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Updated: Jul 19, 2025

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
Published on: April 27, 2016
Hypertension and Dyslipidemia: the Two Partners in Endothelium-Related Crime
Edyta Dąbrowska1, Krzysztof Narkiewicz2,3
1Center of Translational Medicine, Medical University of Gdańsk, Dębinki 7, 80-952, Gdańsk, Poland. edabrowska@gumed.edu.pl.
Insights
Endothelial dysfunction is central to hypertension and dyslipidemia, increasing atherosclerosis risk. Novel therapies targeting endothelial pathways and advanced diagnostics show promise for managing these conditions.
Area of Science:
- Cardiovascular Medicine
- Endothelial Biology
- Metabolomics
Background:
- Hypertension and dyslipidemia, known as silent killers, significantly increase atherosclerosis risk.
- Endothelial cell dysfunction is a shared pathophysiological mechanism underlying both hypertension and dyslipidemia.
- This dysfunction involves dysregulation of homeostasis, redox balance, vascular tone, inflammation, and thrombosis.
Purpose of the Study:
- To characterize the endothelium's role in hypertension and dyslipidemia development.
- To identify promising therapeutic strategies targeting endothelial dysfunction.
- To explore the impact of recent advancements in diagnostics and bioinformatics.
Main Methods:
- Review of current literature on endothelial function in hypertension and dyslipidemia.
- Analysis of metabolomic research identifying novel therapeutic targets.
- Evaluation of state-of-the-art diagnostic and risk stratification approaches.
Main Results:
- Endothelial dysfunction is a key factor linking hypertension and dyslipidemia, exacerbating atherosclerosis.
- Metabolomic studies have uncovered new therapeutic targets for these conditions.
- Integrated approaches using clinical data, imaging, omics, and AI enhance patient risk stratification and treatment.
Conclusions:
- Targeting mediators of endothelial dysfunction presents a promising therapeutic avenue.
- Novel endothelial biomarkers and bioinformatics offer new perspectives for patient management.
- Understanding endothelial pathomechanisms is crucial for combating hypertension and dyslipidemia.
Purpose Of Review:
The goal of this article is to characterize the endothelium's role in the development of hypertension and dyslipidemia and to point out promising therapeutic directions.
Recent Findings:
Dyslipidemia may facilitate the development of hypertension, whereas the collaboration of these two silent killers potentiates the risk of atherosclerosis. The common pathophysiological denominator for hypertension and dyslipidemia is endothelial cell dysfunction, which manifests as dysregulation of homeostasis, redox balance, vascular tone, inflammation, and thrombosis. Treatment focused on mediators acting in these processes might be groundbreaking. Metabolomic research on hypertension and dyslipidemia has revealed new therapeutic targets. State-of-the-art solutions integrating interview, clinical examination, innovative imaging, and omics profiles along with artificial intelligence have been already shown to improve patients' risk stratification and treatment. Pathomechanisms underlying hypertension and dyslipidemia take place in the endothelium. Novel approaches involving endothelial biomarkers and bioinformatics advances could open new perspectives in patient management.
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