Skip to main content

Intimal Thickening, Morphology and Epidemiology

  • Chapter

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 156))

Abstract

The idea that early structural changes in coronary arteries are precursors of adult atherosclerosis and eventual coronary heart disease (CHD) morbidity and mortality rests on a solid body of evidence. The function of the intimai smooth muscle cell (SMC) in atherogenesis is highly significant1. Intimai SMCs originate in the media. Proliferation of SMC and migration to the intima is the hallmark of the early stages of lesion formation. Nilsson and Nilsson outline in this book (Chapter 24) the embryonic development of the artery, the role of SMC in lesion formation, the modulation of SMC phenotype between the synthetic and contractile phenotypes and the factors that stimulate SMC growth. They discuss the response-to-injury theory as well as the alternative theory of monoclonal origin of SMC.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Wissler RW. The arterial medial cell: Smooth muscle or multifunctional mesenchyme? J Atheroscler Res. 1986;8:201–13.

    Article  Google Scholar 

  2. Dock W. The predilection of atherosclerosis for the coronary arteries. J Am Med Assoc. 1946;131:875–8.

    Article  PubMed  CAS  Google Scholar 

  3. Schornagel HE. Intimai thickening in the coronary arteries in infants. Arch Pathol. 1956;62:427–32.

    CAS  Google Scholar 

  4. Neufeld HN, Wagenwoort CA, Edwards JE. Coronary arteries in fetuses, infants, juveniles and young adults. Lab Invest. 1962;11:937–44.

    Google Scholar 

  5. Pesonen E, Norio R, Sarna S. Thickenings in the coronary arteries in infancy as an indication of genetic factors in coronary heart disease. Circulation. 1975;51:218–25.

    Article  PubMed  CAS  Google Scholar 

  6. Velican C, Velican D. Coronary arteries in infants up to the age of ten years. I. Chronology of adaptive intimai changes. Rev Roum Med Intern. 1975;13:19–24.

    PubMed  CAS  Google Scholar 

  7. Velican C, Velican D. Study of fibrous plaques occurring in the coronary arteries of children. Atherosclerosis. 1979;33:201–5.

    Article  PubMed  CAS  Google Scholar 

  8. Velican D, Velican C. Comparative study on age-related changes and atherosclerotic involvement of the coronary arteries of male and female subjects up to 40 years of age. Atherosclerosis. 1981;38:39–50.

    Article  PubMed  CAS  Google Scholar 

  9. Stary HC. Evolution and progression of atherosclerotic lesions in coronary arteries of children and young adults. Arteriosclerosis. 1989;9(suppl I):119–132.

    Google Scholar 

  10. Pesonen E, Norio R, Hirvonen J, et al. Intimai thickening in the coronary arteries of infants and children as an indicator of risk factors from coronary heart disease. Eur Heart J. 1990;11(Suppl E):53–60.

    Article  PubMed  Google Scholar 

  11. Vlodaver Z, Kahn HA, Neufeld HN. The coronary arteries in early life in three different ethnic groups. Circulation. 1969;39:541–9.

    Article  PubMed  CAS  Google Scholar 

  12. McGill HC Jr., Arias-Stella J, Carbonell LM, et al. General findings of the International Atherosclerosis Project. The geographic pathology of atherosclerosis, pp. 38–42. Lab Invest. 1968;18:498–502.

    Google Scholar 

  13. Tracy R, Kissling GE. Age and fibroplasia as preconditions for atheronecrosis in human coronary arteries. Arch Pathol Lab Med. 1987;111:957–63.

    PubMed  CAS  Google Scholar 

  14. Tracy RE, Kissling GE, Oalmann MC. Two variants of coronary atherosclerosis in six populations. Am J Public Health. 1989;79:575–81.

    Article  PubMed  CAS  Google Scholar 

  15. Tracy RE, Kissling GE. Comparisons of human populations for histologic features of atherosclerosis. Arch Pathol Lab Med. 1988;112:1056–65.

    PubMed  CAS  Google Scholar 

  16. Kaprio J, Norio R, Pesonen E, Sarna S. Intimai thickening of the coronary arteries in infants in relation to family history of coronary artery disease. Circulation. 1993;87:1960–8.

    Article  PubMed  CAS  Google Scholar 

  17. Benditt EP. Origins of human atherosclerotic plaques. The role of altered gene expression. Arch Pathol Lab Med. 1988;112:997–1001.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Goldbourt, U. (1994). Intimal Thickening, Morphology and Epidemiology. In: Goldbourt, U., de Faire, U., Berg, K. (eds) Genetic factors in coronary heart disease. Developments in Cardiovascular Medicine, vol 156. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1130-0_23

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-1130-0_23

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4494-3

  • Online ISBN: 978-94-011-1130-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics