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Circulation. 2005;111:363-368
doi: 10.1161/01.CIR.0000153339.27064.14
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(Circulation. 2005;111:363-368.)
© 2005 American Heart Association, Inc.


Contemporary Reviews in Cardiovascular Medicine

Endothelial Function

Cardiac Events

Amir Lerman, MD; Andreas M. Zeiher, MD

From the Division of Cardiovascular Disease and Department of Internal Medicine, Mayo College of Medicine, Rochester, Minn (A.L.) and the Division of Cardiovascular Diseases and Department of Internal Medicine, Goethe-University Frankfurt am Main, Germany (A.M.Z.).

Correspondence to Amir Lerman, MD, Division of Cardiovascular Disease and Department of Internal Medicine, Mayo College of Medicine, 200 First St SW, Rochester, MN 55902. E-mail lerman.amir@mayo.edu


An extract of the first 250 words of the full text is provided, because this article has no abstract.
 


*    Introduction
 
A growing body of evidence suggests that endothelial dysfunction is associated with cardiovascular events. Endothelial dysfunction can be regarded as a syndrome that exhibits systemic manifestations associated with significant morbidity and mortality. The concept of endothelial dysfunction should be extended beyond the conduit vessels into the vascular wall and even to the bone marrow and the progenitor endothelial cells. The present review is focused on the potential underlying mechanism by which endothelial dysfunction may contribute to cardiovascular events. The assessment of endothelial function may emerge as an integral adjuvant test for evaluation of the vulnerable patients at risk for future cardiovascular events.


*    Background
 
Atherosclerosis is a chronic, systemic, and diffuse disease with focal complications in different vascular beds. The mechanisms by which a specific site is rendered more prone to the development of symptomatic disease and cardiovascular events are not known. The observation that all stages of atherosclerosis may be at distant and at multiple locations simultaneously but at the same time may spare entire segments may give rise to the hypothesis that the interface and interaction between the vascular wall and the circulation is the primary site of the mechanism underlying cardiovascular events.1

The endothelium is the monolayer of endothelial cells lining the lumen of the vascular beds and is mechanically and metabolically strategically located, separating the vascular wall from the circulation and the blood components.1,2 To fully understand the mechanism by which alteration in endothelial function may lead to cardiovascular events, we need to extend our vision and concepts . . . [Full Text of this Article]




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