Author/Editor     Janić, Miodrag; Lunder, Mojca; Šabović, Mišo
Title     Okrnjeno delovanje endotelija
Translated title     Endothelial dysfunction
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 50, št. 3
Publication year     2011
Volume     str. 297-305
Language     slo
Abstract     Endothelial dysfunction represents one of the earliest changes in arterial function and is an important event in the atherosclerotic process. Reduced production or bioavailability of nitric oxide is the most important in the process of endothelial dysfunction, while on the other hand, it also includes a mismatch between the vasodilators and vasoconstrictors acting on the arterial wall. This article describes the role of normal endothelium and nitric oxide, as well as the pathophysiology of endothelial dysfunction. Clinically, endothelial function is assessed by noninvasive and invasive methods, listed in the article. The most commonly and widely used clinical method is noninvasive ultrasonographic flow mediated dilation measurement. Endothelial dysfunction is a reversible disorder that can be improved by nonpharmacological or pharmacological interventions. Healthy lifestyle is the principal non-pharmacological intervention. Currently the most promising of the pharmacological interventions are the pleiotropic effects of statins and inhibitors of the renin-angiotensin system.
Descriptors     ENDOTHELIUM, VASCULAR
NITRIC OXIDE
VASODILATION
RISK FACTORS
ATHEROSCLEROSIS
AGING