Disfunción endotelial como alteración primaria en las patologías vasculares

Endothelium controls vascular smooth muscle tone by secreting relaxing and contracting factors. There is a constant release of endothelium derived relaxing factors, mainly nitric oxide, a potent vasodilator, inhibitor of platelet aggregation, monocyte adhesion and smooth muscle proliferation. In add...

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Autores principales: Irribarra P,Verónica, Germain A,Alfredo, Cuevas M,Ada, Faúndez G,Lorena, Valdés S,Gloria
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2000
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000600014
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spelling oai:scielo:S0034-988720000006000142005-11-14Disfunción endotelial como alteración primaria en las patologías vascularesIrribarra P,VerónicaGermain A,AlfredoCuevas M,AdaFaúndez G,LorenaValdés S,Gloria Endothelins Endothelium-derived relaxing factor Endothelium, vascular Endothelium controls vascular smooth muscle tone by secreting relaxing and contracting factors. There is a constant release of endothelium derived relaxing factors, mainly nitric oxide, a potent vasodilator, inhibitor of platelet aggregation, monocyte adhesion and smooth muscle proliferation. In addition, the endothelium may increase the release of NO in response to humoral stimulation by vasoactive substances such as acetylcholine, bradikinin or substance P. Although the endothelium releases a number of products, no single blood test has yet proved useful to determine normal endothelial function or as early abnormalities. The most useful test of endothelial function relies on the meassurement of endothelium-dependent dilatation in response to pharmacological or physiologic stimuli. The alteration of this response is known as endothelial dysfunction and has been observed in a variety of circumstances related to cardiovascular risk. This review summarizes the evidence that sustains this association and emphasizes the clinical utility of assessing endothelial function presenting two clinical cases of hypercholesterolemia in which a high-resolution vascular ultrasound in the braquial artery was used. (Rev Méd Chile 2000; 128: 659-70).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.6 20002000-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000600014es10.4067/S0034-98872000000600014
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Endothelins
Endothelium-derived relaxing factor
Endothelium, vascular
spellingShingle Endothelins
Endothelium-derived relaxing factor
Endothelium, vascular
Irribarra P,Verónica
Germain A,Alfredo
Cuevas M,Ada
Faúndez G,Lorena
Valdés S,Gloria
Disfunción endotelial como alteración primaria en las patologías vasculares
description Endothelium controls vascular smooth muscle tone by secreting relaxing and contracting factors. There is a constant release of endothelium derived relaxing factors, mainly nitric oxide, a potent vasodilator, inhibitor of platelet aggregation, monocyte adhesion and smooth muscle proliferation. In addition, the endothelium may increase the release of NO in response to humoral stimulation by vasoactive substances such as acetylcholine, bradikinin or substance P. Although the endothelium releases a number of products, no single blood test has yet proved useful to determine normal endothelial function or as early abnormalities. The most useful test of endothelial function relies on the meassurement of endothelium-dependent dilatation in response to pharmacological or physiologic stimuli. The alteration of this response is known as endothelial dysfunction and has been observed in a variety of circumstances related to cardiovascular risk. This review summarizes the evidence that sustains this association and emphasizes the clinical utility of assessing endothelial function presenting two clinical cases of hypercholesterolemia in which a high-resolution vascular ultrasound in the braquial artery was used. (Rev Méd Chile 2000; 128: 659-70).
author Irribarra P,Verónica
Germain A,Alfredo
Cuevas M,Ada
Faúndez G,Lorena
Valdés S,Gloria
author_facet Irribarra P,Verónica
Germain A,Alfredo
Cuevas M,Ada
Faúndez G,Lorena
Valdés S,Gloria
author_sort Irribarra P,Verónica
title Disfunción endotelial como alteración primaria en las patologías vasculares
title_short Disfunción endotelial como alteración primaria en las patologías vasculares
title_full Disfunción endotelial como alteración primaria en las patologías vasculares
title_fullStr Disfunción endotelial como alteración primaria en las patologías vasculares
title_full_unstemmed Disfunción endotelial como alteración primaria en las patologías vasculares
title_sort disfunción endotelial como alteración primaria en las patologías vasculares
publisher Sociedad Médica de Santiago
publishDate 2000
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000600014
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