Arterial elasticity identified by pulse wave analysis and its relation to endothelial function in patients with coronary artery disease

Patients with coronary artery disease (CAD) have impaired endothelial function. Arterial elasticity is modulated by endothelial function. The association between arterial elasticity and endothelial function has not been reported in patients with CAD. The present study was designed to investigate whe...

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Veröffentlicht in:Journal of human hypertension 2007-02, Vol.21 (2), p.149-153
Hauptverfasser: Tao, J, Liu, D-H, Wang, L-C, Wang, J-M, Wang, Y, Yang, Z, Lou, Z-F, Tang, A-L
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container_end_page 153
container_issue 2
container_start_page 149
container_title Journal of human hypertension
container_volume 21
creator Tao, J
Liu, D-H
Wang, L-C
Wang, J-M
Wang, Y
Yang, Z
Lou, Z-F
Tang, A-L
description Patients with coronary artery disease (CAD) have impaired endothelial function. Arterial elasticity is modulated by endothelial function. The association between arterial elasticity and endothelial function has not been reported in patients with CAD. The present study was designed to investigate whether endothelial dysfunction contributes to impaired arterial elasticity. Thirty patients with CAD and 30 control subjects were recruited. Large and small artery elasticity indices were non-invasively assessed using pulse wave analysis. Brachial artery endothelium-dependent and -independent function were assessed by vascular response to flow-mediated vasodilation (FMD) and sublingual nitroglyceride (NTG), respectively. C1 large artery elasticity index was not different in the CAD group compared with the control group. However, C2 small artery elasticity index was significantly reduced in the CAD group compared with the control group. Flow-mediated vasodilation (FMD) was also impaired in the CAD group compared with the control group. Flow-mediated vasodilation (FMD) in the brachial artery correlated with C2 small arterial elasticity index. But NTG-mediated brachial artery vasodilation was similar between the two groups. The present findings suggest that the patients with CAD have reduced C2 small arterial elasticity index and impaired FMD. Endothelial dysfunction is involved in diminished arterial elasticity, suggesting that C2 small arterial elasticity index is a novel surrogate measure for the clinical evaluation of endothelial function.
doi_str_mv 10.1038/sj.jhh.1002112
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Arterial elasticity is modulated by endothelial function. The association between arterial elasticity and endothelial function has not been reported in patients with CAD. The present study was designed to investigate whether endothelial dysfunction contributes to impaired arterial elasticity. Thirty patients with CAD and 30 control subjects were recruited. Large and small artery elasticity indices were non-invasively assessed using pulse wave analysis. Brachial artery endothelium-dependent and -independent function were assessed by vascular response to flow-mediated vasodilation (FMD) and sublingual nitroglyceride (NTG), respectively. C1 large artery elasticity index was not different in the CAD group compared with the control group. However, C2 small artery elasticity index was significantly reduced in the CAD group compared with the control group. Flow-mediated vasodilation (FMD) was also impaired in the CAD group compared with the control group. Flow-mediated vasodilation (FMD) in the brachial artery correlated with C2 small arterial elasticity index. But NTG-mediated brachial artery vasodilation was similar between the two groups. The present findings suggest that the patients with CAD have reduced C2 small arterial elasticity index and impaired FMD. Endothelial dysfunction is involved in diminished arterial elasticity, suggesting that C2 small arterial elasticity index is a novel surrogate measure for the clinical evaluation of endothelial function.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>17082797</pmid><doi>10.1038/sj.jhh.1002112</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Arterial hypertension. Arterial hypotension
Arteries
Arteries - physiopathology
Biological and medical sciences
Blood and lymphatic vessels
Brachial Artery - physiopathology
Cardiology. Vascular system
Cardiovascular disease
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Coronary artery
Coronary Disease - physiopathology
Coronary heart disease
Coronary vessels
Elasticity
Endothelium
Endothelium, Vascular - physiopathology
Epidemiology
Female
Health Administration
Health aspects
Heart
Heart diseases
Humans
Linear Models
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Nitric oxide
original-article
Patients
Physiological aspects
Public Health
Pulsatile Flow - physiology
Risk factors
Vasodilation
Vein & artery diseases
title Arterial elasticity identified by pulse wave analysis and its relation to endothelial function in patients with coronary artery disease
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