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Updated: Aug 10, 2026

Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
Published on: December 7, 2013
Atherosclerosis and myocardial lesions in subjects dying from fresh cerebrovascular disease
Insights
Cerebral haemorrhage shows significantly lower aortic calcification and myocardial scarring compared to cerebral infarct. Both conditions had low coronary artery disease markers, but less severe in cerebral haemorrhage.
Area of Science:
- Cardiovascular Pathology
- Neuropathology
- Epidemiology
Background:
- Cerebral haemorrhage and cerebral infarct are distinct cerebrovascular events.
- Understanding their underlying cardiovascular pathology is crucial for risk stratification and prevention.
Purpose of the Study:
- To compare the extent of aortic and coronary artery calcification, myocardial scarring, and raised lesions between deaths due to cerebral haemorrhage and cerebral infarct.
- To investigate the association of these pathologies with other causes of death.
Main Methods:
- Analysis of autopsy data, considering age, sex, geographical distribution, obesity, and cause of death.
- Quantitative assessment of aortic calcification, myocardial scars, coronary calcification, stenosis, and raised lesions.
Main Results:
- Aortic calcification was significantly lower in cerebral haemorrhage deaths compared to cerebral infarct deaths.
- Myocardial scarring was less prevalent in cerebral haemorrhage deaths than in cerebral infarct deaths.
- Coronary artery disease markers (calcification, stenosis, fresh infarction) were low in both, but lower in cerebral haemorrhage.
Conclusions:
- Cerebral haemorrhage is associated with a lower burden of aortic and coronary atherosclerosis and myocardial damage compared to cerebral infarct.
- These findings suggest distinct underlying pathogenetic mechanisms for these two cerebrovascular events.
Abstract:
TAKING INTO ACCOUNT AGE, SEX, GEOGRAPHICAL DISTRIBUTION, OBESITY, AND ASSOCIATED CAUSE OF DEATH, IT WAS CONCLUDED THAT: (1) the extent of aortic calcification was much lower in cerebral haemorrhage than in cerebral infarct. In deaths due to cerebral haemorrhage aortic calcification was at about the same level as in those due to cancer of the stomach, while in deaths due to cerebral infarct it was at the same level as in those due to coronary heart disease; (2) the prevalence of large myocardial scar was low in deaths due to cerebral haemorrhage (at about the same level as in those due to prostatic cancer), while in deaths due to cerebral infarct it was more frequent (at the same level as in deaths due to diabetes); (3) the extent of coronary calcification and prevalence of coronary stenosis and fresh myocardial infarction were low in the cerebral haemorrhage and cerebral infarct deaths, but a little lower in the former; and (4) the extent of raised lesions of the aorta and coronary arteries was similar in the cerebral haemorrhage and cerebral infarct deaths, the level of aortic lesions being high and overlapping in level with those in the coronary heart disease and hypertensive deaths, and the levels of coronary lesions being much lower and well below those in the coronary and diabetic hypertensive deaths.
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