Abstract
This review examines the emerging role of endothelial shear stress (ESS) and blood viscosity on the initiation and progression of atherosclerosis in peripheral arterial disease. Among the variables determining ESS, blood viscosity has to date been the most overlooked by clinical researchers. Blood viscosity is a laboratory assessment that is minimally invasive and modifiable using pharmacologic therapy as well as by hemodilution. Monitoring and controlling blood viscosity not only modulates ESS, but also reduces peripheral vascular resistance and increases blood flow to the lower extremities.


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Robert S. Rosenson received honoraria from Aegerion, Amgen, GSK, Janssen, LipoScience, Novartis, Regeneron, and Sanofi; and received royalties from UpToDate.
Young I Cho and Daniel J. Cho declare that they have no conflict of interest.
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Cho, Y.I., Cho, D.J. & Rosenson, R.S. Endothelial Shear Stress and Blood Viscosity in Peripheral Arterial Disease. Curr Atheroscler Rep 16, 404 (2014). https://doi.org/10.1007/s11883-014-0404-6
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DOI: https://doi.org/10.1007/s11883-014-0404-6