Type 2 variant includes patients with culprit, but quiescent, pre-existing atheromatous
lesions, in whom the acute release of inflammatory mediators can induce either coronary artery spasm with normal cardiac enzymes and troponins or plaque erosion or rupture manifesting as acute myocardial infarction.
The mechanism of Kounis syndrome (KS) involves release of inflammatory cytokines through mast cell activation, which leads to coronary artery vasospasm and/or atheromatous
plaque erosion or rupture (2).
The study, "Resolvin El Prevents Atheromatous
Plaque Formation," appears in the May issue of Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB), a journal of the American Heart Association.
plaques, which are associated with severe intimal diseases, can mimic the neuroimaging finding of dissection in elderly patients (14).
Biochemical composition of atheromatous
plaques and changes in blood composition will be investigated.
fruits lyophilisate on lipid levels, PPAR[alpha] protein expression, atheromatous
changes in the aorta, oxidoredox state, and proinflammatory cytokines in hypercholesterolemic rabbits.
13-19) The thin-cap fibroatheroma typically consists of a minimally occlusive, atheromatous
lesion with the following histologic features: (1) thin, fibrous cap (<65 [micro]m); (2) large lipid pool; and (3) activated macrophages near or within the fibrous cap.
However, immunohistochemical investigations demonstrated marked BDNF expression in the atheromatous
intima and adventitia, macrophages and smooth muscle cells in atherosclerotic coronary arteries in people with unstable angina pectoris (13).
They discuss fluids and electrolytes, preoperative cardiac risk stratification, surgical critical care, trauma, hernia, pediatric surgery, benign and malignant breast diseases, melanoma, small and large bowel tumors, diseases of the pancreas, carotid artery atheromatous
disease, peripheral vascular diseases, abdominal aortic diseases, gastrointestinal endoscopy, obstetric and gynecological problems, the role of interventional radiology in surgery, infections, perioperative acute kidney injury, surgical education, cancer, and other topics.
Because of atheromatous
change, there is usually patchy constriction ("A/V" nipping), with some areas of normal arteriole calibre.
The syndrome most commonly results from diseases within the aorta, including aortic aneurysms, surgery of the aorta, aortic dissections, traumatic rupture, and emboli from atheromatous
In that study, 5,000 patients with atheromatous
heart disease were studied over a five-year period.