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Treating ambulatory ischemia in coronary disease by manipulating the cell biology of atherosclerosis.
Orford, J L; Kinlay, S; Ganz, P; Selwyn, A P.
Afiliación
  • Orford JL; Cardiac Catheterization Laboratory Office L2-296, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Curr Atheroscler Rep ; 2(4): 321-6, 2000 Jul.
Article en En | MEDLINE | ID: mdl-11122761
Obstructive coronary artery disease is the most common cause of morbidity and mortality in the developed world. Our understanding of the pathobiology of coronary atherosclerosis provides us with new opportunities to reduce myocardial ischemia by interventions that address these mechanisms directly. These interventions include lipid-lowering therapies that improve local coronary vasomotion, inflammation, and the procoagulant state. These interventions have also been shown to result in important reductions in clinical events, including angina pectoris, myocardial ischemia and infarction, and death. Ambulatory electrocardiography provides a versatile and quantifiable measure of regional myocardial ischemia. Reductions in ischemia, as quantified by this diagnostic modality, are associated with improved clinical outcomes that may reflect improvements in the cellular pathophysiology of coronary atherosclerosis. This review discusses new information regarding the interactions between low-density lipoprotein cholesterol, the cell biology of atherosclerosis, and the activity of ischemia in patients with coronary artery disease.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Isquemia Miocárdica / Anticolesterolemiantes Tipo de estudio: Diagnostic_studies / Etiology_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Curr Atheroscler Rep Asunto de la revista: ANGIOLOGIA Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Isquemia Miocárdica / Anticolesterolemiantes Tipo de estudio: Diagnostic_studies / Etiology_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Curr Atheroscler Rep Asunto de la revista: ANGIOLOGIA Año: 2000 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos