Cited by 162Acute Ischemic Stroke ManagementNitric Oxide and Endothelin EffectsCardiovascular Health and Disease Prevention

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Vascular mechanisms in the pathogenesis of stroke.

Sierra, Cristina, Coca, Antonio, Schiffrin, Ernesto L.·2011·Current Hypertension Reports

DOI 10.1007/s11906-011-0195-x

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Abstract

Stroke is one of the most devastating manifestations of two common diseases, atherosclerosis and hypertension. It represents the second leading cause of death and a major cause of disability worldwide. Besides age (a nonmodifiable risk factor), hypertension is the most important cardiovascular risk factor for developing both ischemic and hemorrhagic stroke, as well as small vessel disease predisposing to lacunar infarction, white matter lesions, and cerebral microbleeds. In addition, hypertension predisposes to atherosclerosis and cardiac diseases (notably atrial fibrillation), thereby promoting cerebral embolism. Inflammatory mechanisms play a central role in the pathogenesis and progression of atherosclerosis, plaque rupture, thrombosis, and stroke. Endothelial dysfunction, in part resulting from excessive production of reactive oxygen species, is an important mechanism of cerebrovascular damage. This article reviews recent data on vascular mechanisms that participate in the pathogenesis of stroke.

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Authors: Sierra, C., Coca, A., & Schiffrin, E. L.
Affiliations: Jewish General Hospital (CA)
Corresponding author: Schiffrin, Ernesto L.
ORCID: Sierra, Cristina
Schiffrin, Ernesto L.
Venue: Current Hypertension Reports
Publisher: Springer Science and Business Media LLC
Published: 2011-02-18
Volume: 13
Issue: 3
Pages: 200-207
ISSN: 1522-6417 (ISSN-L)
1534-3111
DOI: 10.1007/s11906-011-0195-x
OpenAlex: W2084617860
Cited by: 162
References: 53
Citations by year: 2026: 10 · 2025: 9 · 2024: 14 · 2023: 11 · 2022: 12 · 2021: 16 · 2020: 5 · 2019: 8 · 2018: 10 · 2017: 10 · 2016: 7 · 2015: 6 · 2014: 11 · 2013: 14 · 2012: 15
FWCI: 1.65
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: Current Hypertension Reports (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords: stroke pathogenesis, vascular mechanisms, hypertension, atherosclerosis, ischemic stroke, hemorrhagic stroke, cerebral small vessel disease, lacunar infarction, white matter lesions, cerebral microbleeds, atrial fibrillation, cerebral embolism, inflammation, endothelial dysfunction, reactive oxygen species, thrombosis, plaque rupture
MeSH terms: Aging, Cardiovascular Diseases, Endothelium, Vascular, Humans, Hypertension, Infections, Inflammation, Risk Factors, Biomarkers, Oxidative Stress, Stroke

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