Publications by authors named "Alexander Krasimirov Angelov"

Article Synopsis
  • Ankylosing Spondylitis (AS) is a chronic inflammatory arthritis linked to higher cardiovascular risks, primarily due to accelerated atherosclerosis, although some studies show mixed results regarding this association.
  • Endothelial dysfunction, common in AS patients, amplifies the effects of inflammation and traditional cardiovascular risk factors, potentially speeding up artery damage before other vascular issues arise.
  • Investigations suggest key factors like adhesion molecules can predict cardiovascular events, and treatments such as angiotensin receptor blockers and statins might lower cardiovascular risks in AS patients, highlighting the need for further studies.
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This narrative review provides a comprehensive examination of the complex interplay between inflammatory arthritis (IA) and cardiovascular pathology. It particularly illuminates the roles of atherosclerosis initiation, endothelial dysfunction, and glycocalyx shedding. IA not only provokes tissue-specific inflammatory responses, but also engenders a considerable degree of non-specific systemic inflammation.

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Recent advances in our understanding of coronavirus disease 2019 (COVID-19) and the associated acute respiratory distress syndrome might approximate the cytokine release syndrome of severe immune-mediated disease. Importantly, this presumption provides the rationale for utilization of therapy, until recently reserved mostly for autoimmune diseases (ADs), in the management of COVID-19 hyperinflammation condition and has led to an extensive discussion for the potential benefits and detriments of immunosuppression. Our paper intends to examine the available recommendations, complexities in diagnosis and management when dealing with patients with ADs amidst the COVID-19 crisis.

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Optimal management of knee osteoarthritis (KOA) should include, where possible, modification of risk factors through targeted interventions. The objectives of the present narrative review were to identify, summarize, and cluster all the potentially modifiable risk factors that influence the course of KOA, and discuss their susceptibility to alteration via personal, clinical, and public strategy. For this purpose, Pubmed and Scopus databases were queried using the terms "knee osteoarthritis", "risk factors" and "improvement".

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