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Published on: February 20, 2019
Atherosclerosis from Newborn to Adult-Epidemiology, Pathological Aspects, and Risk Factors.
Alina Costina Luca1, Simona Georgiana David2, Alexandru Gabriel David2
1Pediatrics Department, "Grigore T. Popa" University of Medicine and Pharmacy, 700115 Iasi, Romania.
Atherosclerosis, a chronic inflammatory disease, begins in childhood and is a major cause of cardiovascular disease deaths. Early identification of risk factors like dyslipidemia and obesity in children is crucial for prevention.
Area of Science:
- Cardiovascular Medicine
- Pediatric Pathology
- Immunology
Background:
- Cardiovascular disease (CVD) is the leading global cause of mortality, with atherosclerosis underlying most cases.
- Atherosclerosis is a chronic, immune-inflammatory process initiating in childhood with fatty streaks and progressing to complex plaques.
- Plaque rupture leading to coronary thrombosis is a common cause of CVD mortality, with increasing global prevalence.
Purpose of the Study:
- To review the current understanding of atherosclerosis origin and progression in childhood.
- To identify known risk factors for atherosclerotic cardiovascular disease in pediatric populations.
Main Methods:
- This review synthesizes information from epidemiological studies and existing literature.
- Focuses on the early pathological changes and identified risk factors in children.
Main Results:
- Atherosclerosis begins in childhood, characterized by lipid and inflammatory cell accumulation in arteries.
- Key risk factors identified include dyslipidemia, hypertension, diabetes mellitus, obesity, and smoking.
- These factors contribute to the early pathogenic foundation for atherosclerosis.
Conclusions:
- Atherosclerosis is an early-onset disease with significant long-term cardiovascular implications.
- Understanding childhood risk factors is essential for preventing adult cardiovascular disease.
- Further research and early intervention strategies are needed for pediatric populations.
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