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calcification vasculaire pied

les contrastes. Understanding its mechanism has implications for management of vascular disease, particularly in the context of bone disease. Calcification vasculaire. S.S. 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Il s'agit de l'usure de la structure du cartilage au fil du temps en se détériorant, en particulier sous l'effet de l'âge et du surpoids. Bone also secretes hormonal factors independently of resorption. Dans certains cas, certains types de calcifications mammaires peuvent suggérer un cancer du sein précoce. F-Fluoride Uptake in Human Arteries: Prospective Evaluation of Healthy Subjects, Fused aortic valve without an elliptical-shaped systolic orifice in patients with severe aortic stenosis: cardiac computed tomography is useful for differentiation between bicuspid aortic valve with raphe and tricuspid aortic valve with commissural fusion. Elles sont très fréquentes et sont généralement bénignes (non cancéreuses). The second possibility has more supportive evidence. In bone, osteoprotegerin may hold in check the proresorptive effects of RANKL, whereas, in the artery, osteoprotegerin may hold in check the inflammatory effects of RANKL.141–144 In support of this, osteoprotegerin-deficient mice have T-lymphocyte infiltration in their calcified arteries.145 T cells are associated with valvular calcification in humans,146 and RANKL has been found in CD3-positive and F4/80-positive cells at the adventitial-medial junction in an atherosclerotic mouse model.140 Furthermore, ectopic mineralization induced by BMP-2 treatment is not accelerated by the high-turnover state of osteoprotegerin deficiency.147 The importance of local RANKL/osteoprotegerin signaling was highlighted by the finding that postnatal treatment with osteoprotegerin failed to reverse the vascular calcification phenotype.148 Thus, rather than serving as the foundation of the bone-vascular axis, RANKL/osteoprotegerin interactions may reflect tissue-specific immunomodulation of osteoprotegerin expressed in response to mechanical, endocrine, and inflammatory cues. For those patients, vascular calcification is thought to be irreversible. 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Doctors treat plaque-clogged blood vessels in a variety of ways, including vascular surgery and medicine. Car si une calcification vasculaire peut vous sembler banale, elle peut aussi en n'être très grave. Également connue sous le nom de calcification pulmonaire, elle est associée à des affections telles que l'insuffisance rénale chronique, l'amylose pulmonaire et l'infection. La décalcification dentaire est la perte du calcium de l'émail. Medically Reviewed by Heart and Vascular Institute. C'est l'un des rares effets secondaires de la pratique du sport ou de l'exercice de manière intensive et à raison de 450 minutes ou 7,5 heures par semaine ou plus, ce risque fortement accru d'accumulation d'athérome dans les artères, ici constaté chez des hommes blancs. Arterial calcification has been usefully categorized by histoanatomic and etiological criteria (Table). La myéline du système nerveux central est endommagée par des lésions qui altèrent la capacité des différentes parties du système nerveux à communiquer entre elles, et engendrent de nombreux symptômes physiques et mentaux. La calcification vasculaire est une complication, généralement associée à l'âge, caractérisée par le dépôt de sels de phosphate de calcium dans les parois des artères. AngioScanner aortique. Copyright © 2022 askmrmushroom.com | Dedicated to Kato, he was a good dog. Postmenopausal women with osteoporosis and people with type 1 or type  2 diabetes or metabolic syndrome are at a greater risk of developing vascular calcifications. Will 18F-Sodium Fluoride PET-CT Imaging Be the Magic Bullet for Identifying Vulnerable Coronary Atherosclerotic Plaques? ( A) Vascular calcification in aortic roots, determined by Alizarin red staining. 18 Publié le. Vascular calcification (VC) is a life-threatening state in chronic kidney disease (CKD). Compter 2 ou 3 séances. ‐segment elevation myocardial infarction: A 3‐vessel optical coherence tomography study, Policosanol attenuates Pi‐induced calcification via AMPK‐mediated INSIGs expression in rat VSMCs, A simple and rapid model of vascular calcification, Zingerone Attenuates Pi-induced Vascular Calcification via AMPK-mediated TIMP4 Expression, The emerging role of iron in heart failure and vascular calcification in CKD, Atorvastatin Promotes Macrocalcification, But Not Microcalcification in Atherosclerotic Rabbits: An 18F-NaF PET/CT Study, Lipoprotein (a) and coronary artery calcification: prospective study assessing interactions with other risk factors, Low vitamin K status, high sclerostin and mortality risk of stable coronary heart disease patients, Dihydromyricetin ameliorates vascular calcification in chronic kidney disease by targeting AKT signaling, The prognostic value of automated coronary calcium derived by a deep learning approach on non-ECG gated CT images from 82Rb-PET/CT myocardial perfusion imaging, Serum Calcification Propensity and the Risk of Cardiovascular and All-Cause Mortality in the General Population, Once-yearly zoledronic acid and change in abdominal aortic calcification over 3 years in postmenopausal women with osteoporosis: results from the HORIZON Pivotal Fracture Trial, Incidental Coronary Artery Calcium on Breast Radiation Therapy Planning Scans Identifies Patients for Cardiac Preventive Therapy, Visually assessed coronary and cardiac calcium outperforms perfusion data during scintigraphy in the prediction of adverse outcomes, Long-term vitamin-K antagonist use and coronary artery calcification, Langzeittherapie mit Vitamin-K-Antagonisten und Koronarsklerose, Targeting androgen receptor in macrophages inhibits phosphate-induced vascular smooth muscle cell calcification by decreasing IL-6 expression, circRNA CDR1as Promotes Pulmonary Artery Smooth Muscle Cell Calcification by Upregulating CAMK2D and CNN3 via Sponging miR-7-5p, YAP/TAZ Are Required to Suppress Osteogenic Differentiation of Vascular Smooth Muscle Cells, Age-associated arterial calcification: the current pursuit of aggravating and mitigating factors, Pathological Calcification of Biomaterials, Network determinants of cardiovascular calcification and repositioned drug treatments, RANKL treatment of vascular endothelial cells leading to paracrine pro-calcific signaling involves ROS production, Safety and Efficacy of Nutrition-Based Interventions for Hair, LncRNA-SNHG29 inhibits vascular smooth muscle cell calcification by downregulating miR-200b-3p to activate the α-Klotho/FGFR1/FGF23 axis. Plusieurs hypothèses de causes ont été avancées, comme une destruction de la myéline par le système immunitaire ou une incapacité des cellules à la produire.Le diagnostic est généralement posé daprès les signes et symptômes et grâce à des examens complémentaires. Some important factors have not been shown for clarity. Bonjour, je souffre de clcification de la hanche, les radiographie montrent que j'ai une grosse calcification de la hanche de 2,9 cm de diamètre . Les troubles de la circulation provoqués par une calcification vasculaire (artériosclérose) peuvent endommager le tissu du pied ou des orteils. Symptoms of a stroke include sudden weakness, confusion, or dizziness, along with vision and speech impairment. Par conséquent, le sang ne peut plus circuler normalement. This type of calcium build-up can affect many parts of the body, including: other organs, such as the kidneys, bladder, and even (though rare) the liver. On parle alors de tendinite calcifiante. Bone matrix is rich in regulatory factors that are also active in the vasculature, such as osteopontin, MGP, and products of the transforming growth factor-β gene superfamily. Mais dans d'autres cas, elle . Several investigators109–114 have shown that elastin metabolites can activate, and even nucleate, cell-dependent calcium deposition.115 Matrix metalloproteinase-9, an elastase expressed by the injured vessel wall, appears to promote arterial calcium deposition in warfarin/vitamin K models of medial calcification.116 Elastin degradation is a prominent feature of aortic calcification in Marfan syndrome.117 Because an intact elastin matrix stabilizes the vascular smooth muscle cell phenotype in vivo, changes in osteopontin expression and matrix metalloproteinase-9–dependent elastin degradation may contribute significantly to medial calcification in diabetes. Les calcifications mammaires sont de petits dépôts de calcium qui se développent dans les tissus du sein d'une femme. The American Heart Association is qualified 501(c)(3) tax-exempt Conditions that disrupt extracellular pyrophosphate levels dramatically alter vascular calcification. We are also grateful for the contributions of Wendy Tseng, Jeff Hsu, Michael Huang, and Dr Jin-Xiu Lu to our research program. Find an expert near you. For example, hydroxyapatite is the predominant mineral in diabetic arterial medial calcification, but in vitamin D toxicity, it is whitlockite.97. Calcium is a mineral your body needs. CUA is an active vasculopathy characterized by patchy medial calcification of arterioles (≤0.6 mm in diameter), with intimal proliferation, thrombotic occlusion, fibrosis, and adipose inflammation and necrosis. En 1863, Eduard Rindfleisch met en évidence une «inflammation de la substance blanche» et évoque la possibilité qu’elle soit responsable de la démyélinisation. Serum sclerostin: the missing link in the bone-vessel cross-talk in hemodialysis patients? Adventitia: the vital wall of conduit arteries, Macrophage Glucocorticoid Receptors Join the Intercellular Dialogue in Atherosclerotic Lesion Calcification, Atrial fibrillation and stroke severity: Expanding the mechanistic exemplar, clinical phenotype, and goals of anticoagulant pharmacotherapy. Histologically, the deposits may have osteomorphic, chondromorphic, or amorphic structure. Plusieurs hypothèses de causes ont été avancées, comme une destruction de la myéline par le système immunitaire ou une incapacité des cellules à la produire.Le diagnostic est généralement posé daprès les signes et symptômes et grâce à des examens complémentaires. Ce sont des calcifications de grandes tailles (> 3mm) témoignant le plus souvent de la présence de fibroadénomes en voie d'involution. B, Dilutionally cloned vascular smooth muscle cells (horizontal dimension ≈1 cm). ApoE-/- mice ( n = 9/group) were fed a high-fat diet containing normal potassium (Control), low potassium (Low K +) or high potassium (High K +) for 30 weeks. Osteoporosis—a risk factor for cardiovascular disease? Chief among these is the induction of bone alkaline phosphatase, an ectoenzyme required for vertebrate tissue biomineralization (vide infra). Not all regulatory systems active in both bone and artery are necessarily part of the bone-vascular axis. Calcific uremic arteriolopathy (CUA), formerly known as calciphylaxis, is a severely morbid and life-threatening form of medial vascular calcification that leads to cutaneous necrosis and panniculitis. If vascular calcification causes arteries to harden, the heart will have to work harder to pump blood. Calcification de l'épaule : traitement. Long-term smoking and elevated LDL cholesterol levels are associated with an increase in the incidence of calcifications. Type 2 diabetes does not attenuate racial differences in coronary calcification, The relationship of insulin resistance and extracoronary calcification in the multi-ethnic study of atherosclerosis, Hyperphosphatemia-induced nanocrystals upregulate the expression of bone morphogenetic protein-2 and osteopontin genes in mouse smooth muscle cells in vitro, Eicosapentaenoic acid reduces warfarin-induced arterial calcification in rats, Extracellular matrix calcification in chronic kidney disease, Arterial aging and arterial disease: interplay between central hemodynamics, cardiac work, and organ flow—implications for CKD and cardiovascular disease, Circulating osteogenic cells: Implications for injury, repair, and regeneration, Arterial Stiffening Relates to Arterial Calcification But Not to Noncalcified Atheroma in Women, Pathologic calcification of adult vascular smooth muscle cells differs on their crest or mesodermal embryonic origin, Role of calcium-phosphate deposition in vascular smooth muscle cell calcification, Coronary Artery Calcium Scoring in Cardiovascular Risk Assessment, Notch Signaling Pathway Enhances Bone Morphogenetic Protein 2 (BMP2) Responsiveness of Msx2 Gene to Induce Osteogenic Differentiation and Mineralization of Vascular Smooth Muscle Cells, miR-125b Regulates Calcification of Vascular Smooth Muscle Cells, Carotid and femoral atherosclerotic plaques show different morphology, Correlation between total cardiovascular risk and bone density in postmenopausal women, Role of vitamin K-dependent proteins in the arterial vessel wall, Apposite Insulin-like Growth Factor (IGF) Receptor Glycosylation Is Critical to the Maintenance of Vascular Smooth Muscle Phenotype in the Presence of Factors Promoting Osteogenic Differentiation and Mineralization, Aortic mineralisation in children with congenital cardiac disease, Biomineralization and matrix vesicles in biology and pathology, Activation of Vascular Smooth Muscle Parathyroid Hormone Receptor Inhibits Wnt/β-Catenin Signaling and Aortic Fibrosis in Diabetic Arteriosclerosis, Inflammation and the Osteogenic Regulation of Vascular Calcification, Disturbed Calcium-Phosphorus Metabolism/Arterial Calcifications: Consequences on Cardiovascular Function and Clinical Outcome, Proteomic Analysis of Clonal Interstitial Aortic Valve Cells Acquiring a Pro-calcific Profile, Intermedin inhibits vascular calcification by increasing the level of matrix γ-carboxyglutamic acid protein, Lysophospholipids: Effectors mediating the contribution of dyslipidemia to calcification associated with atherosclerosis, Increased levels of the calcification marker Matrix Gla Protein and the inflammatory markers YKL-40 and CRP in patients with type 2 diabetes and ischemic heart disease, Impact of ENPP1 and MMP3 gene polymorphisms on aortic calcification in patients with type 2 diabetes in a Korean population. Une épine calcanéenne est une calcification dans le talon qui causent des douleurs intenses à ceux qui en souffrent. Calcifications that are suspicious need to be biopsied and examined for malignant potential. Elastin degradation appears early in many forms of medial calcification. Schematic representation of selected regulatory factors and their possible roles in vascular biomineralization. Hormis les facteurs de coagulation, la vitamine K inte. Calcification vasculaire Les dépôts de calcium sur les parois des vaisseaux sanguins se produisent souvent dans l'athérosclérose, la fibrose involution des parois vasculaires, auto-immunes et la dysplasie congénitale de endothéliale - comme calcification dystrophique. Jean-Martin Charcot, neurologue à l’hôpital de la Salpêtrière à Paris, contribua non pas à la première description mais à la première synthèse de la pathogénicité de la maladie dans ses célèbres «leçons sur les maladies du système nerveux», encore valable de nos jours. L'orteil, ou doigt de pied, peut connaître différentes pathologies : fractures, anomalies, maladies des os, infections, rhumatismes… Voici leurs traitements Vitamin K epOxide Reductase Complex Subunit 1 Murine models of atherosclerotic calcification have been developed. La calcification se caractérise par un dépôt anormal de calcium dans certains tissus de l'organisme, dont ceux de l'appareil locomoteur, à savoir les tendons et les articulations, pour l'essentiel, et parfois les muscles. Il s'agit de piquer dans la calcification et de la laver avec du sérum physiologique. Inorganic phosphate (Pi) translocates via Pit-1 to the cytoplasm. Selon les habitudes locales, ces calcifications sont appelées: calcifications grossières, calcificaions . Calcium et phosphore. These mineral deposits sometimes stick to fatty deposits, or plaques, that are already built up on the walls of a blood vessel. BSP indicates bone sialoprotein; OPG, osteoprotegerin; OPN, osteopontin; OCN, osteocalcin; PKA, protein kinase A; and ROS, reactive oxygen species. Secondary hyperparathyroidism often accompanies renal failure, but it can induce aortic medial calcification independently of uremia and renal function.131 Importantly, however, Shao et al132 showed that intermittent PTH treatment has the opposite effect of continuous hyperparathyroidism, and it suppresses vascular calcification without changes in serum phosphorus. Calcifications can occur in the intimal (inside) or medial (middle layer) part of the blood vessel. La chirurgie peut également être utilisé dans les cas très graves. If plaque is dislodged, it can cause a stroke. Thus, both intimal and medial calcifications appear to be driven by osteochondrogenic molecular programs. Intravascular Ultrasound Validation of Contemporary Angiographic Scores Evaluating the Severity of Calcification in Peripheral Arteries, Quercetin Attenuates Vascular Calcification through Suppressed Oxidative Stress in Adenine-Induced Chronic Renal Failure Rats, The content of collagen type II in human arteries is correlated with the stage of atherosclerosis and calcification foci, Detrimental effects of atherogenic and high fat diet on bone and aortic calcification rescued by an isoflavonoid Caviunin β-d-glucopyranoside, Vascular Damage and Kidney Transplant Outcomes: An Unfriendly and Harmful Link, Coronary fluorine-18-sodium fluoride uptake is increased in healthy adults with an unfavorable cardiovascular risk profile, Association between serum alkaline phosphatase and coronary artery calcification in a sample of primary cardiovascular prevention patients, Susceptiveness of Nanoparticle-Mediated Drug Delivery for the Treatment of Cardiovascular Diseases, https://doi.org/10.1161/CIRCULATIONAHA.107.743161, National Center Calcitriol (1,25-dihydroxyvitamin D) has historically been used to control secondary hyperparathyroidism in these patients. In the setting of renal insufficiency (reviewed recently by El-Abbadi and Giachelli98), Runx2/Cbfa1-dependent osteochondrogenic processes figure prominently, enhanced by episodic excesses in serum phosphate and calcium. Calcifications abdominales. Les facteurs cliniques et démographiques, à l'exception du tabagisme, n'ont pas été trouvés associés à la composition des plaques d'athérome. La charge exercée sur l'articulation du genou, qui est . Unlike cultures of skeletal osteoblasts, which remain in monolayer, mineralize more diffusely, and require ascorbate and phosphate supplements, calcifying vascular cells spontaneously produce mineral, often in multicellular nodules that grossly and histologically resemble atherosclerotic plaque and aortic valve nodules (Figure 2). Vascular calcification refers to accumulation of calcium in the vascular structures. Circadian rhythm disorder: a potential inducer of vascular calcification? Perte de conscience à court terme. Définition. Vascular calcification occurs spontaneously in genetically modified mice such as apoE-deficient mice, which were recently shown to have marked cartilaginous metaplasia in the brachiocephalic artery.38,71 In one of the first models, Towler and colleagues72 demonstrated that vascular calcification occurs in response to a high-fat, diabetogenic diet in low-density lipoprotein (LDL) receptor (Ldlr)–deficient mice. Unauthorized La calcification correspond à une accumulation anormale de dépôts de calcium dans un tissu de l'organisme (muscle, tendon, articulation), ainsi responsable de son durcissement. Pour traiter efficacement cette maladie, il est indispensable de connaître ses causes et symptômes. Sa description des symptômes cliniques s’inspire notamment de l’une de ses servantes qui présentait trois symptômes: une élocution mal articulée , des mouvements saccadés des yeux , et un tremblement des bras lorsqu’elle voulait prendre un objet . Dashed arrows indicate translocation; solid-line arrows, induction; and solid-line bars, inhibition. Eventually, you might develop symptoms of peripheral artery disease (PAD) or stroke. Calcified nodules in vivo and in vitro. 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Les patients peuvent avoir une atteinte isolée (ou prédominante) d'un segment, ou une maladie plus diffuse. Bone Modifiers and the Quest to Slow Progression of Aortic Stenosis††The views expressed in this editorial are solely those of the author and do not represent the opinions of the Uniformed Services of the Health Sciences or the United States Department of Defense. Les symptômes de la vascularite peuvent englober la fièvre, la fatigue et les douleurs articulaires. In apoE−/− and ldlr−/− mice, as well as mice on high-fat/high-carbohydrate diets, aortic valve leaflets have osteogenic activity.86,87 In an important development, ldlr−/− mice engineered to express only apoB100 were shown to develop hemodynamically significant transvalvular flow gradients and thus true aortic stenosis.88. Figure 1. Pour la première fois au monde, une étude menée par le Pr Jean Ferrières et son équipe à Toulouse et financée par la Fédération Française de Cardiologie, fait le lien entre maladie des artères et calcification coronaire. As one of the first heart transplant centers in the country and as the developer of one of the first heart-assist devices, UPMC has contributed to advancing the field of cardiovascular medicine. As we develop and use treatments for cardiovascular and skeletal diseases, we must give serious consideration to the implications for the organ at the other end of the bone-vascular axis. Explications. 1-800-242-8721 On peut l'accompagner de réflexologie plantaire où le travail sur la zone d'épaule, bien que douloureux, permet une amélioration sensible. organization. La calcification vasculaire est un processus actif et régulé qui implique différents mécanismes qui ne s'excluent pas mutuellement.14. 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Some types . Cette jeune fille vécut une enfance normale puis présenta après ses 16 ans une maladie progressant lentement avec des périodes d’amélioration dont les symptômes étaient: des troubles de la marche, une paralysie au bras droit, une perte de la vue unilatérale, des douleurs lancinantes à la figure et des difficultés de déglutition. 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La calcification se traduit surtout par une douleur aux endroits où la plaque de calcium se forme, dans les articulations, l'épaule et même les seins. Other organs and tissues besides bone and arteries also secrete hormonal factors that regulate both vascular calcification and bone including leptin, dexamethasone, aldosterone, vasopressin, adiponectin, and insulin-like growth factor-1. Intimal calcifications are associated with blocked arteries and blood clots. Quand l'inflammation devient chronique, des calcifications se forment petit à petit au niveau de l'enthèse. Vascular calcification: When should we interfere in chronic kidney disease patients and how? Total body arterial calcium burden in patients without known CAD and normal MPI, Coronary Artery Calcium Scoring in Young Adults: Evidence and Challenges, Vitamin D measurement and effect on outcome in a cohort of patients with heart failure. The vertebrate extracellular milieu, an internal sea, has calcium concentrations approaching the solubility product for several salts. Many translated example sentences containing "vascular calcification" - French-English dictionary and search engine for French translations. The cellular basis for calcific aortic stenosis was clarified by Mohler et al82 by isolating calcifying valvular cells from aortic valve tissue and, in a survey of human valve specimens, demonstrating inflammation, expression of BMP, and, importantly, mature bone tissue in >10%.47. Traitements. A, Calcific aortic stenosis (horizontal image dimension ≈4 cm; image kindly provided by Dr Michael Fishbein, UCLA Pathology). Agenda. Au fur et à mesure que l'on progresse en distalité au niveau de l'arbre artériel des malades ayant une AOMI, le contenu en calcium des plaques augmente alors que les plaques fibro-graisseuses diminuent. Calcium deposits are also associated with the mitral valve but primarily as cartilaginous metaplasia in the annulus. This ontogenetic history of aortic valve cells may influence their responses to mechanical and metabolic stress and account for differences between the 2 types of valves. Such cells have been identified in arterial ossification.46,47 The potential for cell-mediated regression therapy based on osteoclast induction targeted to the vasculature remains to be explored fully. La décalcification des dents, due à plusieurs facteurs, peut conduire à la perte des dents. This mitral annular calcification is often detected echocardiographically, and it correlates inversely with fetuin A levels89 and positively with atherosclerosis and cardiovascular mortality, independently of ejection fraction and coronary artery disease severity.90 It may have value as a clinical marker of disease. NPP1 generates the mineralization inhibitor pyrophosphate (PPi), which is inhibited by alkaline phosphatase. It is now recognized that arterial medial calcification is associated with higher cardiovascular mortality and risk of amputation in type 2 diabetes mellitus94,95 and in end-stage kidney disease.96 There is growing evidence for heterogeneous mechanisms within the category of medial calcification. They can increase your risk of stroke and blood clots, according to Cardiovascular Research. «Sclérose en taches ou en îles» est la première dénomination de la maladie remplacée par le terme sclérose en plaques et utilisé pour la première fois par un médecin français, A. Vulpian, en 1866 dans une présentation de trois malades devant la Société médicale des hôpitaux de Paris. Les patients souffrant de diabète de type 2 sont particulièrement à risque. They inhibit vascular calcification in the vitamin D model,129 and whether this is a direct effect on the arteries or an indirect effect through blocking bone resorption is not clear. Download figureDownload PowerPointFigure 2. , severely calcified lesions, Extraosseous Calcification in End-stage Renal Disease: From Visceral Organs to Vasculature, Activation of Nrf2 by dimethyl fumarate improves vascular calcification, Arterial calcification: Finger-pointing at resident and circulating stem cells, Potential drug targets for calcific aortic valve disease, Plasma fetuin-A levels are reduced in patients with hypothyroidism, C-type natriuretic peptide inhibiting vascular calcification might involve decreasing bone morphogenic protein 2 and osteopontin levels, Relation Between Coronary Calcium and Major Bleeding After Percutaneous Coronary Intervention in Acute Coronary Syndromes (from the Acute Catheterization and Urgent Intervention Triage Strategy and Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction Trials), Correlation of VEGF genetic polymorphisms and lipid profile to aortic calcification, Inhibition of VEGF Signaling by Polyphenols in Relation to Atherosclerosis and Cardiovascular Disease, Endothelial damage and vascular calcification in patients with chronic kidney disease, Perturbation of specific pro-mineralizing signalling pathways in human and murine pseudoxanthoma elasticum, Role of Calcifying Nanoparticle in the Development of Hyperplasia and Vascular Calcification in an Animal Model, Calcified structures associated with human skeletal remains: Possible atherosclerosis affecting the population buried at Amara West, Sudan (1300–800BC), Chlamydia pneumoniae

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calcification vasculaire pied