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Journal ArticleDOI

Non-invasive detection of endothelial dysfunction in children and adults at risk of atherosclerosis

TLDR
Endothelial dysfunction is present in children and adults with risk factors for atherosclerosis, such as smoking and hypercholesterolaemia, before anatomical evidence of plaque formation in the arteries studied, suggesting this may be an important early event in atherogenesis.
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This article is published in The Lancet.The article was published on 1992-11-07. It has received 4662 citations till now. The article focuses on the topics: Endothelial dysfunction & Coronary artery disease.

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Citations
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Journal ArticleDOI

The L-Arginine-Nitric Oxide Pathway

TL;DR: The discovery that mammalian cells generate nitric oxide, a gas previously considered to be merely an atmospheric pollutant, is providing important information about many biologic processes.
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Coronary Plaque Disruption

TL;DR: This review will explore potential mechanisms responsible for the sudden conversion of a stable atherosclerotic plaque to an unstable and life-threatening atherothrombotic lesion—an event known as plaque fissuring, rupture, or disruption.
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Photoplethysmography and its application in clinical physiological measurement.

TL;DR: Photoplethysmography is a simple and low-cost optical technique that can be used to detect blood volume changes in the microvascular bed of tissue and is often used non-invasively to make measurements at the skin surface.
References
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The obligatory role of endothelial cells in the relaxation of arterial smooth muscle by acetylcholine

TL;DR: It is demonstrated that relaxation of isolated preparations of rabbit thoracic aorta and other blood vessels by ACh requires the presence of endothelial cells, and that ACh, acting on muscarinic receptors of these cells, stimulates release of a substance(s) that causes relaxation of the vascular smooth muscle.
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The Pathogenesis of Atherosclerosis — An Update

TL;DR: A response-to-injury hypothesis of atherogenesis proposes that "injury" to the endothelium is the initiating event in atherosclerosis, and intimal smooth-muscle proliferation as the key event in the development of the advanced lesions of Atherosclerosis.
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Helsinki Heart Study: primary-prevention trial with gemfibrozil in middle-aged men with dyslipidemia. Safety of treatment, changes in risk factors, and incidence of coronary heart disease

TL;DR: Results are in accord with two previous trials with different pharmacologic agents and indicate that modification of lipoprotein levels with gemfibrozil reduces the incidence of coronary heart disease in men with dyslipidemia.
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Paradoxical Vasoconstriction Induced by Acetylcholine in Atherosclerotic Coronary Arteries

TL;DR: The preliminary findings suggest that the abnormal vascular response to acetylcholine may represent a defect in endothelial vasodilator function, and may be important in the pathogenesis of coronary vasospasm.
Journal ArticleDOI

Regression of Coronary Artery Disease as a Result of Intensive Lipid-Lowering Therapy in Men with High Levels of Apolipoprotein B

TL;DR: In men with coronary artery disease who were at high risk for cardiovascular events, intensive lipid-lowering therapy reduced the frequency of progression of coronary lesions, increased the frequencyof regression, and reduced the incidence of cardiovascular events.
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