1 Internal Medicine Resident, Universidad Libre. Barranquilla, Colombia.
2 Physician, Universidad Metropolitana. Barranquilla, Colombia.
World Journal of Advanced Research and Reviews, 2026, 29(03), 1054-1057
Article DOI: 10.30574/wjarr.2026.29.3.0615
Received on 04 February 2026; revised on 08 March 2026; accepted on 11 March 2026
Background: Endothelial dysfunction represents one of the earliest pathophysiological events in the development of atherosclerotic cardiovascular disease. Metabolic abnormalities such as dyslipidemia, prediabetes, and overweight contribute to oxidative stress, vascular inflammation, and progressive impairment of nitric oxide bioavailability.
Case presentation: A 60-year-old male with cardiometabolic risk factors presented with progressive dyspnea and was diagnosed with severe dilated cardiomyopathy and multivessel coronary artery disease.
Conclusion: This case highlights the continuum from endothelial dysfunction to advanced cardiovascular disease.
Cardiovascular risk; Endothelium; Atherosclerosis; High blood pressure; Prediabetes; Dyslipidemia; Inflammation
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Michael Mario Vélez Lora, Joaquín Alberto Chois Antequera, Mauro Alonso Moreno Artuz and María Mónica González Chinchilla. From endothelial dysfunction to advanced cardiovascular disease: A case report of cardiometabolic progression. World Journal of Advanced Research and Reviews, 2026, 29(03), 1054-1057. Article DOI: https://doi.org/10.30574/wjarr.2026.29.3.0615.