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Published on: September 26, 2018
Obesity, hypertension and hypercholesterolemia as risk factors for atherosclerosis leading to ischemic events
Mia-Jeanne van Rooy, E Pretorius1
1Department of Physiology, Faculty of Health Sciences, University of Pretoria, Private Bag x323, ARCADIA 0007, South Africa. resia.pretorius@up.ac.za.
Insights
Atherosclerosis arises from a combination of risk factors like high cholesterol, hypertension, and inflammation, not a single cause. Understanding these interconnected factors is key to preventing cardiovascular and cerebral complications.
Area of Science:
- Cardiovascular Science
- Pathophysiology
- Medical Research
Background:
- Atherosclerosis is a prevalent arterial disease.
- It stems from vascular injury caused by hypercholesterolemia, hypertension, and inflammation.
- Obesity, hypertension, and hypercholesterolemia are key contributors.
Purpose of the Study:
- To review the role of various risk factors in atherosclerosis.
- To explore the interplay between inflammation, reactive oxygen species (ROS), and nitric oxide (NO).
- To discuss the link between risk factors and ischemic events.
Main Methods:
- Literature review of atherosclerosis risk factors.
- Analysis of the role of inflammation and oxidative stress.
- Correlation of inflammatory cytokines with risk factors.
Main Results:
- Atherosclerosis results from a combination of risk factors, not a single cause.
- Inflammation, ROS, and NO play critical roles in disease development.
- Risk factors contribute to ischemic events like stroke and myocardial infarction.
Conclusions:
- Atherosclerosis is a multifactorial disease involving complex physiological processes.
- Individual risk profiles are unique and dictate the likelihood of acute events.
- Managing combined risk factors is crucial for preventing atherosclerosis complications.
Abstract:
Atherosclerosis is a widespread disease of the arterial system that is generated by injury to the vasculature due to hypercholesterolemia, hypertension and inflammatory diseases. In the current review, we discuss the role of different risk factors, including obesity, hypertension and hypercholesterolemia in atherosclerosis, which may ultimately lead to either cardiovascular or cerebral complication. Inflammation plays a pivotal role in conjunction with obesity, hypertension and hypercholesterolemia in the etiology of atherosclerosis. We discuss the role of inflammation with regards to reactive oxygen species (ROS) linked to the specific risk factors. The role of nitric oxide (NO) in conjunction with ROS is also important. Correlations of inflammatory cytokines and their functions in the mentioned risk factors are also discussed. The risk factors may ultimately lead to ischemic events, including transient ischemic attacks (TIAs), thrombotic stroke and myocardial infarction. Importantly, it seems as if there is a combination of pathophysiological triggers that may eventually result in atherosclerosis. Therefore, atherosclerosis is not the result of only one risk factor, but a combination of various physiological processes such as homeostasis and the inflammatory response. Ultimately, each patient's risk profile is unique and determines their immediate risk for acute thrombotic events or lethal ischemia.
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