Pathogenesis, prevention and treatment of peripheral artery disease
Journal Title: Annales Academiae Medicae Silesiensis - Year 2014, Vol 68, Issue 6
Abstract
The aim of the article is to present an overview of recent findings on the etiology, pathogenesis and methods of diagnosis and treatment of atherosclerosis and a chosen specific syndrome caused by this polyvascular disease. The author considers pathogenic mechanisms like cellular dysfunction, inflammation and coagulation disorders and also inquires about the primary cause of endothelium damage. The links between the state of vascular endothelium and lifestyle are emphasized. The author notes that the primary causes of endo-thelial damage should be traced, as originally suggested many years ago to such factors as heightened anger, hostility, aggression, impulsiveness and depression. The author points out that lipid abnormalities are associated with the occurrence of vascular endothelial inflammation. It is highlighted that even though the family predisposition to the disease has long been known – genetic studies have failed to identify critical gene variants and that the notion of so-called "missing heredity" should be noted. The author also accentuates that determining socalled classical risk factors does not enable reliable prediction of the disease and there-fore many researchers are looking for s-called novel biomarkers. The performed discussion on the specific features of peripheral arterial disease makes physicians aware how to combine treatment of the generalized disease with proceedings indicated for particular local lesions. Apart from pharmacological and surgical procedures, the recent attempts to stimulate the development of collateral vessels are interesting. The considerations and conclusions present-ed in this overview seem of great importance for the prevention and treatment of peripheral artery disease.
Authors and Affiliations
Andrzej Brodziak
Keywords
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