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The Role of Atherosclerosis and Inflammation in the Development of Descending Aortic Aneurysms: Special Aspects of Medical Correction

The Role of Atherosclerosis and Inflammation in the Development of Descending Aortic Aneurysms: Special Aspects of Medical Correction

作     者:Vladimir Petrovich Krylov Nikolay Andreevich Mana Leonid Petrovich Titov Valentina Nikolaevna Gayduk Leonid Ivanovich Reut Nadezhda Vladimirovna Mankevich Alexander Stanislavovich Zhigalcovitch Aleksey Leonidovich Smolyakou Gennady Adolfovich Popel Roman Nikolaevich Pyzhyk Vladimir Petrovich Krylov;Nikolay Andreevich Mana;Leonid Petrovich Titov;Valentina Nikolaevna Gayduk;Leonid Ivanovich Reut;Nadezhda Vladimirovna Mankevich;Alexander Stanislavovich Zhigalcovitch;Aleksey Leonidovich Smolyakou;Gennady Adolfovich Popel;Roman Nikolaevich Pyzhyk

作者机构:Republican Scientific and Practical Centre “Cardiology” Ministry of Health of Belarus Minsk Belarus Republican Scientific and Practical Centre “Epidemiology and Microbiology” Ministry of Health of Belarus Minsk Belarus Belarusian Medical Academy of Post-Graduate Education Minsk Belarus 

出 版 物:《Health》 (健康(英文))

年 卷 期:2016年第8卷第13期

页      面:1335-1348页

学科分类:1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学] 

主  题:Aneurism Formation Atherosclerosis and Inflammation Aortic Aneurisms 

摘      要:Modern medicine has achieved much progress in the field of medical and surgical repair of a variety of disorders. It is especially true for the early stages of treatments. In long-term period, however, instead of recovery, we frequently observe progressive regression, which completely annuls all our efforts. Moreover, the algorithm used to correct acute process may sometimes be detrimental to organs and tissues. Such situation is also frequent in the treatment of atherosclerotic descending aortic aneurysms (DAA). This is because the successful medical and even surgical repair to prevent aneurysm rupture in long-term period may trigger some detrimental processes in other regions thus producing negative results of the treatment. The present article doesn’t aim to prove some provisions in DAA clinical picture, atherosclerosis and inflammatory states. But we have faced some systematicity at these clinical implications which are absolutely not specified in literature. We have managed to find an explanation for this thing making a scrupulous analysis of nonsurgical sources. Comparing them with our observations, we have found out that aseptic and septic inflammation of connective tissue, probably, is a key component in the formation of DAA disregarding of which correction of dyslipidemia may lead to negative results. We are looking for in-depth research and discussion.

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