1. Chronic Inflammatory Diseases and Endothelial Dysfunction
- Author
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Vera Bogdanova and Xavier Castellon
- Subjects
0301 basic medicine ,Cardiovascular risk factors ,Inflammation ,Review Article ,030204 cardiovascular system & hematology ,medicine.disease_cause ,Pathology and Forensic Medicine ,03 medical and health sciences ,0302 clinical medicine ,Renin–angiotensin system ,medicine ,Endothelial dysfunction ,Pathological ,business.industry ,Cell Biology ,medicine.disease ,030104 developmental biology ,medicine.anatomical_structure ,Subclinical atherosclerosis ,Immunology ,Neurology (clinical) ,Geriatrics and Gerontology ,medicine.symptom ,business ,Oxidative stress ,Artery - Abstract
Chronic inflammatory diseases are associated with increases in cardiovascular diseases (CVD) and subclinical atherosclerosis as well as early-stage endothelial dysfunction screening using the FMD method (Flow Mediated Dilation). This phenomenon, referred to as accelerated pathological remodeling of arterial wall, could be attributed to traditional risk factors associated with atherosclerosis. Several new non-invasive techniques have been used to study arterial wall's structural and functional alterations. These techniques (based of Radio Frequency, RF) allow for an assessment of artery age through calculations of intima-media thickness (RF- QIMT), pulse wave rate (RF- QAS) and endothelial dysfunction degree (FMD). The inflammatory and autoimmune diseases should now be considered as new cardiovascular risk factors, result of the major consequences of oxidative stress and RAS (Renin Angiotensin System) imbalance associated with the deleterious effect of known risk factors that lead to the alteration of the arterial wall. Inflammation plays a key role in all stages of the formation of vascular lesions maintained and exacerbated by the risk factors. The consequence of chronic inflammation is endothelial dysfunction that sets in and we can define it as an integrated marker of the damage to arterial walls by classic risk factors. The atherosclerosis, which develops among these patients, is the main cause for cardiovascular morbi-mortality and uncontrolled chronic biological inflammation, which quickly favors endothelial dysfunction. These inflammatory and autoimmune diseases should now be considered as new cardiovascular risk factors.
- Published
- 2016