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Hypertension as a risk factor for atherosclerosis: Cardiovascular risk assessment
Anastasia V Poznyak1, Nikolay K Sadykhov2, Andrey G Kartuesov3
1Institute for Atherosclerosis Research, Moscow, Russia.
Insights
Hypertension, or high blood pressure, is a major modifiable risk factor for atherosclerosis, a precursor to cardiovascular diseases. This review summarizes current data on hypertension
Area of Science:
- Cardiovascular Science
- Pathophysiology
- Public Health
Background:
- Atherosclerosis is a primary precursor to cardiovascular diseases (CVD), contributing significantly to morbidity and mortality.
- While atherosclerosis pathogenesis is known, its precise trigger mechanism remains an area requiring further elucidation.
- Numerous risk factors exist, including permanent (age, genetics) and modifiable factors like tobacco use, inactivity, poor diet, obesity, type 2 diabetes (T2D), dyslipidemia, and hypertension.
Purpose of the Study:
- To review and synthesize current data on hypertension as a critical risk factor for atherosclerosis development.
- To examine the role of hypertension in atherogenesis and discuss associated risk assessment strategies.
Main Methods:
- Literature review focusing on studies investigating hypertension and atherosclerosis.
- Synthesis of data regarding hypertension's impact on atherogenesis and risk stratification.
Main Results:
- Hypertension is identified as the most prevalent modifiable risk factor for atherosclerosis.
- High blood pressure is extensively studied and recognized as a key contributor to the development of atherosclerosis.
- The review consolidates information on hypertension's role in atherosclerosis and its implications for risk assessment.
Conclusions:
- Hypertension significantly contributes to atherosclerosis development and is a primary target for CVD prevention.
- Understanding hypertension's role is crucial for accurate atherosclerosis risk assessment and management.
- Further research into the precise mechanisms linking hypertension to atherogenesis is warranted.
Abstract:
Atherosclerosis is a predecessor of numerous cardiovascular diseases (CVD), which often lead to morbidity and mortality. Despite the knowledge of the pathogenesis of atherosclerosis, an essential gap in our understanding is the exact trigger mechanism. A wide range of risk factors have been discovered; however, a majority of them are too general to clarify the launching mechanism of atherogenesis. Some risk factors are permanent (age, gender, genetic heritage) and others can be modified [tobacco smoking, physical inactivity, poor nutrition, high blood pressure, type 2 diabetes (T2D), dyslipidemia, and obesity]. All of them have to be taken into account. In the scope of this review, our attention is focused on hypertension, which is considered the most widespread among all modifiable risk factors for atherosclerosis development. Moreover, high blood pressure is the most investigated risk factor. The purpose of this review is to summarize the data on hypertension as a risk factor for atherosclerosis development and the risk assessment.
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