Flow-mediated changes in pulse wave velocity: a new clinical measure of endothelial function

dc.contributor.authorNaka, K. K.en
dc.contributor.authorTweddel, A. C.en
dc.contributor.authorDoshi, S. N.en
dc.contributor.authorGoodfellow, J.en
dc.contributor.authorHenderson, A. H.en
dc.date.accessioned2015-11-24T19:15:39Z
dc.date.available2015-11-24T19:15:39Z
dc.identifier.issn0195-668X-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21539
dc.rightsDefault Licence-
dc.subjectAdulten
dc.subjectArm/blood supplyen
dc.subjectArteries/*physiopathologyen
dc.subjectBlood Flow Velocity/*physiologyen
dc.subjectBrachial Artery/physiopathologyen
dc.subjectEndothelium, Vascular/*physiopathologyen
dc.subjectHeart Failure/etiology/*physiopathologyen
dc.subjectHumansen
dc.subjectLeg/blood supplyen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectMyocardial Ischemia/complications/*physiopathologyen
dc.subjectPuncturesen
dc.subjectVasodilation/drug effectsen
dc.subjectVasodilator Agents/pharmacologyen
dc.titleFlow-mediated changes in pulse wave velocity: a new clinical measure of endothelial functionen
heal.abstractAIMS: To test whether measuring hyperaemic changes in pulse wave velocity (PWV) could be used as a new method of assessing endothelial function for use in clinical practice. METHODS AND RESULTS: Flow-mediated changes in vascular tone may be used to assess endothelial function and may be induced by distal hyperaemia, while endothelium-mediated changes in vascular tone can influence PWV. These three known principles were combined to provide and test a novel method of measuring endothelial function by the acute effects of distal hyperaemia on upper and lower limb PWV (measured by a recently developed method). Flow-mediated changes in upper and lower limb PWV were compared in 17 healthy subjects and seven patients with stable chronic heart failure (CHF), as a condition where endothelial function is impaired but endothelium-independent dilator responses are retained. Corroborative measurements of PWV and brachial artery diameter responses to endothelium-dependent and -independent pharmacological stimuli were performed in a further eight healthy subjects. Flow-mediated reduction of PWV (by 14% with no change in blood pressure) was found in normal subjects but was almost abolished in patients with CHF. PWV responses appear to be inversely related to and relatively greater than brachial artery diameter responses. CONCLUSION: The method may offer potential advantages of practical use and sensitivity over conduit artery diameter responses to measure endothelial dysfunction.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1093/eurheartj/ehi619-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/16267075-
heal.identifier.secondaryhttp://eurheartj.oxfordjournals.org/content/27/3/302.full.pdf-
heal.journalNameEur Heart Jen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2006-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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