Management of Coronary Artery Diseases in Systemic Vasculitides: Complications and Strategies
Coronary artery disease (CAD) presents a significant risk for patients with systemic vasculitides, a group of disorders characterized by the inflammation of blood vessels. In this review, we focus on the pathophysiological mechanisms, complications, and management strategies for CAD in systemic vasc...
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Published in | Medicina (Kaunas, Lithuania) Vol. 60; no. 10; p. 1574 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
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01.10.2024
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Abstract | Coronary artery disease (CAD) presents a significant risk for patients with systemic vasculitides, a group of disorders characterized by the inflammation of blood vessels. In this review, we focus on the pathophysiological mechanisms, complications, and management strategies for CAD in systemic vasculitides. We highlight how the inflammatory processes inherent in vasculitis contribute to accelerated atherosclerosis and myocardial ischemia. Key strategies in managing CAD in this patient population include using medicine treatments to mitigate vascular inflammation while balancing the risk of promoting cardiovascular events and lifestyle modifications. Understanding the nuanced relationship between systemic vasculitides and CAD is crucial for improving patient outcomes and guiding therapeutic approaches. |
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AbstractList | Coronary artery disease (CAD) presents a significant risk for patients with systemic vasculitides, a group of disorders characterized by the inflammation of blood vessels. In this review, we focus on the pathophysiological mechanisms, complications, and management strategies for CAD in systemic vasculitides. We highlight how the inflammatory processes inherent in vasculitis contribute to accelerated atherosclerosis and myocardial ischemia. Key strategies in managing CAD in this patient population include using medicine treatments to mitigate vascular inflammation while balancing the risk of promoting cardiovascular events and lifestyle modifications. Understanding the nuanced relationship between systemic vasculitides and CAD is crucial for improving patient outcomes and guiding therapeutic approaches. Coronary artery disease (CAD) presents a significant risk for patients with systemic vasculitides, a group of disorders characterized by the inflammation of blood vessels. In this review, we focus on the pathophysiological mechanisms, complications, and management strategies for CAD in systemic vasculitides. We highlight how the inflammatory processes inherent in vasculitis contribute to accelerated atherosclerosis and myocardial ischemia. Key strategies in managing CAD in this patient population include using medicine treatments to mitigate vascular inflammation while balancing the risk of promoting cardiovascular events and lifestyle modifications. Understanding the nuanced relationship between systemic vasculitides and CAD is crucial for improving patient outcomes and guiding therapeutic approaches.Coronary artery disease (CAD) presents a significant risk for patients with systemic vasculitides, a group of disorders characterized by the inflammation of blood vessels. In this review, we focus on the pathophysiological mechanisms, complications, and management strategies for CAD in systemic vasculitides. We highlight how the inflammatory processes inherent in vasculitis contribute to accelerated atherosclerosis and myocardial ischemia. Key strategies in managing CAD in this patient population include using medicine treatments to mitigate vascular inflammation while balancing the risk of promoting cardiovascular events and lifestyle modifications. Understanding the nuanced relationship between systemic vasculitides and CAD is crucial for improving patient outcomes and guiding therapeutic approaches. |
Audience | Academic |
Author | Shumnalieva, Russka Chervenkov, Lyubomir Bakopoulou, Konstantina Mileva, Niya Velikova, Tsvetelina Padjen, Ivan Siliogkas, Periklis Kaouri, Issa El Vasilska, Anna Miteva, Dimitrina Vassilev, Dobrin |
AuthorAffiliation | 9 Faculty of Medicine, Medical University Sofia, Boulevard ‘Akademik Ivan Evstratiev Geshov’ 15, 1431 Sofia, Bulgaria; 104170@students.mu-sofia.bg (K.B.); 104166@students.mu-sofia.bg (I.E.K.) 7 Department of Diagnostic Imaging, Medical University Plovdiv, Bul. Vasil Aprilov 15A, 4000 Plovdiv, Bulgaria; lyubo.ch@gmail.com (L.C.); anna.95@abv.bg (A.V.) 8 Research Complex for Translational Neuroscience, Medical University of Plovdiv, Bul. Vasil Aprilov 15A, 4002 Plovdiv, Bulgaria 10 Department of Genetics, Faculty of Biology, Sofia University “St. Kliment Ohridski”, 8 Dragan Tzankov Str., 1164 Sofia, Bulgaria 11 Ruse University Angel Kanchev, ul. “Studentska” 8, 7017 Ruse, Bulgaria; dobrinv@gmail.com 6 General Hospital of Athens Korgialeneio—Benakeio Hellenic Red Cross, Athanasaki 11, 11526 Athens, Greece; periaek1@gmail.com 1 Department of Rheumatology, Clinic of Rheumatology, University Hospital St. Ivan Rilski, Urvich Str. 13, 1612 Sofia, Bulgaria; rshumnalieva@yahoo.com 3 Medical Faculty, So |
AuthorAffiliation_xml | – name: 2 Faculty of Medicine, Medical University of Sofia, Urvich Str. 13, 1612 Sofia, Bulgaria – name: 3 Medical Faculty, Sofia University, St. Kliment Ohridski, 1 Kozyak Str., 1407 Sofia, Bulgaria; d.georgieva@biofac.uni-sofia.bg – name: 4 Cardiology Department, SHATC Medica Cor, Riga Str. 35, 7013 Ruse, Bulgaria; nmileva91@gmail.com – name: 9 Faculty of Medicine, Medical University Sofia, Boulevard ‘Akademik Ivan Evstratiev Geshov’ 15, 1431 Sofia, Bulgaria; 104170@students.mu-sofia.bg (K.B.); 104166@students.mu-sofia.bg (I.E.K.) – name: 11 Ruse University Angel Kanchev, ul. “Studentska” 8, 7017 Ruse, Bulgaria; dobrinv@gmail.com – name: 7 Department of Diagnostic Imaging, Medical University Plovdiv, Bul. Vasil Aprilov 15A, 4000 Plovdiv, Bulgaria; lyubo.ch@gmail.com (L.C.); anna.95@abv.bg (A.V.) – name: 6 General Hospital of Athens Korgialeneio—Benakeio Hellenic Red Cross, Athanasaki 11, 11526 Athens, Greece; periaek1@gmail.com – name: 5 Division of Clinical Immunology and Rheumatology, Department of Internal Medicine, School of Medicine, University of Zagreb, University Hospital Centre Zagreb, Kispaticeva 12, 10000 Zagreb, Croatia; ivan_padjen@yahoo.ca – name: 8 Research Complex for Translational Neuroscience, Medical University of Plovdiv, Bul. Vasil Aprilov 15A, 4002 Plovdiv, Bulgaria – name: 1 Department of Rheumatology, Clinic of Rheumatology, University Hospital St. Ivan Rilski, Urvich Str. 13, 1612 Sofia, Bulgaria; rshumnalieva@yahoo.com – name: 10 Department of Genetics, Faculty of Biology, Sofia University “St. Kliment Ohridski”, 8 Dragan Tzankov Str., 1164 Sofia, Bulgaria |
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Keywords | coronary artery disease immunosuppressive therapy percutaneous coronary intervention systemic vasculitides cardiovascular complications coronary artery bypass grafting personalized medicine |
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SubjectTerms | Atherosclerosis Blood vessels cardiovascular complications Cardiovascular disease Care and treatment Clinical outcomes Complications and side effects coronary artery bypass grafting coronary artery disease Coronary Artery Disease - complications Coronary Artery Disease - physiopathology Coronary heart disease Coronary vessels Cytokines Drug therapy Heart Heat shock proteins Humans immunosuppressive therapy Inflammation Ischemia Kawasaki disease Leukocytes Lymphocytes Medical Subject Headings-MeSH Mortality Myocarditis Neutrophils Pathogenesis Patients percutaneous coronary intervention Review Risk factors Smooth muscle systemic vasculitides Systemic Vasculitis - complications Systemic Vasculitis - physiopathology Thromboembolism Vasculitis Vein & artery diseases |
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Title | Management of Coronary Artery Diseases in Systemic Vasculitides: Complications and Strategies |
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