Krug H
Z Gesamte Inn Med. 1976 Mar 1;31(5):133-7.
The changes of the arteries appearing diffusely caused by ageing as a rule favour the development of the focal arteriosclerotic changes. Already due to the increasing blood lipid level the ageing vessel is exposed to increased loads. It is more difficult for it to cope with them, since caused by ageing the cell functions of endothelium, intima and adjacent media decrease, whereas the diffundibility increases. The alterations of the mucopolysaccharide spectre in old age also render difficult the maintenance of the integrity of the arterial wall. The decrease of the distensibility of the arterial wall, partly consequence of increasing cross-linking, partly expression of senile fibrosis, is partially compensated by dilatation of the vascular tube. When arteriosclerotic beds supervene on account of solidification caused by old age additional difficulties appear. On principle the genuine changes caused by old age smooth the way for the development of arteriosclerotic changes.
通常情况下,衰老引起的动脉弥漫性变化有利于局灶性动脉硬化变化的发展。由于血脂水平不断升高,衰老的血管承受着越来越大的负荷。衰老导致内皮、内膜和相邻中膜的细胞功能下降,而扩散性增加,因此血管更难应对这些负荷。老年时粘多糖谱的改变也使维持动脉壁的完整性变得困难。动脉壁扩张性的降低,部分是交联增加的结果,部分是老年纤维化的表现,部分通过血管扩张得到补偿。当由于衰老导致的硬化叠加动脉硬化床时,就会出现额外的困难。原则上,衰老引起的真正变化为动脉硬化变化的发展铺平了道路。