Peripheral arterial occlusive disease as predictor of high atherosclerotic burden

被引:0
作者
Espinola-Klein, C. [1 ]
Vosseler, M. [1 ]
Abegunewardene, N. [1 ]
Himmrich, L. [1 ]
Schlosser, A. [2 ]
Schuster, C. -J.
机构
[1] Johannes Gutenberg Univ Mainz, Univ Med, Zentrum Kardiol Kardiol 1, Langenbeckstr 1, D-55131 Mainz, Germany
[2] Helios Klinikum Erfurt, Gefasszentrum Angiol, Erfurt, Germany
关键词
Vessel tree; Polyvascular atherosclerosis; Inflammation; Anticoagulation; Cardiovascular prognosis; CARDIOVASCULAR RISK; IMPACT; PREVALENCE; MONOCYTES; OUTCOMES; ASPIRIN; TRIAL; CELLS;
D O I
10.1007/s00059-018-4774-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atherosclerosis is a disease which affects the whole arterial vascular tree. In particular patients with peripheral arterial occlusive disease (PAOD) often suffer from additional atherosclerotic manifestations in other vascular territories. This has adirect impact on cardiovascular prognosis. Atherosclerosis is an inflammatory disease. A high inflammatory burden is associated with polyvascular atherosclerosis and also with the occurrence of cardiovascular events. Control of cardiovascular risk factors is crucial for the treatment of patients with polyvascular atherosclerosis. In addition, anticoagulation treatment is very important in patients with atherosclerosis. Moreover, exercise training is an important treatment option in PAOD patients not only to improve walking distance but also for multiple additional positive effects. So far the role of anti-inflammatory treatment is not clear and must be further elaborated by future clinical research.
引用
收藏
页码:40 / 44
页数:5
相关论文
共 26 条
  • [1] 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in collaboration with the European Society for Vascular Surgery (ESVS)
    Aboyans, Victor
    Ricco, Jean-Baptiste
    Bartelink, Marie-Louise E. L.
    Bjorck, Martin
    Brodmann, Marianne
    Cohnert, Tina
    Collet, Jean-Philippe
    Czerny, Martin
    De Carlo, Marco
    Debus, Sebastian
    Espinola-Klein, Christine
    Kahan, Thomas
    Kownator, Serge
    Mazzolai, Lucia
    Naylor, A. Ross
    Roffi, Marco
    Roether, Joachim
    Sprynger, Muriel
    Tendera, Michal
    Tepe, Gunnar
    Venermo, Maarit
    Vlachopoulos, Charalambos
    Desormais, Ileana
    [J]. EUROPEAN HEART JOURNAL, 2018, 39 (09) : 763 - +
  • [2] Three-year follow-up and event rates in the international REduction of Atherothrombosis for Continued Health Registry
    Alberts, Mark J.
    Bhatt, Deepak L.
    Mas, Jean-Louis
    Ohman, E. Magnus
    Hirsch, Alan T.
    Roether, Joachim
    Salette, Genevieve
    Goto, Shinya
    Smith, Sidney C., Jr.
    Liau, Chiau-Suong
    Wilson, Peter W. F.
    Steg, Ph. Gabriel
    [J]. EUROPEAN HEART JOURNAL, 2009, 30 (19) : 2318 - 2326
  • [3] Rivaroxaban with or without aspirin in patients with stable peripheral or carotid artery disease: an international, randomised, double-blind, placebo-controlled trial
    Anand, Sonia S.
    Bosch, Jackie
    Eikelboom, John W.
    Connolly, Stuart J.
    Diaz, Rafael
    Widimsky, Peter
    Aboyans, Victor
    Alings, Marco
    Kakkar, Ajay K.
    Keltai, Katalin
    Maggioni, Aldo P.
    Lewis, Basil S.
    Stoerk, Stefan
    Zhu, Jun
    Lopez-Jaramillo, Patricio
    O'Donnell, Martin
    Commerford, Patrick J.
    Vinereanu, Dragos
    Pogosova, Nana
    Ryden, Lars
    Fox, Keith A. A.
    Bhatt, Deepak L.
    Misselwitz, Frank
    Varigos, John D.
    Vanassche, Thomas
    Avezum, Alvaro A.
    Chen, Edmond
    Branch, Kelley
    Leong, Darryl P.
    Bangdiwala, Shrikant I.
    Hart, Robert G.
    Yusuf, Salim
    [J]. LANCET, 2018, 391 (10117) : 219 - 229
  • [4] Association of Statin Dose With Amputation and Survival in Patients With Peripheral Artery Disease
    Arya, Shipra
    Khakharia, Anjali
    Binney, Zachary O.
    DeMartino, Randall R.
    Brewster, Luke P.
    Goodney, Philip P.
    Wilson, Peter W. F.
    [J]. CIRCULATION, 2018, 137 (14) : 1435 - 1446
  • [5] Baigent C, 2002, BMJ-BRIT MED J, V324, P71, DOI 10.1136/bmj.324.7329.71
  • [6] International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis
    Bhatt, DL
    Steg, PG
    Ohman, EM
    Hirsch, AT
    Ikeda, Y
    Mas, JL
    Goto, S
    Liau, CS
    Richard, AJ
    Röther, J
    Wilson, PWF
    Andersen-Dalheim, H
    Anderson, P
    Anell, B
    Arber, S
    Armstrong, K
    Arnot, D
    Baldam, A
    Barratt, I
    Barresi, S
    Beder, J
    Benson, M
    Bergman, F
    Best, J
    Bhasim, R
    Bovell, G
    Bowman, N
    Brkic, M
    Bromberger, D
    Brown, D
    Brown, J
    Brownstein, M
    Bruce, A
    Buonopane, J
    Burns, S
    Butler, A
    Byrne, D
    Carson, J
    Cassimatis, P
    Chaffey, G
    Chambers, D
    Chan, WJ
    Chan, B
    Cheatham, J
    Chen, R
    Cheong, B
    Cheung, C
    Chin, J
    Chiu, A
    Choo, E
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 295 (02): : 180 - 189
  • [7] Low-Density Lipoprotein Cholesterol Lowering With Evolocumab and Outcomes in Patients With Peripheral Artery Disease: Insights From the FOURIER Trial (Further Cardiovascular Outcomes Research With PCSK9 Inhibition in Subjects With Elevated Risk)
    Bonaca, Marc P.
    Nault, Patrice
    Giugliano, Robert P.
    Keech, Anthony C.
    Pineda, Armando Lira
    Kanevsky, Estella
    Kuder, Julia
    Murphy, Sabina A.
    Jukema, J. Wouter
    Lewis, Basil S.
    Tokgozoglu, Lale
    Somaratne, Ransi
    Sever, Peter S.
    Pedersen, Terje R.
    Sabatine, Marc S.
    [J]. CIRCULATION, 2018, 137 (04) : 338 - 350
  • [8] High prevalence of peripheral arterial disease and co-morbidity in 6880 primary care patients: cross-sectional study
    Diehm, C
    Schuster, A
    Allenberg, JR
    Darius, H
    Haberl, R
    Lange, S
    Pittrow, D
    von Stritzky, B
    Tepohl, G
    Trampisch, HJ
    [J]. ATHEROSCLEROSIS, 2004, 172 (01) : 95 - 105
  • [9] Supervised exercise training in peripheral arterial disease increases vascular shear stress and profunda femoral artery diameter
    Dopheide, Joern F.
    Rubrech, Jennifer
    Trumpp, Amelie
    Geissler, Philipp
    Zeller, Geraldine C.
    Schnorbus, Boris
    Schmidt, Frank
    Gori, Tommaso
    Muenzel, Thomas
    Espinola-Klein, Christine
    [J]. EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, 2017, 24 (02) : 178 - 191
  • [10] Change of walking distance in intermittent claudication: impact on inflammation, oxidative stress and mononuclear cells: a pilot study
    Dopheide, Joern F.
    Scheer, Martin
    Doppler, Christopher
    Obst, Viviane
    Stein, Pamela
    Vosseler, Markus
    Abegunewardene, Nico
    Gori, Tommaso
    Muenzel, Thomas
    Daiber, Andreas
    Radsak, Markus P.
    Espinola-Klein, Christine
    [J]. CLINICAL RESEARCH IN CARDIOLOGY, 2015, 104 (09) : 751 - 763