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Diabetes and Atherosclerosis

  • Maria F. Lopes-Virella
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Macrovascular disease is the leading cause of mortality and morbidity in diabetes. Virtually all large vessels are involved, and clinical manifestations result from the narrowing and thrombosis of coronary, cerebral, and peripheral vessels. The study of factors that may uniquely contribute to the accelerated development of atherosclerosis in diabetes has been an ongoing process for several years. The concepts behind both the pathogenic mechanisms of atherosclerosis and the trigger mechanisms that lead to acute clinical events have, however, drastically changed in the last two decades. Arteriosclerosis is not now considered a degenerative process that inevitably progresses with age, but as a chronic inflammatory process that can be converted into an acute cardiovascular event by plaque rupture or erosion. The mechanisms that lead not only to plaque formation, but also to plaque erosion or rupture are now being actively studied (Fig. 1).

Keywords

Glycemic Control Foam Cell Formation Plasma Fibrinogen Level Human Vascular Endothelial Cell Acute Clinical Event 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer Science+Business Media New York 2001

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  • Maria F. Lopes-Virella

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