{"id":2230,"date":"2025-12-03T11:27:13","date_gmt":"2025-12-03T11:27:13","guid":{"rendered":"https:\/\/lipidtools.com\/atherosclerose-et-risque-cardiovasculaire\/"},"modified":"2026-01-05T09:11:12","modified_gmt":"2026-01-05T09:11:12","slug":"atherosclerose-et-risque-cardiovasculaire","status":"publish","type":"page","link":"https:\/\/lipidtools.com\/fr\/atherosclerose-et-risque-cardiovasculaire\/","title":{"rendered":"Ath\u00e9roscl\u00e9rose et risque cardiovasculaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2230\" class=\"elementor elementor-2230 elementor-936\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7703f3c4 elementor-section-content-middle elementor-reverse-tablet elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7703f3c4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3a0887c8\" data-id=\"3a0887c8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-79cdc873 elementor-widget elementor-widget-heading\" data-id=\"79cdc873\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Ath\u00e9roscl\u00e9rose et risque cardiovasculaire<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5023056e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5023056e\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5ee2daae\" data-id=\"5ee2daae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0641f4 elementor-widget elementor-widget-text-editor\" data-id=\"d0641f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><span style=\"color: inherit; font-family: inherit; font-size: 2rem; font-style: var( --e-global-typography-text-font-style ); letter-spacing: var( --e-global-typography-text-letter-spacing ); text-transform: var( --e-global-typography-text-text-transform );\">Pathophysiologie de l\u2019ath\u00e9roscl\u00e9rose<\/span><\/h2><p>L\u2019ath\u00e9roscl\u00e9rose est une maladie inflammatoire chronique qui peut entra\u00eener la formation de plaque dans les parois des vaisseaux, et in fine, une st\u00e9nose des art\u00e8res. Ce processus pathophysiologique entra\u00eene des maladies cardiovasculaires comme une maladie coronarienne, une maladie art\u00e9rielle p\u00e9riph\u00e9rique et une maladie c\u00e9r\u00e9brovasculaire. Les maladies cardiovasculaires sont la premi\u00e8re cause de d\u00e9c\u00e8s \u00e0 travers le monde. Aux Pays-Bas, c\u2019est la deuxi\u00e8me cause de d\u00e9c\u00e8s la plus courante.   <\/p><p>L\u2019ath\u00e9roscl\u00e9rose commence par l\u2019accumulation de cholest\u00e9rol LDL dans la couche sous-endoth\u00e9liale de la paroi vasculaire. Dans cet espace sous-endoth\u00e9lial, le LDL s\u2019oxyde apr\u00e8s quoi les monocytes migrent dans la paroi des vaisseaux et se diff\u00e9rencient en macrophages. Ceux-ci ing\u00e8rent le LDL oxyd\u00e9 et se transforment en cellules spumeuses, qui d\u00e9clenchent les cascades inflammatoires, et in fine le d\u00e9veloppement de la plaque d\u2019ath\u00e9rome. La d\u00e9gradation des cellules spumeuses charg\u00e9es de lipides cr\u00e9e un noyau n\u00e9crotique dans la couche intima de la paroi vasculaire. Une plaque vuln\u00e9rable \u00e0 haut risque de rupture se caract\u00e9rise par un grand noyau n\u00e9crotique entour\u00e9 d\u2019une fine capsule fibreuse riche en macrophages. La rupture d\u2019une plaque vuln\u00e9rable expose le noyau thrombog\u00e9nique de la plaque \u00e0 la circulation sanguine, ce qui entra\u00eene la formation rapide d&rsquo;un thrombus. Le thrombus peut entra\u00eener l\u2019occlusion aigu\u00eb d&rsquo;une art\u00e8re, ce qui peut causer, par exemple, un syndrome coronarien aigu ou un accident c\u00e9r\u00e9brovasculaire.      <\/p><p>L\u2019ath\u00e9roscl\u00e9rose a une \u00e9volution lente, appara\u00eet souvent \u00e0 un jeune \u00e2ge, mais ne devient apparente qu\u2019\u00e0 un stade ult\u00e9rieur de la vie. L\u2019exposition \u00e0 certains facteurs de risque favorise l\u2019apparition de l\u2019ath\u00e9roscl\u00e9rose et augmente le risque de maladies cardiovasculaires. L\u2019une des pierres angulaires du traitement des maladies cardiovasculaires est donc la pr\u00e9vention \u00e0 travers le traitement des facteurs de risque.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5677533\" data-id=\"5677533\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2aa1a6b elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"2aa1a6b\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-3d7da49\" data-id=\"3d7da49\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d260d44 elementor-widget elementor-widget-text-editor\" data-id=\"d260d44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"font-family: Inter, sans-serif;\">Points cl\u00e9s<\/h2><ul style=\"font-size: 16px;\"><li style=\"font-size: 16px;\">L\u2019ath\u00e9roscl\u00e9rose est une maladie chronique qui se caract\u00e9rise par l\u2019accumulation de cholest\u00e9rol LDL et par l\u2019inflammation de la paroi vasculaire.<\/li><li style=\"font-size: 16px;\">Un plan de traitement sp\u00e9cifique au patient peut \u00eatre \u00e9tabli sur la base du risque cardiovasculaire calcul\u00e9 pour chacun.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c6cece elementor-widget elementor-widget-image\" data-id=\"5c6cece\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2115\" height=\"1804\" src=\"https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1.png\" class=\"attachment-full size-full wp-image-2231\" alt=\"The different stages of an atherosclerotic plaque\" srcset=\"https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1.png 2115w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1-300x256.png 300w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1-1024x873.png 1024w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1-768x655.png 768w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1-1536x1310.png 1536w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR1_c-1-2048x1747.png 2048w\" sizes=\"(max-width: 2115px) 100vw, 2115px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-43824898 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"43824898\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-588db1dc\" data-id=\"588db1dc\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-62ad8fc elementor-widget elementor-widget-image\" data-id=\"62ad8fc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1584\" height=\"1204\" src=\"https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR2_c-1.png\" class=\"attachment-full size-full wp-image-2978\" alt=\"Cardiovascular risk factors\" srcset=\"https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR2_c-1.png 1584w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR2_c-1-300x228.png 300w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR2_c-1-1024x778.png 1024w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR2_c-1-768x584.png 768w, https:\/\/lipidtools.com\/wp-content\/uploads\/2026\/01\/Figuren-FR2_c-1-1536x1168.png 1536w\" sizes=\"(max-width: 1584px) 100vw, 1584px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-df8e1d6\" data-id=\"df8e1d6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0fd6c3e elementor-widget elementor-widget-text-editor\" data-id=\"0fd6c3e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"color: #4b4b4b;\"><span style=\"font-size: 2rem; letter-spacing: 0px;\">Facteurs de risque<\/span><\/h2><p style=\"color: #4b4b4b;\">Les principaux facteurs de risque modifiables de l\u2019ath\u00e9roscl\u00e9rose sont:<\/p><ul style=\"color: #4b4b4b;\"><li>Hypertension<\/li><li>Tabagisme<\/li><li>Dyslipid\u00e9mie (\u00e0 savoir taux \u00e9lev\u00e9 de <a href=\"https:\/\/lipidtools.com\/fr\/cholesterol-ldl\/\">cholest\u00e9rol LDL <\/a>et <a href=\"https:\/\/lipidtools.com\/fr\/lipoproteinea\/\">lipoprot\u00e9ine(a)<\/a>)<\/li><li>Ob\u00e9sit\u00e9<\/li><li>Activit\u00e9 physique r\u00e9duite ou absente<\/li><li>Diab\u00e8te sucr\u00e9<\/li><li>Autres maladies (inflammatoires) chroniques (p. ex. maladies rhumato\u00efdes, maladies r\u00e9nales et st\u00e9atose h\u00e9patique)<\/li><\/ul><div><h2>Pr\u00e9vention<\/h2><p>La pr\u00e9vention des maladies cardiovasculaires commence par le calcul du profil de risque cardiovasculaire, souvent exprim\u00e9 sur un risque \u00e0 10 ans ou \u00e0 vie. Les mesures de pr\u00e9vention incluent des conseils sur le mode de vie comme l\u2019activit\u00e9 physique (30 minutes par jour), <a href=\"https:\/\/www.voedingscentrum.nl\/nl\/gezond-eten-met-de-schijf-van-vijf.aspx\" target=\"_blank\" rel=\"noopener\">une alimentation saine<\/a>, l\u2019absence de tabagisme et une consommation d&rsquo;alcool minimale. <\/p><p>Often, however, pharmacological treatment is necessary to reduce the cardiovascular disease risk. In addition to treatment of specific risk factors such as hypertension and diabetes, different LDL cholesterol levels can be targeted, depending on the extent of the risk for cardiovascular disease. The <a href=\"https:\/\/lipidtools.com\/fr\/calculator-pages\/calculateur-de-ldl-c\/\">Lipid Tools LDL cholesterol tool<\/a> can help estimate what drugs and in which doses the drugs will be needed to reach the specific target value  <\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ath\u00e9roscl\u00e9rose et risque cardiovasculaire Pathophysiologie de l\u2019ath\u00e9roscl\u00e9rose L\u2019ath\u00e9roscl\u00e9rose est une maladie inflammatoire chronique qui peut entra\u00eener la formation de plaque dans les parois des vaisseaux, et in fine, une st\u00e9nose des art\u00e8res. Ce processus pathophysiologique entra\u00eene des maladies cardiovasculaires comme une maladie coronarienne, une maladie art\u00e9rielle p\u00e9riph\u00e9rique et une maladie c\u00e9r\u00e9brovasculaire. Les maladies cardiovasculaires sont [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2230","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/pages\/2230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/comments?post=2230"}],"version-history":[{"count":35,"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/pages\/2230\/revisions"}],"predecessor-version":[{"id":3092,"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/pages\/2230\/revisions\/3092"}],"wp:attachment":[{"href":"https:\/\/lipidtools.com\/fr\/wp-json\/wp\/v2\/media?parent=2230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}