Under normal conditions, the vascular endothelium exerts vasodilator, antit
hrombotic, and growth-inhibiting effects on the vessel wall. In the setting
of atherosclerosis, endothelial dysfunction contributes to vasoconstrictio
n, thrombosis, and growth of vascular smooth muscle. This article reviews t
he important contributors to endothelial function both in health and in the
diseased state of atherosclerosis. Therapeutic options for improvement of
endothelial function will also be summarized. Coronary Artery Dis 10:241-25
6 (C) 1999 Lippincott Williams & Wilkins.