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Lipid-Driven Thrombotic Atherosclerosis
1934 - 1956
The period centers on lipid metabolism and lipoproteins as primary drivers of atherosclerosis, linking circulating lipids with vascular biology and plaque formation. Research emphasizes coronary predilection, thrombosis, and myocardial injury, while population health framing shapes risk assessment and public health strategies. Pathology-driven inquiries map arterial lesions and tissue remodeling, solidifying morphology as a bridge between biology and clinical outcomes, while lipid disorders and metabolic syndromes inform risk assessment through clinical lipidology paradigms.
• Lipid metabolism and lipoproteins consistently emerge as primary drivers of atherosclerosis, linking serum lipids, lipid fractions, and vascular biology in multiple studies [1], [5], [9], [17], [18], [19].
• Coronary predilection and occlusive pathology are central themes, aligning anatomical vulnerability with thrombosis and myocardial injury across coronary-focused works [4], [10], [14].
• Age, sex, hypertension, and population health framing shape risk and disease trajectory, guiding public health perspectives on coronary atherosclerosis [4], [6], [12], [15].
• Pathology-driven investigations map vascular lesions, arteriosclerosis, and tissue remodeling, establishing morphology as a bridge from biology to clinical outcomes [8], [13], [14], [16].
• Clinical lipidology and lipid-disorder paradigms treat atherosclerosis as a lipid-driven vascular disease, integrating lipoprotein studies with metabolic syndromes to inform risk assessment [1], [2], [3], [11], [19].
Lipid-Centric Atherosclerosis
1957 - 1986
Integrated Lipid-Inflammation Paradigm
1987 - 1997
Inflammation-Driven Atherosclerosis
1998 - 2004
Inflammation-Centric Atherosclerosis
2005 - 2011
Immunometabolic Atherosclerosis
2012 - 2023