PubMed · 6910666
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
R H Seville, E Martin. Leg ulcers.. https://pubmed.ncbi.nlm.nih.gov/6910666/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
Major risk factors for coronary heart disease are also associated with early carotid artery thickening, but no studies have yet examined patterns of risk factors to see whether they differ for the two outcomes. Assuming similar pathogenesis for both coronary and carotid atherosclerosis, one could interpret risk factor pattern differences as relating to differences in staging, i.e., early atheroma versus later stenotic or occlusive atherothrombosis. This study included 12,193 Atherosclerosis Risk in Communities Study participants aged 45-64 years who were free of clinical cardiovascular disease in 1987-1989, in whom 420 myocardial infarctions or coronary heart disease deaths occurred over the next 6 years. Plasma low density lipoprotein cholesterol, systolic blood pressure, and smoking were major risk factors for both outcomes. Compared with these factors, triglycerides and high density lipoprotein (HDL) cholesterol were associated only weakly with carotid atherosclerosis but were associated strongly with coronary heart disease incidence. No other risk factors, including those associated with diabetes mellitus, hemostasis, and inflammation, differed in their relative contribution to the two outcomes. These results suggest that the high triglyceride-low HDL cholesterol pattern is involved in the transition from atheroma to atherothrombosis, and that control of this pattern may be important in persons with detectable subclinical disease.
It is generally recognized that the initial step in the formation of atherosclerotic plaque in humans involves the peroxidation of low density lipoproteins (LDL). However, there is no agreement on the mechanism that initiates peroxidation. Among the candidates are several that involve tyrosyl radical, nitrogen oxide, and superoxide ion or their mutual reaction products. In this paper a kinetic model of this system is constructed that examines the nature of these reactions, and places some constraints on their possible overall contribution to the initiation of peroxidation. The reversible reaction of nitric oxide and tyrosyl radical acts to "buffer" tyrosyl radical concentrations while the reaction of tyrosyl radical with superoxide ion scavenges tyrosyl radical. Quantitatively, the reaction of nitric oxide with superoxide to form peroxynitrite is a more important process, but the physiological significance would appear to be related to details of the decay of peroxynitrite that are still in dispute.
Explore the source record for details and available documents.