486:Carotid artery dissection 8439:Abdominal aortic aneurysm 8411: 8371: 8348: 8289:Intermittent claudication 8259: 8252:Peripheral artery disease 8250: 8220: 8202: 8106: 8013: 7933:10.1038/s41569-019-0227-9 7522:10.1038/nrcardio.2017.169 7294:10.1016/j.tcm.2013.06.005 5668:10.1007/s40119-018-0123-0 5450:American Family Physician 5370:10.1007/s00394-012-0418-1 5325:10.1007/s13668-014-0076-4 5313:Current Nutrition Reports 5278:10.1007/s11883-009-0072-0 5087:"Imaging Atherosclerosis" 5053:10.1007/s11883-009-0030-x 4386:Physiology & Behavior 4120:American Family Physician 3213:10.3389/fphar.2021.787541 3200:Frontiers in Pharmacology 2706:The Lancet. Global Health 2487:10.1016/j.mce.2015.05.021 1830: 1806: 'gruel'). The term 1630:peripheral artery disease 1562:blood pressure medication 1226:(heart attack) develops. 696:from total calories. The 316:blood pressure medication 234:peripheral artery disease 195: 186:blood pressure medication 175: 164: 131: 123: 115: 106:peripheral artery disease 91: 81: 65: 60: 51: 43: 38: 28:Atherosclerosis (journal) 8880:Hypertensive nephropathy 8693:Post-thrombotic syndrome 8674:Paget–Schroetter disease 8466:Coronary artery aneurysm 8444:Thoracic aortic aneurysm 7990:templates for discussion 7479:10.1253/circj.CJ-13-1194 7132:Iwakiri Y (March 2012). 6480:10.1080/pdp.21.2.213.237 6183:The Journal of Nutrition 5157:10.1161/01.CIR.92.5.1355 4900:10.1038/npre.2009.2988.2 4814:Human Biology and Health 4788:10.1093/eurheartj/ehv653 4503:The Journal of Nutrition 4252:The Journal of Nutrition 2124: 1904: 1837:high-density lipoprotein 1753:, and atherosclerosis. 1651: 1461:intravascular ultrasound 1222:(cardiac chest pain) or 1141:electron beam tomography 1018:high-density lipoprotein 993:Calcification and lipids 367:cardiovascular disorders 199:≈100% (>65 years old) 119:Youth (worsens with age) 19:Not to be confused with 8935:Orthostatic hypotension 8917:White coat hypertension 8394:Fibromuscular dysplasia 8358:Carotid artery stenosis 7872:Cardiovascular Research 6396:Robbins Basic Pathology 6155:10.1161/01.ATV.20.2.317 4751:. www.pathologyatlas.ro 4225:10.1161/01.atv.16.4.533 3633:Cardiovascular Research 3308:10.1023/A:1006841011201 3263:10.1161/01.ATV.15.5.551 2973:10.1161/01.CIR.38.5.859 1691:protocatechuic aldehyde 1681:considered for deletion 1634:Vascular bypass surgery 1494: 1457:intimal media thickness 1014:low-density lipoprotein 909:Low-density lipoprotein 806:of the artery lumen in 501:low-density lipoprotein 390:coronary artery disease 249:inflammatory biomarkers 226:coronary artery disease 98:Coronary artery disease 8907:Pulmonary hypertension 8890:Secondary hypertension 8885:Essential hypertension 8875:Hypertensive emergency 8716:Portacaval anastomosis 8652:Portal vein thrombosis 8294:Critical limb ischemia 8195:Cardiovascular disease 7970:Quotations related to 6850:10.1002/mnfr.200500055 6733:HCUP Statistical Brief 6196:10.1093/jn/134.11.3100 5656:Cardiology and Therapy 4775:European Heart Journal 4571:(6 Suppl): III117–23. 4516:10.1093/jn/132.11.3256 4333:Experimental Pathology 4265:10.1093/jn/130.12.3028 3797:10.1093/ajcn/80.5.1175 2118:mesenchymal stem cells 2086:trimethylamine N-oxide 2022:vascular smooth muscle 1578:carotid endarterectomy 1505:cardiovascular disease 1424: 1382:cardiovascular disease 1365: 1349: 1160: 1076: 1002:vascular smooth muscle 917:cardiovascular disease 874: 802:, begin to attack the 492: 441:chronic kidney disease 328:carotid endarterectomy 8912:Systolic hypertension 8657:Renal vein thrombosis 8516:Arteriovenous fistula 8508:Vascular malformation 8476:Intracranial aneurysm 8363:Renal artery stenosis 7559:Nature Communications 7151:10.4161/cc.11.6.19744 6773:10.1056/NEJMoa0706628 5557:10.3949/ccjm.70.5.431 4474:"Dietary Supplements" 3922:10.1001/jama.2008.867 3723:10.1056/NEJMra1011670 1687:3-hydroxybenzaldehyde 1435:and abnormalities in 1422: 1355: 1344: 1224:myocardial infarction 1204:system of coagulation 1169:myocardial infarction 1158: 1066: 853: 629:Systemic inflammation 589:Genetic abnormalities 490: 247:, elevated levels of 26:For the journal, see 8826:Paradoxical embolism 8821:Cholesterol embolism 8647:May–Thurner syndrome 8642:Budd–Chiari syndrome 8625:Deep vein thrombosis 8620:primarily lower limb 8399:Raynaud's phenomenon 7823:Circulation Research 7670:Circulation Research 7337:10.3390/ijms17050748 6013:10.1503/cmaj.1050120 5091:Circulation Research 3549:Circulation Research 2105:extracellular matrix 1969:ATP binding cassette 1779: 'hardening'); 1712:fatty streaks, with 1389:extracellular matrix 1286:extracellular matrix 1151:Rupture and stenosis 931:in the endothelium. 788:atheromatous plaques 718:Nurses' Health Study 561:Bacterial infections 521:Western pattern diet 452:sudden cardiac death 297:exercise stress test 222:atheromatous plaques 8902:Benign hypertension 7571:2017NatCo...8..845J 7466:Circulation Journal 6330:2016PLoSO..1149394K 6271:2014PLoSO...9k3242K 5545:Cleve. Clin. J. Med 4861:on 24 February 2015 4684:2013NatMa..12..476M 4193:on 26 December 2007 3971:2015PLoSO..1027014P 2851:1993Natur.362..801R 2012:in vascular aging. 1934:glucose homeostatis 1895:essential nutrients 1793:atheromatous plaque 1706:developed countries 1290:smooth muscle cells 1171:or "heart attack". 1137:computed tomography 962:and resulting high 726:polyunsaturated fat 674:Periodontal disease 649:Sedentary lifestyle 601:Lesser or uncertain 433:Peripheral arteries 353:Atherosclerosis is 343:developed countries 287:. The narrowing of 275:is made up of fat, 253:high blood pressure 138:High blood pressure 8816:Pulmonary embolism 8726:Esophageal varices 8664:upper limb / torso 8308:Arteriolosclerosis 8107:External resources 7884:10.1093/cvr/cvy010 7731:10.1038/nmeth.2332 6569:NutritionFacts.org 6104:10.3390/nu12102909 4482:. 4 February 2020. 4302:10.1007/BF02536616 3646:10.1093/cvr/cvp066 2632:Genes and Disease 1883:lipid peroxidation 1787:(small arteries); 1781:arteriolosclerosis 1751:arteriolosclerosis 1512:Mediterranean diet 1425: 1366: 1350: 1161: 1077: 875: 871:Masson's trichrome 861:that supplies the 531:Insulin resistance 493: 349:Signs and symptoms 8965:Vascular diseases 8947: 8946: 8943: 8942: 8787:Arteries or veins 8782: 8781: 8607:Venous thrombosis 8574: 8573: 8556:Cherry hemangioma 8456:Aortic dissection 8407: 8406: 8242:Buerger's disease 8161: 8160: 7829:(12): 1313–1323. 7633:10.1111/bph.14779 7627:(19): 3741–3753. 6633:(sup1): 51S–54S. 6529:(12): 1090–1093. 6404:978-1-4160-2973-1 6189:(11): 3100–3105. 5875:20.500.12749/1738 5858:(24): e285–e350. 5817:(14): 1121–1123. 5526:978-0-7817-9989-8 5417:10.1136/bmj.g4490 4882:Nature Precedings 4855:www.nhlbi.nih.gov 4825:978-0-13-981176-0 4539:"Atherosclerosis" 4509:(11): 3256–3262. 4497:(November 2002). 4371:medicalxpress.com 4149:(1098): 215–220. 4078:(15): 1804–1809. 3765:978-0-309-08525-0 3090:978-0-387-78665-0 2903:"Atherosclerosis" 2799:978-1-84628-810-4 2772:978-0-7817-7012-5 2663:(25): 2982–3021. 2628:"Atherosclerosis" 2605:www.nhlbi.nih.gov 2581:(12): 1781–1794. 2448:www.nhlbi.nih.gov 2419:(12): 1781–1794. 2366:978-1-84214-544-9 2329:www.nhlbi.nih.gov 2294:www.nhlbi.nih.gov 2263:www.nhlbi.nih.gov 2209:www.nhlbi.nih.gov 2180:www.nhlbi.nih.gov 2046:coronary arteries 2030:endothelial cells 1959:and intron 17 of 1930:insulin signaling 1520:cholesterol level 1489:smoking cessation 1327:vulnerable plaque 1202:and activate the 1090:cholesterol ester 654:Arsenic poisoning 639:Sleep deprivation 526:Abdominal obesity 497:endothelial cells 394:cerebral arteries 382:coronary arteries 293:electrocardiogram 263:(both active and 203: 202: 33:Medical condition 8982: 8858: 8857: 8669:Mondor's disease 8612:Thrombophlebitis 8585: 8584: 8261:Arteriosclerosis 8257: 8256: 8218: 8217: 8188: 8181: 8174: 8165: 8164: 8011: 8010: 7969: 7953: 7952: 7912: 7906: 7905: 7895: 7863: 7857: 7856: 7846: 7814: 7805: 7804: 7794: 7762: 7753: 7752: 7742: 7710: 7704: 7703: 7693: 7661: 7655: 7654: 7644: 7612: 7601: 7600: 7590: 7550: 7544: 7543: 7533: 7501: 7492: 7491: 7481: 7457: 7451: 7450: 7440: 7416: 7407: 7406: 7366: 7360: 7359: 7349: 7339: 7315: 7306: 7305: 7277: 7271: 7268: 7265:Science News.org 7257:Lay summary in: 7254: 7244: 7227:(333): 333ra50. 7211: 7205: 7204: 7194: 7170: 7164: 7163: 7153: 7129: 7123: 7122: 7112: 7101:10.1172/JCI57275 7080: 7074: 7073: 7063: 7031: 7025: 7024: 6988: 6982: 6981: 6953: 6944: 6943: 6915: 6909: 6908: 6868: 6862: 6861: 6844:(11): 999–1013. 6833: 6827: 6826: 6816: 6792: 6786: 6785: 6775: 6751: 6745: 6744: 6724: 6718: 6717: 6706: 6700: 6699: 6689: 6665: 6659: 6658: 6618: 6612: 6611: 6610: 6609: 6586: 6580: 6579: 6577: 6576: 6561: 6555: 6554: 6514: 6508: 6507: 6459: 6453: 6452: 6412: 6406: 6392: 6386: 6385: 6383: 6382: 6368: 6362: 6361: 6351: 6341: 6309: 6303: 6302: 6292: 6282: 6250: 6244: 6243: 6241: 6240: 6225: 6219: 6218: 6208: 6198: 6174: 6168: 6167: 6157: 6133: 6127: 6126: 6116: 6106: 6082: 6076: 6075: 6065: 6041: 6035: 6034: 6024: 5992: 5986: 5985: 5975: 5943: 5937: 5936: 5926: 5894: 5888: 5887: 5877: 5867: 5843: 5837: 5836: 5826: 5802: 5796: 5795: 5785: 5753: 5747: 5746: 5736: 5704: 5698: 5697: 5687: 5647: 5641: 5640: 5616: 5610: 5609: 5599: 5575: 5569: 5568: 5540: 5531: 5530: 5508: 5502: 5501: 5484:(9): 841–51.e2. 5472: 5466: 5465: 5445: 5439: 5438: 5428: 5396: 5390: 5389: 5353: 5347: 5346: 5336: 5307:Rice BH (2014). 5304: 5298: 5297: 5260: 5254: 5253: 5243: 5219: 5213: 5212: 5202: 5176: 5170: 5169: 5159: 5150:(5): 1355–1374. 5131: 5125: 5124: 5114: 5082: 5073: 5072: 5036: 5030: 5029: 5019: 4995: 4989: 4988: 4960: 4954: 4953: 4951: 4939: 4933: 4932: 4930: 4918: 4912: 4911: 4893: 4877: 4871: 4870: 4868: 4866: 4847: 4838: 4837: 4817: 4807: 4801: 4800: 4790: 4766: 4760: 4759: 4757: 4756: 4745: 4739: 4738: 4710: 4704: 4703: 4692:10.1038/nmat3663 4672:Nature Materials 4667: 4661: 4660: 4650: 4617: 4611: 4610: 4590: 4581: 4580: 4560: 4554: 4553: 4551: 4549: 4535: 4529: 4528: 4518: 4490: 4484: 4483: 4470: 4464: 4463: 4427: 4421: 4420: 4381: 4375: 4374: 4363: 4357: 4356: 4328: 4322: 4321: 4284: 4278: 4277: 4267: 4243: 4237: 4236: 4208: 4202: 4201: 4199: 4198: 4189:. Archived from 4183: 4177: 4176: 4166: 4134: 4128: 4127: 4112: 4106: 4105: 4087: 4063: 4057: 4056: 4043: 4033: 4009: 4003: 4002: 3992: 3982: 3950: 3944: 3943: 3933: 3901: 3895: 3894: 3866: 3860: 3859: 3849: 3825: 3819: 3818: 3808: 3776: 3770: 3769: 3741: 3735: 3734: 3706: 3700: 3699: 3689: 3665: 3659: 3658: 3648: 3624: 3618: 3617: 3589: 3583: 3582: 3572: 3540: 3534: 3528: 3522: 3521: 3511: 3487: 3481: 3480: 3462: 3430: 3424: 3423: 3413: 3381: 3375: 3374: 3373:. 24 March 2022. 3367: 3328: 3327: 3291: 3285: 3284: 3274: 3242: 3236: 3235: 3225: 3215: 3191: 3185: 3184: 3174: 3142: 3136: 3134: 3106: 3100: 3099: 3098: 3097: 3064: 3058: 3057: 3031: 3022: 3016: 3014: 3012: 3011: 3002:. Archived from 2995: 2986: 2985: 2975: 2951: 2945: 2944: 2916: 2907: 2906: 2899: 2888: 2885: 2879: 2878: 2859:10.1038/362801a0 2834: 2828: 2827: 2825: 2824: 2810: 2804: 2803: 2783: 2777: 2776: 2756: 2750: 2749: 2731: 2721: 2712:(5): e721–e729. 2697: 2691: 2690: 2680: 2648: 2642: 2641: 2640: 2639: 2623: 2617: 2616: 2614: 2612: 2597: 2591: 2590: 2566: 2560: 2559: 2531: 2525: 2524: 2498: 2466: 2460: 2459: 2457: 2455: 2440: 2429: 2428: 2404: 2395: 2394: 2392: 2391: 2377: 2371: 2370: 2350: 2341: 2340: 2338: 2336: 2321: 2306: 2305: 2303: 2301: 2286: 2275: 2274: 2272: 2270: 2255: 2246: 2245: 2243: 2242: 2227: 2221: 2220: 2218: 2216: 2201: 2192: 2191: 2189: 2187: 2172: 2146: 2135: 1980:or converted to 1926:lipid metabolism 1755:Arteriosclerosis 1747:arteriosclerosis 1684: 1640:with or without 1602:high cholesterol 1545:antihypertensive 1372:, detectable by 1198:; they activate 1145:Hounsfield scale 1059:Visible features 883:white blood cell 634:Hyperinsulinemia 426:Carotid arteries 400:Marked narrowing 299:, among others. 279:, immune cells, 238:kidney disorders 210:arteriosclerosis 56: 36: 35: 21:Arteriosclerosis 8990: 8989: 8985: 8984: 8983: 8981: 8980: 8979: 8950: 8949: 8948: 8939: 8921: 8847: 8804:Microangiopathy 8799:Macroangiopathy 8778: 8742: 8711:Gastric varices 8697: 8610: 8601: 8570: 8542: 8502: 8434:Aortic aneurysm 8420: 8403: 8389:Erythromelalgia 8367: 8344: 8269:Atherosclerosis 8246: 8210: 8198: 8192: 8162: 8157: 8156: 8143:Atherosclerosis 8102: 8101: 8022: 8004:Atherosclerosis 7995:Atherosclerosis 7993: 7972:Atherosclerosis 7962: 7957: 7956: 7927:(12): 727–744. 7913: 7909: 7864: 7860: 7815: 7808: 7763: 7756: 7711: 7707: 7662: 7658: 7613: 7604: 7551: 7547: 7516:(12): 699–700. 7502: 7495: 7458: 7454: 7417: 7410: 7367: 7363: 7316: 7309: 7278: 7274: 7258: 7212: 7208: 7171: 7167: 7130: 7126: 7081: 7077: 7040:Cell Metabolism 7032: 7028: 6989: 6985: 6958:Atherosclerosis 6954: 6947: 6920:Atherosclerosis 6916: 6912: 6877:Atherosclerosis 6869: 6865: 6834: 6830: 6793: 6789: 6766:(21): 2109–22. 6752: 6748: 6725: 6721: 6708: 6707: 6703: 6666: 6662: 6619: 6615: 6607: 6605: 6587: 6583: 6574: 6572: 6563: 6562: 6558: 6515: 6511: 6460: 6456: 6413: 6409: 6393: 6389: 6380: 6378: 6370: 6369: 6365: 6324:(3): e0149394. 6310: 6306: 6265:(11): e113242. 6251: 6247: 6238: 6236: 6227: 6226: 6222: 6175: 6171: 6134: 6130: 6083: 6079: 6042: 6038: 5993: 5989: 5952:JAMA Cardiology 5944: 5940: 5895: 5891: 5844: 5840: 5803: 5799: 5768:(1): CD004816. 5754: 5750: 5713:Atherosclerosis 5705: 5701: 5648: 5644: 5617: 5613: 5576: 5572: 5541: 5534: 5527: 5509: 5505: 5473: 5469: 5446: 5442: 5397: 5393: 5354: 5350: 5305: 5301: 5261: 5257: 5220: 5216: 5193:(16): 2068–71. 5177: 5173: 5132: 5128: 5083: 5076: 5037: 5033: 4996: 4992: 4961: 4957: 4940: 4936: 4919: 4915: 4878: 4874: 4864: 4862: 4849: 4848: 4841: 4826: 4808: 4804: 4781:(25): 1959–67. 4767: 4763: 4754: 4752: 4747: 4746: 4742: 4711: 4707: 4668: 4664: 4639:10.1038/nm.3258 4627:Nature Medicine 4618: 4614: 4591: 4584: 4561: 4557: 4547: 4545: 4537: 4536: 4532: 4495:Parthasarathy S 4491: 4487: 4472: 4471: 4467: 4428: 4424: 4382: 4378: 4365: 4364: 4360: 4329: 4325: 4296:(12): 1145–50. 4285: 4281: 4258:(12): 3028–33. 4244: 4240: 4209: 4205: 4196: 4194: 4185: 4184: 4180: 4135: 4131: 4114: 4113: 4109: 4064: 4060: 4024:(4): e1001430. 4010: 4006: 3965:(5): e0127014. 3951: 3947: 3916:(24): 2859–66. 3902: 3898: 3871:Atherosclerosis 3867: 3863: 3826: 3822: 3777: 3773: 3766: 3742: 3738: 3717:(18): 1746–60. 3707: 3703: 3666: 3662: 3625: 3621: 3594:Atherosclerosis 3590: 3586: 3541: 3537: 3529: 3525: 3488: 3484: 3431: 3427: 3382: 3378: 3369: 3368: 3331: 3302:(1–2): 149–59. 3292: 3288: 3243: 3239: 3192: 3188: 3157:(6): 1090–100. 3143: 3139: 3117:(12): 1090–93. 3107: 3103: 3095: 3093: 3091: 3065: 3061: 3029: 3023: 3019: 3009: 3007: 2998: 2996: 2989: 2952: 2948: 2921:Atherosclerosis 2917: 2910: 2901: 2900: 2891: 2886: 2882: 2845:(6423): 801–9. 2835: 2831: 2822: 2820: 2812: 2811: 2807: 2800: 2786:Shor A (2008). 2784: 2780: 2773: 2757: 2753: 2698: 2694: 2649: 2645: 2637: 2635: 2624: 2620: 2610: 2608: 2599: 2598: 2594: 2567: 2563: 2536:Atherosclerosis 2532: 2528: 2467: 2463: 2453: 2451: 2442: 2441: 2432: 2405: 2398: 2389: 2387: 2379: 2378: 2374: 2367: 2351: 2344: 2334: 2332: 2323: 2322: 2309: 2299: 2297: 2288: 2287: 2278: 2268: 2266: 2257: 2256: 2249: 2240: 2238: 2237:. 27 April 2015 2229: 2228: 2224: 2214: 2212: 2203: 2202: 2195: 2185: 2183: 2174: 2173: 2160: 2155: 2150: 2149: 2136: 2132: 2127: 2098: 2062: 2034:Werner syndrome 2002: 1907: 1899:transgenic mice 1881:Involvement of 1870:The actions of 1833: 1828: 1820: 1789:atherosclerosis 1743: 1699: 1669: 1660:, particularly 1654: 1628:in the case of 1618: 1594: 1554: 1532: 1497: 1485: 1477:nuclear imaging 1455:, carotid IMT ( 1395:, will trigger 1339: 1311:thromboembolism 1245: 1236:amyloid plaques 1232: 1218:(heart muscle) 1153: 1061: 995: 981:in response to 940:redox signaling 848: 836:wall thickening 784: 782:Pathophysiology 722:monounsaturated 682: 603: 574: 556:Tobacco smoking 517: 485: 483:Lipoprotein (a) 475: 359:plaque ruptures 351: 265:passive smoking 206:Atherosclerosis 110:kidney problems 39:Atherosclerosis 34: 31: 24: 17: 12: 11: 5: 8988: 8978: 8977: 8972: 8967: 8962: 8945: 8944: 8941: 8940: 8938: 8937: 8931: 8929: 8923: 8922: 8920: 8919: 8914: 8909: 8904: 8899: 8898: 8897: 8887: 8882: 8877: 8872: 8866: 8864: 8855: 8853:Blood pressure 8849: 8848: 8846: 8845: 8840: 8835: 8830: 8829: 8828: 8823: 8818: 8808: 8807: 8806: 8801: 8790: 8788: 8784: 8783: 8780: 8779: 8777: 8776: 8771: 8766: 8761: 8756: 8750: 8748: 8744: 8743: 8741: 8740: 8735: 8734: 8733: 8728: 8723: 8713: 8707: 8705: 8703:Varicose veins 8699: 8698: 8696: 8695: 8690: 8689: 8688: 8678: 8677: 8676: 8671: 8661: 8660: 8659: 8654: 8649: 8644: 8639: 8629: 8628: 8627: 8616: 8614: 8603: 8602: 8600: 8599: 8593: 8591: 8582: 8576: 8575: 8572: 8571: 8569: 8568: 8566:Spider angioma 8563: 8558: 8552: 8550: 8548:Vascular nevus 8544: 8543: 8541: 8540: 8539: 8538: 8533: 8526:Telangiectasia 8523: 8518: 8512: 8510: 8504: 8503: 8501: 8500: 8499: 8498: 8493: 8488: 8483: 8478: 8468: 8463: 8461:Aortic rupture 8458: 8453: 8452: 8451: 8446: 8441: 8426: 8424: 8422:pseudoaneurysm 8409: 8408: 8405: 8404: 8402: 8401: 8396: 8391: 8386: 8381: 8375: 8373: 8369: 8368: 8366: 8365: 8360: 8354: 8352: 8346: 8345: 8343: 8342: 8341: 8340: 8335: 8333:Oxycholesterol 8330: 8325: 8320: 8315: 8305: 8299: 8298: 8297: 8296: 8291: 8286: 8281: 8276: 8265: 8263: 8254: 8248: 8247: 8245: 8244: 8239: 8238: 8237: 8226: 8224: 8215: 8200: 8199: 8191: 8190: 8183: 8176: 8168: 8159: 8158: 8155: 8154: 8145: 8134: 8123: 8111: 8110: 8108: 8104: 8103: 8100: 8099: 8088: 8077: 8066: 8047: 8023: 8018: 8017: 8015: 8014:Classification 8008: 8007: 8001: 7975: 7961: 7960:External links 7958: 7955: 7954: 7907: 7878:(4): 590–600. 7858: 7806: 7777:(5): 876–887. 7754: 7725:(2): 171–177. 7719:Nature Methods 7705: 7676:(4): 692–702. 7656: 7602: 7545: 7493: 7452: 7408: 7361: 7307: 7272: 7270: 7269: 7206: 7165: 7124: 7095:(7): 2921–31. 7075: 7026: 6983: 6945: 6910: 6863: 6828: 6787: 6746: 6719: 6701: 6660: 6613: 6581: 6571:. 15 July 2014 6556: 6509: 6474:(2): 213–237. 6454: 6427:(3): 251–265. 6407: 6387: 6363: 6304: 6245: 6220: 6169: 6148:(2): 317–327. 6128: 6077: 6056:(8): 924–936. 6036: 5987: 5958:(7): 782–790. 5938: 5909:(8): e005562. 5889: 5838: 5797: 5748: 5699: 5642: 5631:(2): 260–267. 5611: 5590:(10): 1731–7. 5570: 5551:(5): 431–434. 5532: 5525: 5503: 5467: 5440: 5391: 5348: 5319:(2): 130–138. 5299: 5255: 5234:(9): 1216–27. 5214: 5171: 5126: 5097:(4): 750–769. 5074: 5031: 5010:(7): 1282–92. 4990: 4955: 4934: 4913: 4872: 4839: 4824: 4802: 4761: 4740: 4721:(22): 1371–5. 4705: 4678:(6): 476–478. 4662: 4633:(9): 1166–72. 4612: 4582: 4555: 4530: 4485: 4465: 4438:(2): 157–163. 4422: 4376: 4358: 4323: 4279: 4238: 4203: 4178: 4129: 4107: 4058: 4004: 3945: 3896: 3861: 3820: 3791:(5): 1175–84. 3771: 3764: 3756:10.17226/10490 3736: 3701: 3660: 3639:(3): 392–403. 3619: 3600:(3): 333–342. 3584: 3555:(3): 298–314. 3535: 3523: 3482: 3445:(3): 270–279. 3425: 3376: 3329: 3286: 3237: 3186: 3137: 3101: 3089: 3059: 3017: 2987: 2946: 2927:(2): 201–205. 2908: 2889: 2880: 2829: 2805: 2798: 2778: 2771: 2751: 2692: 2643: 2618: 2607:. 22 June 2016 2592: 2561: 2542:(2): 203–214. 2526: 2461: 2450:. 22 June 2016 2430: 2396: 2372: 2365: 2342: 2331:. 22 June 2016 2307: 2296:. 22 June 2016 2276: 2265:. 22 June 2016 2247: 2222: 2211:. 22 June 2016 2193: 2182:. 22 June 2016 2157: 2156: 2154: 2151: 2148: 2147: 2129: 2128: 2126: 2123: 2114:myofibroblasts 2097: 2094: 2070:microorganisms 2061: 2060:Microorganisms 2058: 2001: 1998: 1906: 1903: 1832: 1829: 1827: 1824: 1819: 1816: 1742: 1739: 1698: 1695: 1658:anticoagulants 1653: 1650: 1617: 1614: 1593: 1590: 1553: 1550: 1531: 1528: 1524:blood pressure 1501:dairy products 1496: 1493: 1484: 1481: 1378:stress testing 1338: 1335: 1315: 1314: 1278: 1275: 1244: 1241: 1231: 1228: 1152: 1149: 1118: 1117: 1109: 1060: 1057: 1007:Rainer Liedtke 994: 991: 847: 844: 810:. The ensuing 808:cardiac muscle 783: 780: 716:of the second 710:Walter Willett 681: 678: 677: 676: 671: 669:Hypothyroidism 666: 664:Chronic stress 661: 656: 651: 646: 641: 636: 631: 626: 620: 614: 609: 602: 599: 598: 597: 594: 593:Family history 591: 586: 581: 573: 570: 569: 568: 563: 558: 553: 548: 543: 538: 533: 528: 523: 516: 513: 474: 471: 437:renal arteries 350: 347: 335:cause of death 201: 200: 197: 193: 192: 179: 173: 172: 166: 162: 161: 135: 129: 128: 125: 121: 120: 117: 113: 112: 95: 89: 88: 85: 79: 78: 69: 63: 62: 58: 57: 49: 48: 45: 41: 40: 32: 15: 9: 6: 4: 3: 2: 8987: 8976: 8975:Inflammations 8973: 8971: 8968: 8966: 8963: 8961: 8958: 8957: 8955: 8936: 8933: 8932: 8930: 8928: 8924: 8918: 8915: 8913: 8910: 8908: 8905: 8903: 8900: 8896: 8893: 8892: 8891: 8888: 8886: 8883: 8881: 8878: 8876: 8873: 8871: 8868: 8867: 8865: 8863: 8859: 8856: 8854: 8850: 8844: 8841: 8839: 8836: 8834: 8831: 8827: 8824: 8822: 8819: 8817: 8814: 8813: 8812: 8809: 8805: 8802: 8800: 8797: 8796: 8795: 8792: 8791: 8789: 8785: 8775: 8772: 8770: 8767: 8765: 8762: 8760: 8757: 8755: 8752: 8751: 8749: 8745: 8739: 8736: 8732: 8729: 8727: 8724: 8722: 8721:Caput medusae 8719: 8718: 8717: 8714: 8712: 8709: 8708: 8706: 8704: 8700: 8694: 8691: 8687: 8684: 8683: 8682: 8679: 8675: 8672: 8670: 8667: 8666: 8665: 8662: 8658: 8655: 8653: 8650: 8648: 8645: 8643: 8640: 8638: 8635: 8634: 8633: 8630: 8626: 8623: 8622: 8621: 8618: 8617: 8615: 8613: 8608: 8604: 8598: 8595: 8594: 8592: 8590: 8586: 8583: 8581: 8577: 8567: 8564: 8562: 8559: 8557: 8554: 8553: 8551: 8549: 8545: 8537: 8534: 8532: 8529: 8528: 8527: 8524: 8522: 8519: 8517: 8514: 8513: 8511: 8509: 8505: 8497: 8494: 8492: 8489: 8487: 8484: 8482: 8479: 8477: 8474: 8473: 8472: 8469: 8467: 8464: 8462: 8459: 8457: 8454: 8450: 8447: 8445: 8442: 8440: 8437: 8436: 8435: 8431: 8428: 8427: 8425: 8423: 8418: 8414: 8410: 8400: 8397: 8395: 8392: 8390: 8387: 8385: 8384:Degos disease 8382: 8380: 8377: 8376: 8374: 8370: 8364: 8361: 8359: 8356: 8355: 8353: 8351: 8347: 8339: 8336: 8334: 8331: 8329: 8326: 8324: 8321: 8319: 8316: 8314: 8311: 8310: 8309: 8306: 8304: 8301: 8300: 8295: 8292: 8290: 8287: 8285: 8282: 8280: 8277: 8275: 8272: 8271: 8270: 8267: 8266: 8264: 8262: 8258: 8255: 8253: 8249: 8243: 8240: 8236: 8233: 8232: 8231: 8228: 8227: 8225: 8223: 8219: 8216: 8214: 8209: 8205: 8201: 8196: 8189: 8184: 8182: 8177: 8175: 8170: 8169: 8166: 8153: 8149: 8146: 8144: 8140: 8139: 8135: 8133: 8129: 8128: 8124: 8122: 8118: 8117: 8113: 8112: 8109: 8105: 8098: 8094: 8093: 8089: 8087: 8083: 8082: 8078: 8076: 8072: 8071: 8067: 8065: 8061: 8057: 8056: 8052: 8048: 8046: 8042: 8038: 8034: 8033: 8029: 8025: 8024: 8021: 8016: 8012: 8005: 8002: 8000: 7996: 7991: 7987: 7986: 7981: 7976: 7973: 7968: 7964: 7963: 7950: 7946: 7942: 7938: 7934: 7930: 7926: 7922: 7918: 7911: 7903: 7899: 7894: 7889: 7885: 7881: 7877: 7873: 7869: 7862: 7854: 7850: 7845: 7840: 7836: 7832: 7828: 7824: 7820: 7813: 7811: 7802: 7798: 7793: 7788: 7784: 7780: 7776: 7772: 7768: 7761: 7759: 7750: 7746: 7741: 7736: 7732: 7728: 7724: 7720: 7716: 7709: 7701: 7697: 7692: 7687: 7683: 7679: 7675: 7671: 7667: 7660: 7652: 7648: 7643: 7638: 7634: 7630: 7626: 7622: 7618: 7611: 7609: 7607: 7598: 7594: 7589: 7584: 7580: 7576: 7572: 7568: 7564: 7560: 7556: 7549: 7541: 7537: 7532: 7527: 7523: 7519: 7515: 7511: 7507: 7500: 7498: 7489: 7485: 7480: 7475: 7471: 7467: 7463: 7456: 7448: 7444: 7439: 7434: 7431:(8): 927–32. 7430: 7426: 7422: 7415: 7413: 7404: 7400: 7396: 7392: 7388: 7384: 7380: 7376: 7372: 7365: 7357: 7353: 7348: 7343: 7338: 7333: 7329: 7325: 7321: 7314: 7312: 7303: 7299: 7295: 7291: 7287: 7283: 7276: 7266: 7262: 7256: 7255: 7252: 7248: 7243: 7238: 7234: 7230: 7226: 7222: 7218: 7210: 7202: 7198: 7193: 7188: 7185:(8): 1821–7. 7184: 7180: 7176: 7169: 7161: 7157: 7152: 7147: 7144:(6): 1057–8. 7143: 7139: 7135: 7128: 7120: 7116: 7111: 7106: 7102: 7098: 7094: 7090: 7086: 7079: 7071: 7067: 7062: 7057: 7053: 7049: 7045: 7041: 7037: 7030: 7022: 7018: 7014: 7010: 7006: 7002: 6998: 6994: 6987: 6979: 6975: 6971: 6967: 6964:(2): 314–23. 6963: 6959: 6952: 6950: 6941: 6937: 6933: 6929: 6925: 6921: 6914: 6906: 6902: 6898: 6894: 6890: 6886: 6882: 6878: 6874: 6867: 6859: 6855: 6851: 6847: 6843: 6839: 6832: 6824: 6820: 6815: 6810: 6806: 6802: 6798: 6791: 6783: 6779: 6774: 6769: 6765: 6761: 6757: 6750: 6742: 6738: 6734: 6730: 6723: 6715: 6711: 6710:"Atherogenic" 6705: 6697: 6693: 6688: 6683: 6679: 6675: 6671: 6664: 6656: 6652: 6648: 6644: 6640: 6636: 6632: 6628: 6624: 6617: 6604: 6600: 6596: 6592: 6585: 6570: 6566: 6560: 6552: 6548: 6544: 6540: 6536: 6532: 6528: 6524: 6520: 6513: 6505: 6501: 6497: 6493: 6489: 6485: 6481: 6477: 6473: 6469: 6465: 6458: 6450: 6446: 6442: 6438: 6434: 6430: 6426: 6422: 6418: 6411: 6405: 6401: 6397: 6391: 6377: 6373: 6367: 6359: 6355: 6350: 6345: 6340: 6335: 6331: 6327: 6323: 6319: 6315: 6308: 6300: 6296: 6291: 6286: 6281: 6276: 6272: 6268: 6264: 6260: 6256: 6249: 6234: 6230: 6224: 6216: 6212: 6207: 6202: 6197: 6192: 6188: 6184: 6180: 6173: 6165: 6161: 6156: 6151: 6147: 6143: 6139: 6132: 6124: 6120: 6115: 6110: 6105: 6100: 6096: 6092: 6088: 6081: 6073: 6069: 6064: 6059: 6055: 6051: 6047: 6040: 6032: 6028: 6023: 6018: 6014: 6010: 6006: 6002: 5998: 5991: 5983: 5979: 5974: 5969: 5965: 5961: 5957: 5953: 5949: 5942: 5934: 5930: 5925: 5920: 5916: 5912: 5908: 5904: 5900: 5893: 5885: 5881: 5876: 5871: 5866: 5861: 5857: 5853: 5849: 5842: 5834: 5830: 5825: 5820: 5816: 5812: 5808: 5801: 5793: 5789: 5784: 5779: 5775: 5771: 5767: 5763: 5759: 5752: 5744: 5740: 5735: 5730: 5726: 5722: 5719:(2): 307–13. 5718: 5714: 5710: 5703: 5695: 5691: 5686: 5681: 5677: 5673: 5669: 5665: 5661: 5657: 5653: 5646: 5638: 5634: 5630: 5626: 5622: 5615: 5607: 5603: 5598: 5593: 5589: 5585: 5581: 5574: 5566: 5562: 5558: 5554: 5550: 5546: 5539: 5537: 5528: 5522: 5518: 5514: 5507: 5499: 5495: 5491: 5487: 5483: 5479: 5471: 5463: 5459: 5455: 5451: 5444: 5436: 5432: 5427: 5422: 5418: 5414: 5410: 5406: 5402: 5395: 5387: 5383: 5379: 5375: 5371: 5367: 5363: 5359: 5352: 5344: 5340: 5335: 5330: 5326: 5322: 5318: 5314: 5310: 5303: 5295: 5291: 5287: 5283: 5279: 5275: 5271: 5267: 5259: 5251: 5247: 5242: 5237: 5233: 5229: 5225: 5218: 5210: 5206: 5201: 5196: 5192: 5188: 5187: 5182: 5175: 5167: 5163: 5158: 5153: 5149: 5145: 5141: 5137: 5130: 5122: 5118: 5113: 5108: 5104: 5100: 5096: 5092: 5088: 5081: 5079: 5070: 5066: 5062: 5058: 5054: 5050: 5047:(3): 188–95. 5046: 5042: 5035: 5027: 5023: 5018: 5013: 5009: 5005: 5001: 4994: 4986: 4982: 4978: 4974: 4971:(2): 115–26. 4970: 4966: 4959: 4950: 4945: 4938: 4929: 4924: 4917: 4909: 4905: 4901: 4897: 4892: 4887: 4883: 4876: 4860: 4856: 4852: 4846: 4844: 4835: 4831: 4827: 4821: 4816: 4815: 4806: 4798: 4794: 4789: 4784: 4780: 4776: 4772: 4765: 4750: 4744: 4736: 4732: 4728: 4724: 4720: 4716: 4709: 4701: 4697: 4693: 4689: 4685: 4681: 4677: 4673: 4666: 4658: 4654: 4649: 4644: 4640: 4636: 4632: 4628: 4624: 4616: 4608: 4604: 4600: 4596: 4589: 4587: 4578: 4574: 4570: 4566: 4559: 4544: 4540: 4534: 4526: 4522: 4517: 4512: 4508: 4504: 4500: 4496: 4489: 4481: 4480: 4475: 4469: 4461: 4457: 4453: 4449: 4445: 4441: 4437: 4433: 4426: 4419: 4415: 4411: 4407: 4403: 4399: 4395: 4391: 4387: 4380: 4372: 4368: 4362: 4354: 4350: 4346: 4342: 4338: 4334: 4327: 4319: 4315: 4311: 4307: 4303: 4299: 4295: 4291: 4283: 4275: 4271: 4266: 4261: 4257: 4253: 4249: 4242: 4234: 4230: 4226: 4222: 4218: 4214: 4207: 4192: 4188: 4182: 4174: 4170: 4165: 4160: 4156: 4152: 4148: 4144: 4140: 4133: 4125: 4121: 4117: 4111: 4103: 4099: 4095: 4091: 4086: 4081: 4077: 4073: 4069: 4062: 4055: 4051: 4047: 4042: 4037: 4032: 4027: 4023: 4019: 4018:PLOS Medicine 4015: 4008: 4000: 3996: 3991: 3986: 3981: 3976: 3972: 3968: 3964: 3960: 3956: 3949: 3941: 3937: 3932: 3927: 3923: 3919: 3915: 3911: 3907: 3900: 3892: 3888: 3884: 3880: 3876: 3872: 3865: 3857: 3853: 3848: 3843: 3840:(1): 136–40. 3839: 3835: 3831: 3824: 3816: 3812: 3807: 3802: 3798: 3794: 3790: 3786: 3782: 3775: 3767: 3761: 3757: 3753: 3749: 3748: 3740: 3732: 3728: 3724: 3720: 3716: 3712: 3705: 3697: 3693: 3688: 3683: 3680:(8): 821–30. 3679: 3675: 3671: 3664: 3656: 3652: 3647: 3642: 3638: 3634: 3630: 3623: 3615: 3611: 3607: 3603: 3599: 3595: 3588: 3580: 3576: 3571: 3566: 3562: 3558: 3554: 3550: 3546: 3539: 3533: 3527: 3519: 3515: 3510: 3505: 3502:(4): 461–91. 3501: 3497: 3493: 3486: 3478: 3474: 3470: 3466: 3461: 3456: 3452: 3448: 3444: 3440: 3436: 3429: 3421: 3417: 3412: 3407: 3403: 3399: 3396:(5): 339–50. 3395: 3391: 3387: 3380: 3372: 3366: 3364: 3362: 3360: 3358: 3356: 3354: 3352: 3350: 3348: 3346: 3344: 3342: 3340: 3338: 3336: 3334: 3325: 3321: 3317: 3313: 3309: 3305: 3301: 3297: 3290: 3282: 3278: 3273: 3268: 3264: 3260: 3257:(5): 551–61. 3256: 3252: 3248: 3241: 3233: 3229: 3224: 3219: 3214: 3209: 3205: 3201: 3197: 3190: 3182: 3178: 3173: 3168: 3164: 3160: 3156: 3152: 3148: 3141: 3132: 3128: 3124: 3120: 3116: 3112: 3105: 3092: 3086: 3082: 3078: 3074: 3070: 3063: 3055: 3051: 3047: 3043: 3039: 3035: 3028: 3021: 3006:on 2014-02-03 3005: 3001: 2994: 2992: 2983: 2979: 2974: 2969: 2966:(5): 859–69. 2965: 2961: 2957: 2950: 2942: 2938: 2934: 2930: 2926: 2922: 2915: 2913: 2904: 2898: 2896: 2894: 2884: 2876: 2872: 2868: 2864: 2860: 2856: 2852: 2848: 2844: 2840: 2833: 2819: 2815: 2809: 2801: 2795: 2791: 2790: 2782: 2774: 2768: 2764: 2763: 2755: 2747: 2743: 2739: 2735: 2730: 2729:10044/1/78967 2725: 2720: 2715: 2711: 2707: 2703: 2696: 2688: 2684: 2679: 2674: 2670: 2666: 2662: 2658: 2654: 2647: 2633: 2629: 2622: 2606: 2602: 2596: 2588: 2584: 2580: 2576: 2572: 2565: 2557: 2553: 2549: 2545: 2541: 2537: 2530: 2522: 2518: 2514: 2510: 2506: 2502: 2497: 2492: 2488: 2484: 2480: 2476: 2472: 2465: 2449: 2445: 2439: 2437: 2435: 2426: 2422: 2418: 2414: 2410: 2403: 2401: 2386: 2382: 2376: 2368: 2362: 2358: 2357: 2349: 2347: 2330: 2326: 2320: 2318: 2316: 2314: 2312: 2295: 2291: 2285: 2283: 2281: 2264: 2260: 2254: 2252: 2236: 2232: 2226: 2210: 2206: 2200: 2198: 2181: 2177: 2171: 2169: 2167: 2165: 2163: 2158: 2144: 2140: 2134: 2130: 2122: 2119: 2115: 2111: 2106: 2102: 2093: 2091: 2087: 2083: 2079: 2076:, changes in 2075: 2074:immune system 2071: 2067: 2057: 2055: 2051: 2047: 2043: 2039: 2038:RecQ helicase 2035: 2031: 2027: 2023: 2019: 2015: 2011: 2006: 1997: 1995: 1990: 1988: 1983: 1979: 1974: 1970: 1966: 1962: 1958: 1957:chromosome 22 1954: 1950: 1945: 1943: 1939: 1935: 1931: 1927: 1923: 1919: 1915: 1911: 1902: 1900: 1896: 1892: 1888: 1884: 1879: 1877: 1873: 1868: 1866: 1860: 1857: 1856: 1850: 1849:Apo-A1 Milano 1846: 1842: 1841:Apo-A1 Milano 1838: 1823: 1815: 1813: 1809: 1805: 1801: 1798: 1797:Ancient Greek 1794: 1790: 1786: 1782: 1778: 1776: 1770: 1767: 1763: 1760: 1756: 1752: 1748: 1738: 1735: 1733: 1728: 1726: 1721: 1719: 1715: 1711: 1707: 1702: 1694: 1692: 1688: 1682: 1678: 1677: 1673: 1667: 1663: 1659: 1649: 1647: 1643: 1639: 1635: 1631: 1627: 1623: 1613: 1610: 1606: 1603: 1599: 1589: 1585: 1581: 1579: 1575: 1571: 1567: 1563: 1559: 1549: 1548:obstruction. 1546: 1542: 1538: 1527: 1525: 1521: 1517: 1513: 1508: 1506: 1502: 1492: 1490: 1480: 1478: 1474: 1470: 1466: 1462: 1458: 1454: 1449: 1446: 1441: 1438: 1434: 1430: 1421: 1417: 1415: 1411: 1407: 1403: 1398: 1394: 1390: 1385: 1383: 1379: 1375: 1371: 1363: 1359: 1354: 1347: 1343: 1334: 1332: 1328: 1324: 1320: 1312: 1307: 1303: 1299: 1295: 1291: 1287: 1283: 1279: 1276: 1274:of the artery 1273: 1269: 1265: 1261: 1258: 1254: 1250: 1249: 1248: 1240: 1237: 1227: 1225: 1221: 1217: 1213: 1209: 1205: 1201: 1197: 1196:tissue factor 1193: 1188: 1184: 1180: 1177: 1172: 1170: 1166: 1157: 1148: 1146: 1142: 1138: 1133: 1129: 1127: 1123: 1115: 1110: 1107: 1103: 1099: 1098:proteoglycans 1095: 1091: 1086: 1082: 1081: 1080: 1074: 1070: 1065: 1056: 1054: 1050: 1044: 1042: 1038: 1034: 1033:smooth muscle 1030: 1026: 1021: 1019: 1015: 1010: 1008: 1003: 999: 998:Calcification 990: 988: 984: 980: 976: 972: 971:smooth muscle 967: 965: 961: 957: 953: 949: 945: 941: 937: 932: 930: 929:free radicals 926: 922: 918: 914: 910: 906: 904: 903:Fatty streaks 900: 899:blood glucose 896: 892: 888: 884: 880: 872: 868: 864: 860: 856: 852: 843: 841: 837: 833: 829: 825: 821: 817: 816:tunica intima 813: 809: 805: 801: 797: 793: 789: 779: 776: 770: 768: 764: 763:Fred Kummerow 760: 755: 753: 752:hydroperoxide 750: 746: 742: 738: 733: 731: 727: 723: 719: 715: 711: 707: 703: 699: 695: 694:carbohydrates 691: 687: 675: 672: 670: 667: 665: 662: 660: 657: 655: 652: 650: 647: 645: 644:Air pollution 642: 640: 637: 635: 632: 630: 627: 625: 624:triglycerides 621: 619: 618:carbohydrates 615: 613: 612:Saturated fat 610: 608: 607:Thrombophilia 605: 604: 595: 592: 590: 587: 585: 582: 579: 576: 575: 572:Nonmodifiable 567: 564: 562: 559: 557: 554: 552: 549: 547: 544: 542: 539: 537: 534: 532: 529: 527: 524: 522: 519: 518: 512: 509: 504: 502: 498: 489: 484: 480: 470: 468: 464: 460: 455: 453: 449: 444: 442: 438: 434: 430: 427: 423: 421: 417: 413: 409: 405: 401: 397: 395: 391: 387: 386:Fatty streaks 384:of children. 383: 378: 376: 372: 368: 364: 360: 356: 346: 344: 340: 336: 331: 329: 325: 321: 317: 313: 309: 305: 300: 298: 294: 290: 286: 282: 278: 274: 270: 266: 262: 258: 254: 250: 246: 241: 239: 235: 231: 227: 223: 219: 215: 211: 207: 198: 194: 191: 187: 183: 180: 178: 174: 170: 167: 163: 159: 155: 151: 147: 143: 139: 136: 134: 130: 126: 122: 118: 114: 111: 107: 103: 99: 96: 94: 93:Complications 90: 86: 84: 80: 77: 73: 70: 68: 64: 59: 55: 50: 46: 42: 37: 29: 22: 8862:Hypertension 8774:Venous ulcer 8680: 8663: 8631: 8619: 8589:Inflammation 8470: 8429: 8318:Hyperplastic 8279:Fatty streak 8268: 8222:Inflammation 8147: 8136: 8125: 8114: 8090: 8079: 8068: 8049: 8026: 7983: 7974:at Wikiquote 7924: 7920: 7910: 7875: 7871: 7861: 7826: 7822: 7774: 7770: 7722: 7718: 7708: 7673: 7669: 7659: 7624: 7620: 7562: 7558: 7548: 7513: 7509: 7472:(1): 42–50. 7469: 7465: 7455: 7428: 7424: 7378: 7374: 7364: 7327: 7323: 7285: 7281: 7275: 7264: 7224: 7220: 7209: 7182: 7178: 7168: 7141: 7137: 7127: 7092: 7088: 7078: 7046:(3): 241–7. 7043: 7039: 7029: 6999:(3): 220–5. 6996: 6992: 6986: 6961: 6957: 6923: 6919: 6913: 6880: 6876: 6866: 6841: 6837: 6831: 6807:(1): 18–28. 6804: 6800: 6790: 6763: 6759: 6749: 6732: 6722: 6713: 6704: 6677: 6674:Global Heart 6673: 6663: 6630: 6626: 6616: 6606:, retrieved 6594: 6584: 6573:. 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Retrieved 4542: 4533: 4506: 4502: 4488: 4477: 4468: 4435: 4431: 4425: 4417: 4392:(5): 691–7. 4389: 4385: 4379: 4370: 4361: 4339:(1): 19–33. 4336: 4332: 4326: 4293: 4289: 4282: 4255: 4251: 4241: 4219:(4): 533–8. 4216: 4212: 4206: 4195:. Retrieved 4191:the original 4181: 4146: 4142: 4132: 4123: 4119: 4110: 4075: 4071: 4061: 4053: 4021: 4017: 4007: 3962: 3958: 3948: 3913: 3909: 3899: 3877:(2): 313–8. 3874: 3870: 3864: 3837: 3833: 3823: 3788: 3784: 3774: 3746: 3739: 3714: 3710: 3704: 3677: 3673: 3663: 3636: 3632: 3622: 3597: 3593: 3587: 3552: 3548: 3538: 3526: 3499: 3495: 3485: 3442: 3438: 3428: 3393: 3390:Arch Med Res 3389: 3379: 3299: 3295: 3289: 3254: 3250: 3240: 3203: 3199: 3189: 3154: 3150: 3140: 3114: 3110: 3104: 3094:, retrieved 3072: 3062: 3040:(1): 80–91. 3037: 3033: 3020: 3008:. Retrieved 3004:the original 2963: 2959: 2949: 2924: 2920: 2883: 2842: 2838: 2832: 2821:. 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