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The Artery and the Process of Arteriosclerosis

Measurement and Modification

  • Stewart Wolf

Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 16B)

Table of contents

  1. Front Matter
    Pages i-xvii
  2. Marcel Vastesaeger
    Pages 1-20
  3. Stewart Wolf
    Pages 93-118
  4. Stewart Wolf
    Pages 119-149
  5. Stewart Wolf
    Pages 151-169
  6. Stewart Wolf
    Pages 171-188
  7. Stewart Wolf
    Pages 189-212
  8. Stewart Wolf
    Pages 213-275
  9. Back Matter
    Pages 283-337

About this book

Introduction

Substantial progress toward reconciling disparate theories of the pathogenesis of arteriosclerosis was recorded in Volume I of this book. the proceedings of an interdisciplinary workshop conference held at Lindau. Germany, April 19-25, 1970. Strong evidence was ad­ duced that the early stages of arteriosclerosis consist of intimal proliferation similar to that associated with the increase in arteri­ al size and caliber that characterizes normal growth. The findings described recall a theory proposed by Richard Thoma (Thoma and Kaefer, 1889) of Heidelberg toward the end of the nineteenth century. He sug­ gested that the pathogenesis of arteriosclerosis began with intimal thickening that was initially adaptive. Past a certain point, how­ ever, the thickening compromised the nutrition of the artery wall, leading inevitably to degenerative changes. In 1944 Hueper (Hueper, 1944), reemphasized the threat to the nu­ tritional support of the artery and proposed that the many etiologic factors capable of inducing arterial atheroma did so through the final common pathway of interfering with oxidative mechanisms in the vessel wall. Thus, it is proposed that arteriosclerosis is basically an aspect of the "behavior" of the artery. The nature of the lesion, therefore, depends more on the biochemical and structural response capabilities of the tissue itself than on the characteristics of the various etiologic agents. The idea that arteriosclerosis begins as uncontrolled or disturbed adaptive behavior was shared by Duff and also by Winternitz (Duff, 1954; Winternitz, 1954).

Keywords

arteriosclerosis artery behavior drugs growth nutrition pathogenesis proliferation sudden cardiac death tissue

Editors and affiliations

  • Stewart Wolf
    • 1
    • 2
  1. 1.The University of Texas Medical BranchUniversity of Texas SystemGalvestonUSA
  2. 2.The Marine Biomedical InstituteGalvestonUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-1-4615-8225-0
  • Copyright Information Springer-Verlag US 1972
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-1-4615-8227-4
  • Online ISBN 978-1-4615-8225-0
  • Series Print ISSN 0065-2598
  • Buy this book on publisher's site
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