The difference between arteriosclerosis and atherosclerosis.

Written by Tang Li
Cardiology
Updated on September 19, 2024
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Arteriosclerosis and atherosclerosis are two different concepts. Arteriosclerosis is a type of vascular disease within arteriosclerosis, but atherosclerosis is more commonly significant clinically. Hence, it is customarily referred to simply as arteriosclerosis, generally implying atherosclerosis. The causes of arteriosclerosis are numerous, but they share common characteristics including thickening, hardening, loss of elasticity, and narrowing of the arterial walls. Atherosclerosis is characterized by lesions starting in the innermost layer of the artery, involving local accumulation of lipids, complex carbohydrates, fibrous tissue proliferation, and calcification forming plaques, along with a gradual degeneration of the innermost layer. The lipid accumulation gives the inner layer a yellowish, porridge-like appearance, hence the name atherosclerosis.

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How is arteriosclerosis treated?

To treat arteriosclerosis, we differentiate treatments based on the severity of the condition. For early-stage patients, we emphasize the control of lipids, blood pressure, and blood sugar to potentially slow the progression of arteriosclerosis. For patients who have already suffered damage to target organs, such as cerebral infarction, myocardial infarction, renal artery stenosis, or mesenteric artery stenosis, treatment might significantly rely on medication, and could possibly require the use of stents or even surgical bypass procedures. For the general population, we emphasize primary prevention, which includes a reasonable diet, appropriate exercise, and a balanced mental state to effectively prevent the disease.

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How is arteriosclerosis treated?

The treatment of arteriosclerosis includes general preventive measures, pharmacological treatment interventions, and surgical interventions. General protective measures include reasonable dietary practices, appropriate physical exercise, proper arrangement of work and life, maintaining a pleasant mood, quitting smoking, limiting alcohol consumption, and controlling some disease-related risk factors such as hypertension, diabetes, dyslipidemia, obesity, etc. The main pharmacological treatment focuses on lipid-lowering and antiplatelet medication. For some patients with symptoms of angina pectoris, such as symptoms of target organ damage, treatment may involve dilating the blood vessels. Interventional treatment indications are now relatively broad. For some who are not suitable for interventional procedures, surgical treatments can be considered.

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Risk factors for arteriosclerosis

The etiology of atherosclerosis is not yet fully understood, but the main risk factors include age and gender. The older the age, the higher the probability of occurrence, and the probability in men is higher than in women. Abnormal blood lipids, with the main treatment target being low-density lipoprotein, hypertension, smoking, glucose tolerance abnormalities, and obesity are all possible risk factors. Additionally, we cannot ignore family history; if there is a history of early-onset coronary heart disease in the family, then this risk factor is also very high. Moreover, personality is related, with Type A personalities being more prone to atherosclerosis. Dietary habits are also related; patients who often eat high-calorie, high-animal-fat, high-cholesterol foods are prone to develop the condition. There are also patients taking oral contraceptives, who are likely to develop atherosclerosis.

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Treatment of Arteriosclerosis

The treatment of arteriosclerosis includes general preventative measures, pharmacological treatment, interventional procedures, and surgical operations. General precautions involve a balanced diet, with some patients needing to lose weight, increasing the intake of fruits and vegetables, quitting smoking and limiting alcohol consumption, and adopting a low-fat diet. Additionally, it is advised that patients engage in appropriate physical labor and sports activities, while also maintaining an optimistic and calm mindset. Pharmacological treatment is quite specialized, mainly including lipid-lowering and antiplatelet therapies. Then, there are cases with clear symptoms, such as renal artery stenosis or coronary artery narrowing, where interventional treatments can be considered. For those unsuitable for interventional procedures, surgical treatments, such as bypass surgery, might be considered.

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Early symptoms of arteriosclerosis

Arteriosclerosis often has many symptoms, which mainly depend on the location of the arteriosclerosis. For example, patients with cerebral arteriosclerosis often experience dizziness, headaches, or confusion, If it is coronary arteriosclerosis, it often causes symptoms of chest tightness or shortness of breath in patients, which tend to be more obvious or worsen after activity, If it is lower limb arteriosclerosis, it often causes pain when walking, which can disappear or significantly reduce after rest.