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Published on: January 28, 2020
Novel Inflammatory Indices in Aortic Disease
Manolis Vavuranakis1, Maria Kariori, Dimitrios Vrachatis
11st Department of Cardiology, Hippokration Hospital, Medical School, National & Kapodistrian, University of Athens, Greece. vavouran@otenet.gr.
Insights
Inflammation is key in atherosclerosis and aortic diseases like valve stenosis and aneurysms. Identifying easily measurable inflammatory biomarkers is crucial for early diagnosis and understanding disease mechanisms.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Pathophysiology
Background:
- Inflammation is a critical factor in atherosclerosis, influencing endothelial dysfunction and plaque development.
- The role of inflammation in other cardiovascular diseases, particularly aortic diseases, requires further investigation.
- Aortic valve stenosis and aortic aneurysms are linked to inflammation and carry high morbidity and mortality rates.
Purpose of the Study:
- To highlight the importance of inflammation in aortic diseases.
- To emphasize the need for easily measurable inflammatory biomarkers for aortic diseases.
- To facilitate the understanding of molecular and cellular mechanisms underlying aortic disease development.
Main Methods:
- Review of existing literature on inflammation in cardiovascular diseases.
- Analysis of the role of inflammatory processes in the pathogenesis of aortic valve stenosis and aortic aneurysms.
- Discussion on the potential of inflammatory biomarkers for early diagnosis and risk stratification.
Main Results:
- Inflammation is integral to the development and progression of atherosclerosis and aortic diseases.
- Current biomarkers for aortic diseases with prognostic value for survival are limited.
- Identifying specific inflammatory markers could improve early detection and risk assessment.
Conclusions:
- Inflammation is a fundamental component of aortic diseases, including aortic valve stenosis and aneurysms.
- There is a critical need for novel, easily measurable biomarkers to assess inflammation in aortic diseases.
- Understanding inflammatory mechanisms can provide a pathophysiological basis for early diagnosis and improved patient outcomes.
Abstract:
Inflammation plays a critical role in the atherosclerotic process in various vascular beds, starting from endothelial dysfunction and counting all stages of plaque development. The significant contribution of inflammation in the initiation and progression of atherosclerosis has been documented over many years but its contribution to the development of other cardiovascular disease remains unclear. Inflammatory process constitutes a basic part of pathogenic cascade of aortic diseases including those of aortic valve stenosis and aortic aneurysms. Thus, both of these entities are related with high rates of morbidity and mortality. Therefore, the need to detect and investigate indices representative of inflammation that will be easily measured and may reflect the process of these diseases, is mandatory. However, such biomarkers for aortic diseases that could have a significant prognostic value on survival via the early identification of high risk patients, in general, remain few. Therefore, the illumination of role of such biomarkers, will facilitate the understanding of the mechanisms in molecular and/or cellular level that are responsible for the creation of aortic disease. Such an approach may provide a pathophysiological basis for early diagnosis.
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