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动脉粥样硬化血栓形成因素的相互作用与动脉粥样硬化性心血管疾病的演变态势:近期研究的全面见解

The Interplay of Atherothrombotic Factors and the Evolving Landscape of Atherosclerotic Cardiovascular Disease: Comprehensive Insights from Recent Studies.

作者信息

Alrahimi Jamilah, Ahmed Fatima Ali, Atar Dan

机构信息

Department of Cardiac Science, King AbdulAziz Medical City - Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia; College of Medicine, King Saud bin AbdulAziz University for Health, Jeddah, Saudi Arabia.

Department of Cardiac Science, King AbdulAziz Medical City - Ministry of National Guard Health Affairs, King Abdullah International Medical Research Center, Jeddah, Saudi Arabia.

出版信息

Anatol J Cardiol. 2024 Jul 16;28(8):375-80. doi: 10.14744/AnatolJCardiol.2024.4632.

Abstract

The aim of the current work is to present a thorough recapitulation of the emerging understanding of atherosclerotic cardiovascular disease and recommending avenues for future studies. Cardiovascular diseases (CVDs) remain a leading cause of global morbidity and mortality, influenced by a complex interplay of genetic, environmental, and atherothrombotic factors. Atherosclerosis, a multifaceted and dynamic process, is at the core of many CVDs. Recent studies have shed light on the multilayered nature of atherosclerosis and cardiovascular risk, emphasizing the need for a nuanced understanding of these diseases across different populations and disease mechanisms. This review synthesizes findings from 6 pivotal studies, shedding light on the intricate mechanisms underlying atherosclerotic cardiovascular events, the evolving understanding of atherosclerosis, and the potential pathways to attempt implementation in clinical practice. Insights into atherothrombotic factors, the role of macrophages, and the implications of aortic enlargement and coronary artery calcification underscore the complexity of CVD pathogenesis and highlight the need for comprehensive strategies in diagnosis, treatment, and prevention.

摘要

当前工作的目的是全面概括对动脉粥样硬化性心血管疾病的新认识,并推荐未来研究的方向。心血管疾病(CVD)仍然是全球发病和死亡的主要原因,受遗传、环境和动脉粥样硬化血栓形成因素的复杂相互作用影响。动脉粥样硬化是一个多方面的动态过程,是许多心血管疾病的核心。最近的研究揭示了动脉粥样硬化和心血管风险的多层次性质,强调需要对不同人群和疾病机制中的这些疾病有细致入微的理解。本综述综合了6项关键研究的结果,揭示了动脉粥样硬化性心血管事件背后的复杂机制、对动脉粥样硬化的不断演变的认识以及在临床实践中尝试实施的潜在途径。对动脉粥样硬化血栓形成因素、巨噬细胞的作用以及主动脉扩张和冠状动脉钙化的影响的见解强调了心血管疾病发病机制的复杂性,并突出了在诊断、治疗和预防方面采取综合策略的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df2/11317781/3eb785ccff2d/ajc-28-8-375_f001.jpg

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