The sustained biological and structural health of the blood vessel walls, encompassing the functional integrity of the endothelial lining, the appropriate elasticity of the arterial media, and the resistance to plaque formation and chronic inflammation. Maintaining vascular integrity is paramount for optimal blood flow, nutrient delivery, and overall cardiovascular longevity. Clinically, this is a major focus for preventing hypertension, atherosclerosis, and other age-related vascular pathologies.
Origin
This concept is fundamental to cardiovascular physiology and angiology. ‘Vascular’ refers to the circulatory system of blood vessels. ‘Integrity’ denotes the state of being whole and unimpaired. ‘Maintenance’ highlights the continuous, homeostatic effort required to preserve this healthy state against constant hemodynamic and metabolic stress.
Mechanism
Maintenance is achieved through the precise balance of vasoactive substances and the support of the endothelial cells. Hormones, particularly estrogen and testosterone, exert protective effects by promoting nitric oxide (NO) synthesis, which mediates vasodilation and inhibits platelet aggregation. Furthermore, optimal lipid and glucose metabolism prevents the accumulation of oxidized low-density lipoproteins (LDL) and the formation of advanced glycation end products (AGEs), both of which compromise endothelial function and stiffen the vascular wall.
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