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Atheroscleritis is a more rational term for the pathological entity currently known as atherosclerosis
1Benmin Hospital, Wuhan University School of Medicine, Wuhan 430060, PR China. lijnjn@yahoo.com.cn
Insights
Atherosclerosis, characterized by plaque buildup, involves inflammation. Researchers propose renaming it "atheroscleritis" to better reflect its inflammatory nature and guide treatment strategies.
Area of Science:
- Cardiovascular Medicine
- Pathology
- Medical Terminology
Background:
- Atheroma, a term from 1755, described arterial plaque.
- Atherosclerosis, proposed in 1940, better describes plaque's dual nature: a lipid core (atheroma) and a fibrous shell (sclerosis).
- While multifactorial, the exact causes of atherosclerosis remain incompletely understood.
Purpose of the Study:
- To review the historical nomenclature of arterial plaque.
- To highlight the critical role of inflammation in atherosclerosis.
- To propose a new name, "atheroscleritis," to accurately represent the disease's inflammatory basis.
Main Methods:
- Historical literature review of medical terminology.
- Synthesis of current research on atherosclerosis pathogenesis.
- Analysis of the inflammatory component in disease development and progression.
Main Results:
- Evidence strongly implicates inflammation in all stages of atherosclerosis.
- Anti-inflammatory strategies, like statins, show promise.
- Existing nomenclature does not fully capture the disease's inflammatory core.
Conclusions:
- Inflammation is an intrinsic and central process in atherosclerosis.
- The proposed term "atheroscleritis" offers a more precise description.
- Accurate nomenclature can improve understanding and therapeutic approaches to cardiovascular disease.
Abstract:
The term "atheroma", a Latin word was first used in 1755 by Albrecht von Halles to designate the plaque deposited on the innermost layer of systemic artery walls. In 1940, however, Félix Marchand suggested the word "atherosclerosis" should be better instead of "atheroma", which is derived from two Greek roots: athéré means gruel or porridge and sclerosis signifies hardening. It is obviously an improvement over the older designation arteriosclerosis. Atherosclerosis is still used up to data because it describes the two components of plaque: the lipid-filled core of atheroma encased in a shell of sclerosis or fibrosis, which presents the feature of atherosclerotic structure. Although atherosclerosis has been considered to be multi-factorial disease in which genetic, environmental, metabolic factors have been implicated, the gaps remain in our knowledge of the etiopathogenesis of atherosclerosis. More recently, there is mounting evidence that inflammation plays an important role in the initiation, development as well as evolution of atherosclerosis. The data from animals as well as humans indicated that an inflammatory process was involved in all stages of atherosclerosis appeared in different clinical settings, including atheromatous development, plaque rupture, restenotic process. The anti-inflammatory approach has been showed as one of the most promising strategies for atherosclerosis, such as statin intervention. Based on evidence and in light of the new understanding that inflammation is an intrinsic part of the process, we would like to propose a further change of nomenclature, call the disease atheroscleritis.
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