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May 29, 2026European Heart Journal336 citationsOpen Access

Endothelial dysfunction over the course of coronary artery disease

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EGEnrique GutiérrezAFAndreas J. FlammerLLLilach O. Lerman

Key Result

Endothelial dysfunction is closely related to atherosclerosis and constitutes an intermediate step in the progression to adverse events throughout the natural history of coronary artery disease.

Key Points

  • This review examines the relationship between endothelial dysfunction and the progression of coronary artery disease (CAD).
  • Synthesis of existing literature on endothelial dysfunction and CAD progression.
  • Evaluation of the prognostic implications of endothelial dysfunction in clinical practice.
  • Analysis of the role of endothelial function from early atherosclerosis to post-transplant management.
  • Endothelial dysfunction correlates with the progression of atherosclerosis and adverse clinical events.
  • It plays a significant role throughout the natural history of CAD.
  • Insights into endothelial function can enhance clinical and research approaches to CAD management.

Structured PICO

P
Population
Patients across the natural history of coronary artery disease (CAD), from early atherosclerosis to post-transplant management

This review highlights the pathophysiological and prognostic role of endothelial dysfunction throughout the natural history of coronary artery disease.

Abstract

The vascular endothelium regulates blood flow in response to physiological needs. Endothelial dysfunction is closely related to atherosclerosis and its risk factors, and it constitutes an intermediate step on the progression to adverse events throughout the natural history of coronary artery disease (CAD), often affecting clinical outcomes. Understanding the relation of endothelial function with CAD provides an important pathophysiological insight, which can be useful both in clinical and research management. In this review, we summarize the current knowledge on endothelial dysfunction and its prognostic influence throughout the natural history of CAD, from early atherosclerosis to post-transplant management.

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Cite This Study

Gutiérrez et al. (2013) conducted a review in Coronary artery disease. Endothelial dysfunction is closely related to atherosclerosis and constitutes an intermediate step in the progression to adverse events throughout the natural history of coronary artery disease.

synapsesocial.com/papers/6a1a02cb9dc5faccca0f4a0ehttps://doi.org/10.1093/eurheartj/eht351
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