Cited by 249Cardiovascular Health and Disease PreventionNitric Oxide and Endothelin EffectsCardiac Imaging and Diagnostics

Endothelial dysfunction and coronary artery disease: assessment, prognosis, and treatment

Open access
Matsuzawa, Yasushi, Lerman, Amir·2014·Coronary Artery Disease

Abstract

Progress in the modification of conventional coronary risk factors and lifestyle behavior has reduced the incidence of atherosclerotic coronary artery disease; nonetheless, it continues to be the leading cause of mortality in the world. This might be attributed to the defective risk stratifying and prevention strategy for coronary artery disease. In the current clinical setting, atherosclerotic coronary artery disease risk is estimated on the basis of identifying and quantifying only traditional risk factors; it does not take into consideration nontraditional risk factors. In addition, most of the prevailing therapies for atherosclerosis are targeted toward traditional risk factors rather than atherosclerosis itself. It is desirable to develop a method that can directly assess the activity of atherogenesis at every moment. Endothelial function is an integrated index of all atherogenic and atheroprotective factors present in an individual including nontraditional factors and heretofore unknown factors, and it is reported to have additional predictive value for future cardiovascular events to traditional risk factors. Moreover, endothelial function has a pivotal role in all phases of atherosclerosis, from initiation to atherothrombotic complication, and is reversible at every phase, indicating that endothelial function-guided therapies might be effective and feasible in cardiovascular practice. Thus, the introduction of endothelial function testing into clinical practice might enable us to innovate individualized cardiovascular medicine. In this review, we summarize the current knowledge on the contribution of endothelial dysfunction to atherogenesis and review the methods that assess endothelial function. Finally, we focus on the effects of major antiatherosclerotic disease therapies on endothelial function and argue the possibility of noninvasive assessment of endothelial function aiming at individualized cardiovascular medicine.

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  • Minority stress theory offers a useful conceptual lens for adapting interventions for sexual minority men.

    “Minority stress theory (Hatzenbuehler, 2009; Meyer, 2003) offers a useful conceptual lens for adapting interventions for sexual minority men.”

    From Mindfulness for Reducing Minority Stress and Promoting Health Among Sexual Minority Men: Uncovering Intervention Principles and Techniques (2022) · cites this paper as Meyer, 2003

    The Therapeutic approaches section discusses interventions for atherosclerotic disease, not minority stress theory or interventions for sexual minority men. Searches for those terms and for Hatzenbuehler and Meyer found no passage addressing the claim in our copy; page numbers were unavailable. (LLM, conf=0.78)

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  1. [8]Reriani MK Flammer AJ Jama A Lerman LO Lerman A Novel Functional Risk Factors for the Prediction of Cardiovascular Events in Vulnerable Patients Following Acute Coronary Syndrome Circulation Journal 2012 76 778 783 22451445 PMC4064361

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Authors
Matsuzawa, Y., & Lerman, A.
Affiliations
Mayo Clinic (US)
Corresponding author
Lerman, Amir
Venue
Coronary Artery Disease
Published
2014-12
Volume
25
Issue
8
Pages
713-724
ISSN
0954-6928 (ISSN-L)
OpenAlex
W2081776702
Cited by
249
References
88
Citations by year
2026: 10 · 2025: 23 · 2024: 18 · 2023: 24 · 2022: 25 · 2021: 29 · 2020: 39 · 2019: 24 · 2018: 22 · 2017: 11 · 2016: 10 · 2015: 13
FWCI
1.83
Type
journal article
Language
en
Open access
Locations
  • Coronary Artery Disease (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (AG31750, R01AG031750)
  • National Heart, Lung, and Blood Institute (HL92954, R01HL092954)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
Keywords
endothelial dysfunction, endothelial function testing, atherosclerosis, atherogenesis, non-traditional risk factors, cardiovascular risk stratification, antiatherosclerotic therapy, atherothrombosis, cardiovascular risk prediction
MeSH terms
Animals, Coronary Artery Disease, Diagnostic Techniques, Cardiovascular, Endothelium, Vascular, Humans, Predictive Value of Tests, Prognosis, Risk Factors, Risk Assessment

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