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Yazarın fotoğrafıMetin Sokmen, MD

Vascular Aging in Ischemic Stroke

Comparison of Younger and Older Adult Vasculatures and Their Responses to Ischemic Insults


Younger VS Older


Functional Features

Efficient endothelial function VS Reduced endothelial function

Lower risk of thrombus formation VS Increased risk of thrombotic events

Efficient endothelium‐dependent relaxation VS Impaired endothelium‐dependent relaxation



Structural Features

More elastic and compliant VS Reduced elasticity and compliance

Less intimal thickening VS Increased intimal hyperplasia and atherosclerosis

Lower collagen deposition VS Higher collagen content

Greater density of collateral vessels VS Decreased collateral circulation



Oxidative Stress

Higher or regulated neovascularization VS Slower or impaired neovascularization

Better antioxidant defense mechanisms VS Diminished antioxidant defenses

Adequate NO production VS Reduced NO bioavailability

Regulated reactive oxygen species without cellular damage VS Increased oxidative stress and cellular damage



Inflammatory Response

Moderate inflammatory response VS Exaggerated inflammatory response

Balanced proinflammatory/anti‐inflammatory cytokine release VS Imbalanced proinflammatory/anti‐inflammatory cytokine release

Regulated leukocyte infiltration VS Dysregulated leukocyte infiltration



Responses to Ischemic Insults

Higher tolerance to hypoxia/ischemia VS Lower tolerance to hypoxia/ischemia

Intact vasoreactivity VS Impaired vasoreactivity

Faster clot resolution VS Slower clot dissolution

Enhanced repair capacity VS Impaired repair capacity

Faster recovery after ischemia VS Slower recovery postischemia

More robust angiogenic response VS Decreased angiogenic potential

Less severe reperfusion injury VS More severe reperfusion injury





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