Non-coronary atherosclerosis

During the last decades, the clinical and research interest in atherosclerosis has been mostly focused on coronary arteries. After the publications of the European Society Guidelines and AHA/ACC Guidelines on Peripheral artery diseases, and of the Registry REduction in Atherothrombosis for Continued...

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Published in:	European heart journal 2014-05, Vol.35 (17), p.1112-1119
Main Authors:	Gallino, Augusto, Aboyans, Victor, Diehm, Curt, Cosentino, Francesco, Stricker, Hans, Falk, Erling, Schouten, Olaf, Lekakis, John, Amann-Vesti, Beatrice, Siclari, Francesco, Poredos, Pavel, Novo, Salvatore, Brodmann, Marianne, Schulte, Karl-Ludwig, Vlachopoulos, Charalambos, De Caterina, Raffaele, Libby, Peter, Baumgartner, Iris
Format:	Article
Language:	eng
Subjects:	Aorta, Abdominal Aorta, Thoracic Aortic Diseases - diagnosis Aortic Diseases - therapy Atherosclerosis - diagnosis Atherosclerosis - therapy Carotid Artery Diseases - diagnosis Carotid Artery Diseases - therapy Early Diagnosis Humans Life Sciences Lower Extremity - blood supply Medicin och hälsovetenskap Mesenteric Arteries Peripheral Vascular Diseases - diagnosis Peripheral Vascular Diseases - therapy Renal Artery Santé publique et épidémiologie Upper Extremity - blood supply
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Summary:	During the last decades, the clinical and research interest in atherosclerosis has been mostly focused on coronary arteries. After the publications of the European Society Guidelines and AHA/ACC Guidelines on Peripheral artery diseases, and of the Registry REduction in Atherothrombosis for Continued Health Registry, there has been an increased interest in atherosclerosis of the lower extremity arteries and its presence in multifocal disease. However, awareness in the general population and the medical community of non-coronary artery diseases, and of its major prognostic implications remain relatively low. The aim of this general review stemming out of an ESC Working Group on Peripheral Circulation meeting in 2011 is to enhance awareness of this complex disease highlighting the importance of the involvement of atherosclerosis at different levels with respect to clinical presentation, diagnosis, and co-existence of the disease in the distinct arterial territories. We also emphasize the need of an interdisciplinary approach to face the broad and complex spectrum of multifocal disease, and try to propose a series of tentative recommendations and measures to be implemented in non-coronary atherosclerosis.
ISSN:	0195-668X 1522-9645 1522-9645