Emerging Trends in Atherosclerosis: Time to Address Atherosclerosis From a Younger Age

Yazan Almohtasib1, Andrew J Fancher2, Khalid Sawalha3

  • 1Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, USA.

Cureus
|April 22, 2024
PubMed

Insights

Cardiovascular disease (CVD) research reveals atherosclerosis is driven by oxidation and inflammation, not just lipids. Alarming trends show CVD and atherosclerosis are increasingly prevalent in younger individuals, necessitating further investigation.

Area of Science:

  • Cardiovascular Medicine
  • Atherosclerosis Research
  • Inflammation and Oxidation Biology

Background:

  • Traditional understanding of atherosclerosis focused on lipid accumulation and plaque rupture.
  • Emerging evidence implicates oxidation and inflammation as key drivers of atherosclerotic plaque progression.
  • Atherosclerosis was historically considered a disease of older adults, but is now recognized as increasingly prevalent in younger populations.

Purpose of the Study:

  • To review the evolving understanding of atherosclerosis mechanisms.
  • To investigate the rising incidence of cardiovascular disease (CVD) and atherosclerosis in younger individuals.
  • To explore potential reasons for this trend and discuss management strategies.

Main Methods:

  • Literature review of recent research on atherosclerosis.
  • Analysis of epidemiological data on CVD and atherosclerosis incidence in different age groups.
  • Synthesis of current knowledge on inflammatory and oxidative pathways in atherogenesis.

Main Results:

  • Atherosclerosis pathogenesis is more complex than the lipid-only theory, involving oxidative stress and inflammatory processes.
  • Significant and increasing prevalence of atherosclerosis and CVD events observed in younger patient populations.
  • The acceleration of atherosclerosis in younger individuals presents a growing public health concern.

Conclusions:

  • The paradigm of atherosclerosis has shifted towards a multifactorial disease involving lipids, oxidation, and inflammation.
  • The increasing incidence of CVD in younger individuals requires urgent attention and further research into underlying causes.
  • Understanding these evolving trends is crucial for developing effective prevention and treatment strategies for all age groups.

Related Concept Videos

Inflammation01:38

Inflammation

Overview
53.4K
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.3K
Aging01:26

Aging

Aging is a complex biological phenomenon influenced by various processes that affect cellular and systemic functions. Several prominent theories attempt to explain its mechanisms, highlighting cellular limitations, oxidative damage, and hormonal changes as central factors in aging.
Cellular Clock Theory
The cellular clock theory posits that the human lifespan is closely tied to the finite capacity of cells to divide, a phenomenon governed by telomeres, which are protective caps at the ends of...
49
The Effect of Aging on Tissues01:19

The Effect of Aging on Tissues

Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
2.1K
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
30
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
3.2K