Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Cardiology Unit, University of Palermo, University Hospital P. Giaccone, 90127 Palermo, Italy.
Department of Advanced Biomedical Sciences, University of Naples Federico II, 80131 Naples, Italy.
Int J Mol Sci. 2024 May 30;25(11):6016. doi: 10.3390/ijms25116016.
This comprehensive review explores the various scenarios of atherosclerosis, a systemic and chronic arterial disease that underlies most cardiovascular disorders. Starting from an overview of its insidious development, often asymptomatic until it reaches advanced stages, the review delves into the pathophysiological evolution of atherosclerotic lesions, highlighting the central role of inflammation. Insights into clinical manifestations, including heart attacks and strokes, highlight the disease's significant burden on global health. Emphasis is placed on carotid atherosclerosis, clarifying its epidemiology, clinical implications, and association with cognitive decline. Prevention strategies, lifestyle modifications, risk factor management, and nuanced antithrombotic treatment considerations are critical to managing cardiovascular complications, thus addressing a crucial aspect of cardiovascular health.
这篇全面的综述探讨了动脉粥样硬化的各种情况,动脉粥样硬化是一种系统性和慢性的动脉疾病,是大多数心血管疾病的基础。本文从其隐匿性发展的概述开始,通常在到达晚期之前无症状,深入探讨了动脉粥样硬化病变的病理生理演变,强调了炎症的核心作用。对临床表现的深入了解,包括心脏病发作和中风,突显了该疾病对全球健康的重大负担。重点介绍了颈动脉粥样硬化,阐明了其流行病学、临床意义以及与认知能力下降的关联。预防策略、生活方式改变、危险因素管理以及抗血栓治疗的细致考虑对于管理心血管并发症至关重要,因此解决了心血管健康的一个关键方面。