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Circulation. 2007;115:2683
doi: 10.1161/CIRCULATIONAHA.107.183529
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(Circulation. 2007;115:2683.)
© 2007 American Heart Association, Inc.

Issue Highlights


An extract of the first 250 words of the full text is provided, because this article has no abstract.
 


*    LOCAL PRODUCTION OF LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2 AND LYSOPHOSPHATIDYLCHOLINE IN THE CORONARY CIRCULATION: ASSOCIATION WITH EARLY CORONARY ATHEROSCLEROSIS AND ENDOTHELIAL DYSFUNCTION IN HUMANS, by Lavi et al.
 
Endothelial dysfunction is a hallmark of atherosclerosis and vascular disease. However, the mechanisms for this dysfunction remain elusive. In this issue, Lavi and colleagues report on a human study in which they measured lipoprotein-associated phospholipase A2, an enzyme that is involved in cleaving oxidation products of lipids from both membranes and lipoproteins. They found that patients with endothelial dysfunction had increased levels of both the enzyme and the cleaved oxidation product in the coronary circulation, suggesting that oxidation processes contribute to endothelial dysfunction in patients with early atherosclerosis. See p 2715.


*    RISK FACTORS FOR THE PROGRESSION OF CORONARY ARTERY CALCIFICATION IN ASYMPTOMATIC SUBJECTS: RESULTS FROM THE MULTI-ETHNIC STUDY OF ATHEROSCLEROSIS (MESA), by Kronmal et al.
 
Investigators from the Multi-Ethnic Study of Atherosclerosis (MESA) report the incidence and predictors of coronary artery calcium (CAC) progression in a community-based, geographically and racially diverse cohort. As opposed to previous referral-based studies, their study provides estimates of the rates of progression that can be expected in unselected routinely studied individuals. The researchers detected new CAC in 6.6% of individuals per year, and they noted that men and women had a median annual CAC progression of 21 and 14 Agatston units per year, respectively. Not surprisingly, cardiovascular disease risk factors predicted CAC incidence and progression, indirectly raising the possibility that aggressive risk factor modification could potentially slow or arrest the progression of CAC. See p 2722.


*    SUSTAINED BENEFIT AT 2 YEARS OF PRIMARY FEMOROPOPLITEAL STENTING COMPARED WITH BALLOON ANGIOPLASTY WITH OPTIONAL STENTING, by Schillinger et al.
 
Peripheral arterial disease is an important cause of morbidity. Frequently, the superficial femoral artery is obstructed and is the underlying cause of claudication. Although balloon angioplasty is an established treatment for this condition—as already introduced by Andreas Grüntzig in the . . . [Full Text of this Article]


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