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Physical activity, smoking, and lipids could modulate immune status and thus individual susceptibility to acute, reactivated, or persistent infections that are potentially important in atherogenesis (4,22,79). Found inside"What is this cholesterol?" In this book entitled "Cholesterol- Good, Bad, and the Heart" now you got the answers given by the experts in the field. The Azithromycin in Coronary Artery Disease: Elimination of Myocardial Infection with Chlamydia (ACADEMIC) study. Demonstration of cytomegalovirus nucleic acids in the coronary arteries of transplanted hearts. Potential for antimicrobial resistance in Chlamydia pneumoniae. Atherosclerosis is a disease in which plaque builds up inside your arteries. Different techniques have detected viral antigens and nucleic acids in 0% to 94% of plaques (mean 40%-50%, usually localized to the periphery of advanced plaques), but also in most of the uninvolved arteries from the same patients and >50% of random arterial specimens (14,54,65). Differing disease classifications (based on histopathology of vascular surgery, general autopsy or atherectomy specimens, angiography, noninvasive carotid imaging, or clinical history) and epidemiologic methods (small sample sizes, diminished statistical significance after data adjustment, nonuniform consideration of other risk factors) also limit interpretation (14,53,55). Nutritional effects on atherosclerosis also extend beyond hypercholesterolemia, hypertriglyceridemia, and obesity. Learn more about causes, risk factors, screening and prevention, signs and symptoms, diagnoses, and treatments for atherosclerosis, and how to participate in clinical trials. However, results of antioxidant vitamin supplementation on reduction of atherosclerotic risk have generally proven disappointing (85,86). These findings do not confirm pathogenesis, but do highlight the possibility of synergy between organisms or a cumulative infectious effect in atherogenesis. Found insideIn the 13 chapters, this book sheds light on the different aspects related to pathophysiology and clinical aspects of CKD, providing interesting insights into not only inflammation and cardiovascular risk but also the interplay of hormones ... For example, a recent prospective cohort related expression of antibodies against several pathogens to MI or death in patients with angiographically documented coronary artery disease (80). Results are conflicting even in prospective, nested case-control investigations focused on but not limited to male Caucasians. Randomized secondary prevention trial of azithromycin in patients with coronary artery disease. News-Medical.Net provides this medical information service in accordance Risk Factors. ; Incidence - high in developed countries and low in Africa, Asia, Central and south America A prospective study of the impact of community-based azithromycin therapy on trachoma carriage and resistance of S. pneumoniae. Nonetheless, an indirect role for H. pylori in the pathogenesis of atherosclerosis has not been disproved. Furthermore, conventional risk factors may not have the same causal effect in different ethnic groups in whom novel risk factors may have a role. 10 Tips for Living With Atrial Fibrillation, Unexpected Heart Attack Triggers You Should Know, Coronary Artery Disease Illustrated Guide. Coronary artery disease in association with depression or anxiety among patients undergoing angiography to investigate chest pain. This new edition is an integral source of information covering topics such as newer coronary risk factors, high-density lipoprotein metabolism, lipid-lowering drugs, endothelium and thrombosis in atherogenesis, and contributing risk factors ... The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Research must also address interactions between infection, traditional risk factors, and other determinants of host susceptibility, such as gender and nutrition, in multifactorial atherosclerotic CVD (7,22,79,96). Although environmental factors such as diet or smoking play an important role in atherosclerosis development, genetic factors represent consequential determinant of atherosclerotic cardiovascular disease risk. Risk factors may include high cholesterol and triglyceride levels, high blood pressure, smoking, diabetes, obesity, physical activity, and eating saturated fats. Richard Stein, MD, national spokesman, American Heart Association; professor of medicine and director of urban community cardiology program, New York University School of Medicine, New York. Nonetheless, studies of the vascular biology of infection clearly demonstrate that agents such as C. pneumoniae and CMV can elicit potentially pathogenic functions of vascular wall cells and leukocytes in atheromata, supporting the hypothesis that such infections may potentiate atherosclerotic CVD. Circulating Chlamydia pneumoniae DNA as a predictor of coronary artery disease. Tanaka et al . We aimed to provide the age-specific and sex-specific prevalence of carotid atherosclerosis, establish the main risk factors for carotid atherosclerosis, estimate the global number of people living with carotid atherosclerosis from 2000 to 2020, and generate the regional number of people affected by carotid atherosclerosis in 2015, the most . A new California law will stop that. You have more than a 7½% chance of a heart attack in the next decade. Furthermore, the role of antioxidants and medicinal herbs in Over 30 peer-reviewed publications from investigators worldwide, using different diagnostic methods, have localized C. pneumoniae antigen, DNA, or both in atheromata; three reports did not find such components (8,27,28). may recommend a medical procedure or surgery, such as angioplasty, bypass grafting, or carotid artery surgery. You and your doctor should have an aggressive plan to cut your risk. Step 1: High-Risk Criteria: History of ASCVD History of ASCVD History of acute coronary syndrome (ACS), myocardial infarction (MI), stable angina, coronary/other arterial revascularization, stroke, transient ischemic attack, or Peripheral Arterial Disease (PAD) from atherosclerosis Lines of evidence associating C. pneumoniae with atherosclerosis include seroepidemiologic studies, direct detection of bacterial components in atherosclerotic lesions, occasional isolation of viable organisms from coronary and carotid atheromatous tissue, and in vitro and animal experiments (reviewed in 8,9,13,14). However, the true links between oral bacteria and atherosclerotis are still to be determined, requiring further laboratory and carefully adjusted clinical studies. Do antimicrobials increase the carriage rate of penicillin resistant pneumococci in children? The book concludes by describing apractical approach to investigating patients with stroke for underlying genetic disorders. Also included is a list of useful websites. Behavioral research exploring the role of psychological stress factors, social support networks, stressful life events, and the Type AlB behavior patterns has uncovered poten tially meaningful associations between behavioral factors and ... While CMV infection of rats several months preceding or during balloon injury to the carotid artery augmented neointimal thickening (54,71), infection 14 days after injury did not (72). Atherosclerosis: Cellular, Molecular & Biochemical Mechanism and Novel Therapy analyses recent progress from both conceptual and technological perspectives, suggesting new directions for atherosclerosis research and treatment for a growing ... Nonmodifiable. These conditions are known as risk factors. Atherosclerosis 3 Risk Factors (non-modifiable) advancing age male gender family history-dad or brother (male one degree relative) less than or equal to 55 years old diagnosis-mom or sister (female one degree relative) less than or equal to 65 years old diagnosis. Host defenses to extravascular infections usually elicit proinflammatory cytokines and stimulate increased expression of cellular adhesion molecules, enhancing leukocyte adhesion. Age. Association of serology with the endovascular presence of Chlamydia pneumoniae and cytomegalovirus with coronary artery and vein graft disease. Don’t smoke, either. In the future, more sensitive and specific assays, including microarray technologies (e.g., pathogen-specific identification chip) may also enhance specimen analysis (21). Medicine, such as aspirin or statins, can be prescribed to reduce the risk of a heart attack and to treat the risk factors the patient has. In this book, the authors present current research in the study of the risk factors, prevention and treatment of atherosclerosis. High levels of CRP are a sign of inflammation in the body. Atherosclerosis can cause a heart attack, stroke, aneurysm . The role of Chlamydia pneumoniae in cardiovascular disease. HSP-60 can induce proinflammatory activities in macrophages and vascular cells (e.g., endothelium, smooth muscle cells) and promote oxidation of lipoproteins by macrophages (10,40). Chlamydia pneumoniae induces inflammatory changes in hearts and aortas of C57BL/6J mice. Inappropriate antimicrobial therapy, however, could accelerate development of resistance in both associated and nontargeted organisms, without changing disease outcomes. This book reviews recent findings that allow physicians to identify and manage children and adolescents who are at the highest risk for the development of premature cardiovascular disease in later life. Found inside – Page 12SUMMARY Atherosclerosis is a progressive disease that begins as a ... Glasser SP, Selwyn AP, Ganz P. Atherosclerosis: risk factors and the vascular ... You will be subject to the destination website's privacy policy when you follow the link. Prospective study of herpes simplex virus, cytomegalovirus, and the risk of future myocardial infarction and stroke. Rheumatoid arthritis (RA) is a common systemic autoimmune disease characterized by increased cardiovascular morbidity. In C57BL/6J mice fed a high-fat, high-cholesterol diet, C. pneumoniae infection accelerated the development of atherosclerotic lesions in the aortic sinus (44,47). Who's at risk for atherosclerosis? Scientists continue to study other possible risk factors for atherosclerosis and have found that high levels of a protein called C-reactive protein (CRP) in the blood may raise the risk for atherosclerosis and heart attack - high levels of CRP are proof of inflammation in the body which is the body's response to injury or infection - damage to the arteries' inner walls appears to trigger inflammation and help plaque grow. Download. Found insideFeatures information on today's hot topics, including the use of novel imaging modalities in diagnosis and treatment and emerging therapies to improve outcomes in chronic CAD. Scientists continue to study other possible risk factors for atherosclerosis. Found insideThe underlying mechanisms behind aging has long been a great scientific mystery that the biomedical research community has long studied. Although detection rates have varied depending on the diagnostic methods used, the cumulative evidence supports existence of the organism in many lesions (8,27). Diet and Health examines the many complex issues concerning diet and its role in increasing or decreasing the risk of chronic disease. Multiple infections in carotid atherosclerotic plaques. For example, the prospective, nested Atherosclerosis Risk in Communities Study found no association between incident CHD and preexisting HSV-1 antibodies (57). "Athero " means " gruel or porridge" and "sclerosis" means " hardening ". Commentary: adjustment for potential confounders may have been taken too far. We undertook a cross-sectional study to evaluate the association between previously . Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, What You Should Know About COVID-19 Vaccines, Colon Cancer Hits Black Men, Young Adults More, FDA: COVID Vaccines for Kids, Boosters & Treatments, Moving the Needle: Getting the Unvaccinated Vaccinated, Health News and Information, Delivered to Your Inbox, What Raises Your Chances of Atherosclerosis, Click to view privacy policy and trust info. Indeed, as the interrelationships of smoking, C. pneumoniae infection, socioeconomic status, and atherosclerotic CVD are further investigated, epidemiologists continue to discuss which data adjustments are most appropriate (16-19). Intranasal inoculation of apolipoprotein E-deficient mice fed a regular chow diet accelerated aortic arch plaque development (45); similar changes occurred in low-density lipid receptor-deficient mice on a high-cholesterol regime but not those on a regular diet (46). Being male is also a strong risk factor for the . Chlamydial genomics and vaccine antigen discovery. Please use the form below to submit correspondence to the authors or contact them at the following address: Siobhán O'Connor; Centers for Disease Control and Prevention, 1600 Clifton Rd. Viruses and atherosclerosis: a critical review of the epidemiologic evidence. Atherosclerosis. Only four studies did not confirm this association, including two recent, large, well-controlled investigations in which anti-C. pneumoniae immunoglobulin (Ig) G titers did not correlate prospectively with risk for coronary events in men or women (18,23-25). Cross-sectional prevalence study. Risk Factors. People with low CRP levels may get atherosclerosis at a slower rate than people with high CRP levels and research is currently under way to establish whether reducing inflammation and lowering CRP levels also can reduce the risk of atherosclerosis. Chlamydia pneumoniae infection accelerates the progression of atherosclerosis in ApoE-deficient mice. Based on your results, you'll fit in one of three categories: Low risk: You have less than a 5% chance of having a heart attack in the next 10 years. Public health officials, laboratory investigators, and clinicians participating in two 1988 workshops emphasized that deficiencies in these tools weaken conclusions (22,79). Presenting further studies in the prevention and treatment of coronary artery disease, this book brings together the knowledge accrued in the past decade concerning the role of immunity in the initiation and perpetuation of atherosclerosis. Found insideThe book provides a much needed reference for this rapidly growing field of study. Additionally, the prospective Atherosclerosis Risk in Communities Study correlated IgG titers >1:64 with incident CHD, but the relationship did not persist after the data were adjusted for several cardiovascular risk factors (26). Atherosclerosis is narrowing of the arteries due to plaque buildup. The following discussion provides a foundation for future studies. Over time, plaque hardens and narrows your arteries. Stress - research shows that the most commonly reported "trigger" for a heart attack is an emotionally upsetting event-particularly one involving anger. Infection of human endothelial cells augments their production of inflammatory cytokines and modulates expression of adhesion molecules, enhancing recruitment of inflammatory leukocytes to the vessel wall (8,37,38). The effect of long-term supplementation with antioxidants. The more risk factors you have, the more likely it is that you'll develop atherosclerosis. Family history of premature cardiovascular disease. In this study we aimed to review the mechanism of atherosclerosis and its risk factors, focusing on new findings in atherosclerosis markers and its risk factors. Pathogens potentially associated with CVD include Porphyromonas gingivalis, Bacteroides forsythus, Campylobacter rectus, Fusobacterium nucleatum, Treponema spp., and Prevotella species. Atherosclerosis, a major component of CVD, has properly been considered a public health problem of industrialized countries, accounting for an estimated one third of deaths overall (1). Risk factors of atherosclerosis range from unavoidable genetic conditions or comorbidities, to environmental factors, to modifiable lifestyle behaviors. Experimental studies demonstrate that infection can stimulate atherogenic processes. Cigarette smoking (smoking potentiates the other risk factors) Diabetes (patients with diabetes mellitus have an increased amount of atherosclerosis at a younger age) C-reactive protein level (this is a serum marker of inflammation; the higher the level, the greater the risk for atherosclerosis) Lesser or uncertain risk factors The presence of risk factors accelerates the rate of development of atherosclerosis. Lesions resembling human atheromata developed in pathogen-free chickens infected with Marek disease virus, an avian herpesvirus; immunization with turkey herpesvirus was protective. In addition, the relationship between cardiovascular risk factors and the elevated CRP in albino rats at the risk of atherosclerosis fed with high cholesterol were determined. A family history of atherosclerosis or heart disease. Some scientists think that certain risk factors may be associated with atherosclerosis, including: Elevated cholesterol and triglyceride levels. The book and DVD package is designed to provide comprehensive coverage of every aspect of cardiovascular medicine. The book has consistent chapter organization relevant to modern cardiovascular practice, clear design and engaging text. Risk Factor. O'Connor, S., Taylor, C., Campbell, L., Epstein, S., & Libby, P. (2001). In the United States alone, atherosclerosis reportedly affects one in four persons, causing approximately 42% of all deaths. Found inside – Page iiThis book provides new perspectives on the pathogenesis of atherosclerosis. By making blood less likely to clot, aspirin reduces the chances of having a heart attack among men and women with coronary artery disease or those with significant risk factors for it. If you have severe atherosclerosis, your doctor . INTRODUCTION. As emphasized at a 1998 National Institutes of Health workshop, research on associations between infection and atherosclerotic CVD must consider the coinfluence of multiple infectious agents (79). Age gives the most points. In vitro observations support a potential etiologic role for CMV in atherosclerotic CVD. Smoking —Includes cigarettes, cigars, and second hand smoke. Heart Disease: What Are the Medical Costs? High levels of a protein called C-reactive protein (CRP) in the blood may raise the risk for atherosclerosis and heart attack. Furthermore, C. pneumoniae heat shock protein (HSP-60) can activate both macrophage tumor necrosis factor-alpha and expression of matrix-degrading proteinases that may weaken atherosclerotic plaques, rendering them susceptible to rupture and hence thrombosis. Sex. If evidence substantiates a link between infection and atherosclerotic CVD, targeted antimicrobial therapy might mitigate atherosclerosis in persons at risk; controlling infections might decrease the impact of disease. Adding to the ambiguity, human studies have focused on late-stage atherothrombotic disease, while animal studies have concentrated on earlier stages of atherogenesis (i.e., initiation). Despite improved yields, culture of C. pneumoniae from atheromata remains difficult (8,13,29). Several previous studies assessed associations between common atherosclerotic genetic risk factors and subclinical atherosclerosis (SA) in RA patients, yet most of them gave negative results. Reports of viral nucleic acids in post-transplantation arteriosclerotic lesions, using different techniques, are not uniform (62,63,67,68). Insulin resistance - Insulin is a hormone that helps move blood sugar into cells where it's used and insulin resistance occurs when the body cannot use its own insulin properly. Chlamydia pneumoniae, herpes simplex virus type 1, and cytomegalovirus and incident myocardial infarction and coronary heart disease death in older adults: The Cardiovascular Health Study. Thus, the need for public health measures to limit its impact is expanding worldwide. Atherosclerosis: cell biology and proteins. Results will soon be available from prospective clinical trials that critically examine whether macrolide antibiotic therapy reduces recurrent coronary events or modifies CHD. Coronary Artery Disease Coronary artery disease after heart transplantation and its relation to cytomegalovirus. Baseline IgG antibody titers to Chlamydia pneumoniae, Helicobacter pylori, herpes simplex virus, and cytomegalovirus and the risk for cardiovascular disease in women.

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