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February 20, 1986New England Journal of Medicine4,916 citations

The Pathogenesis of Atherosclerosis — An Update

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RRRussell RossLiving Streets

Key Points

  • The review aims to summarize recent hypotheses and findings regarding the mechanisms of atherosclerosis.
  • Conducted a literature review on atherosclerosis pathogenesis.
  • Discussed various hypotheses and key events in atherogenesis.
  • Emphasized the role of smooth-muscle proliferation in advanced lesions.
  • Highlight the response-to-injury hypothesis as a key initiation event in atherosclerosis.
  • Reiterate the significance of intimal smooth-muscle proliferation in lesion development.

Abstract

CARDIOVASCULAR disease remains the chief cause of death in the United States and Western Europe, and atherosclerosis, the principal cause of myocardial and cerebral infarction, accounts for the majority of these deaths.1 This review, like its predecessor,2 will not attempt to cover all literature on atherosclerosis. In a previous review of the pathogenesis of atherosclerosis,2 Glomset and I discussed various hypotheses of atherogenesis2 3 4 5 6 7 and emphasized the importance of intimal smooth-muscle proliferation as the key event in the development of the advanced lesions of atherosclerosis. The response-to-injury hypothesis of atherogenesis2 3 4 5 6 proposes that "injury" to the endothelium is the initiating event in . . .

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Cite This Study

Russell Ross (1986) studied this question.

synapsesocial.com/papers/69db23cf1e19c8ae08836ac5https://doi.org/10.1056/nejm198602203140806
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