Superiority of endothelin-1 over norepinephrine in exercise-induced alterations of the conduit artery tone of the non-exercised arm in patients with chronic heart failure

This study is aimed at examining the relative importance of norepinephrine and endothelin-1 in treadmill exercise-induced changes in brachial arterial tone of the non-exercised arm in patients with chronic heart failure (CHF). Brachial artery diameter and blood flow were measured before and after ex...

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Veröffentlicht in:International journal of cardiology 2000-03, Vol.73 (1), p.15-25
Hauptverfasser: Yousufuddin, Mohammed, Shamim, Waqar, Chambers, Jonathan S., Henein, Michael, Amin, Fouad R., Anker, Stefan D., Kemp, Michael, Hooper, James, Coats, Andrew J.S.
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container_title International journal of cardiology
container_volume 73
creator Yousufuddin, Mohammed
Shamim, Waqar
Chambers, Jonathan S.
Henein, Michael
Amin, Fouad R.
Anker, Stefan D.
Kemp, Michael
Hooper, James
Coats, Andrew J.S.
description This study is aimed at examining the relative importance of norepinephrine and endothelin-1 in treadmill exercise-induced changes in brachial arterial tone of the non-exercised arm in patients with chronic heart failure (CHF). Brachial artery diameter and blood flow were measured before and after exercise in eight healthy volunteers and 18 patients with stable chronic heart failure by high-resolution ultrasound. Maximal exercise resulted in brachial artery dilatation in controls (4.42±0.39 vs. 4.77±0.39 mm; P
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Brachial artery diameter and blood flow were measured before and after exercise in eight healthy volunteers and 18 patients with stable chronic heart failure by high-resolution ultrasound. Maximal exercise resulted in brachial artery dilatation in controls (4.42±0.39 vs. 4.77±0.39 mm; P&lt;0.0001) in contrast to constriction seen in the patients (5.27±0.67 vs. 5.12±0.66 mm; P=0.07). Both groups demonstrated a significant increase in blood flow after exercise. The pre-exercise (2.83±0.76 vs. 1.69±0.15 pmol/l; P=0.0004), post-exercise (4.15±1.5 vs. 2.02±0.34 pmol/l; P=0.0004) and the percent increase (47.15±32.5 vs. 19.0±10.5%; P=0.02) in endothelin-1 levels were significantly greater in patients than in controls. In contrast to endothelin-1, the exercise-induced percent increase in norepinephrine was greater in controls than patients (100.7±51.8 vs. 49.8±43.4%; P=0.01). The percent change in the diameter of the brachial artery in response to maximal exercise was significantly correlated to pre- ( r=0.634; P=0.003) and post-exercise ( r=0.467; P=0.05) endothelin-1 levels in patients but not in controls [pre-exercise ( r=0.07; P=0.86), post-exercise ( r=0.310; P=0.47)]. The change in the diameter of the brachial artery did not correlate with pre- or post-exercise plasma norepinephrine levels in either group. 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Brachial artery diameter and blood flow were measured before and after exercise in eight healthy volunteers and 18 patients with stable chronic heart failure by high-resolution ultrasound. Maximal exercise resulted in brachial artery dilatation in controls (4.42±0.39 vs. 4.77±0.39 mm; P&lt;0.0001) in contrast to constriction seen in the patients (5.27±0.67 vs. 5.12±0.66 mm; P=0.07). Both groups demonstrated a significant increase in blood flow after exercise. The pre-exercise (2.83±0.76 vs. 1.69±0.15 pmol/l; P=0.0004), post-exercise (4.15±1.5 vs. 2.02±0.34 pmol/l; P=0.0004) and the percent increase (47.15±32.5 vs. 19.0±10.5%; P=0.02) in endothelin-1 levels were significantly greater in patients than in controls. In contrast to endothelin-1, the exercise-induced percent increase in norepinephrine was greater in controls than patients (100.7±51.8 vs. 49.8±43.4%; P=0.01). The percent change in the diameter of the brachial artery in response to maximal exercise was significantly correlated to pre- ( r=0.634; P=0.003) and post-exercise ( r=0.467; P=0.05) endothelin-1 levels in patients but not in controls [pre-exercise ( r=0.07; P=0.86), post-exercise ( r=0.310; P=0.47)]. The change in the diameter of the brachial artery did not correlate with pre- or post-exercise plasma norepinephrine levels in either group. These findings suggest that endothelin-1 is potentially more important than norepinephrine in contributing exercise-induced brachial artery constriction in patients with chronic heart failure.</description><subject>Biological and medical sciences</subject><subject>Brachial Artery</subject><subject>Cardiology. Vascular system</subject><subject>Chronic heart failure</subject><subject>Endothelin-1</subject><subject>Endothelin-1 - blood</subject><subject>Endothelium, Vascular - metabolism</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Heart</subject><subject>Heart Failure - blood</subject><subject>Heart Failure - rehabilitation</subject><subject>Heart failure, cardiogenic pulmonary edema, cardiac enlargement</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Norepinephrine</subject><subject>Norepinephrine - blood</subject><subject>Regional Blood Flow</subject><subject>Vascular tone</subject><subject>Vasoconstriction</subject><subject>Vasomotor System - metabolism</subject><subject>Vasomotor System - physiology</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2OFCEUhYnROO3oI2hYGKML9NIFXcXKmIl_ySQuRteEgUsKUw0lUKP9Sj6l1HT7s3NzWdzvHG7OIeQxh5cc-O7VVRs9k9u-e67UC4AtABN3yIYPvWC8l-Iu2fxBzsiDUr4CgFBquE_OOPRi6GC3IT-vlhlzSDnUA02eYnSpjjiFyDhNN5hpTBnnEHEec5s0RIo_MNtQkIXoFouOmqliNjWkWFaPpqc2tV2o1OS2OtCamvS0iimy3xZNm_er59zkGGuh30MdqR1zisHSEZueehOmJeNDcs-bqeCj03tOvrx7-_niA7v89P7jxZtLZjsFlaned955z3for70YuAAcwG09SA_OdV4a7pREgzspjFcgzRqeHJTicjDYnZNnR985p28Llqr3oVicJhMxLUX3oJTaCmigPII2p1Iyej3nsDf5oDnotSR9W5JeG9BK6duStGi6J6cPlus9un9Ux1Ya8PQEmGLN5LOJLay_XNe1gmXDXh8xbGncBMy62BZiayRktFW7FP5zyS_sarK1</recordid><startdate>20000331</startdate><enddate>20000331</enddate><creator>Yousufuddin, Mohammed</creator><creator>Shamim, Waqar</creator><creator>Chambers, Jonathan S.</creator><creator>Henein, Michael</creator><creator>Amin, Fouad R.</creator><creator>Anker, Stefan D.</creator><creator>Kemp, Michael</creator><creator>Hooper, James</creator><creator>Coats, Andrew J.S.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000331</creationdate><title>Superiority of endothelin-1 over norepinephrine in exercise-induced alterations of the conduit artery tone of the non-exercised arm in patients with chronic heart failure</title><author>Yousufuddin, Mohammed ; Shamim, Waqar ; Chambers, Jonathan S. ; Henein, Michael ; Amin, Fouad R. ; Anker, Stefan D. ; Kemp, Michael ; Hooper, James ; Coats, Andrew J.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-97f3fdff16efbf48140e80d2f05f0dd3f5a1d95eae654af905a02005899158ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Biological and medical sciences</topic><topic>Brachial Artery</topic><topic>Cardiology. 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Brachial artery diameter and blood flow were measured before and after exercise in eight healthy volunteers and 18 patients with stable chronic heart failure by high-resolution ultrasound. Maximal exercise resulted in brachial artery dilatation in controls (4.42±0.39 vs. 4.77±0.39 mm; P&lt;0.0001) in contrast to constriction seen in the patients (5.27±0.67 vs. 5.12±0.66 mm; P=0.07). Both groups demonstrated a significant increase in blood flow after exercise. The pre-exercise (2.83±0.76 vs. 1.69±0.15 pmol/l; P=0.0004), post-exercise (4.15±1.5 vs. 2.02±0.34 pmol/l; P=0.0004) and the percent increase (47.15±32.5 vs. 19.0±10.5%; P=0.02) in endothelin-1 levels were significantly greater in patients than in controls. In contrast to endothelin-1, the exercise-induced percent increase in norepinephrine was greater in controls than patients (100.7±51.8 vs. 49.8±43.4%; P=0.01). The percent change in the diameter of the brachial artery in response to maximal exercise was significantly correlated to pre- ( r=0.634; P=0.003) and post-exercise ( r=0.467; P=0.05) endothelin-1 levels in patients but not in controls [pre-exercise ( r=0.07; P=0.86), post-exercise ( r=0.310; P=0.47)]. The change in the diameter of the brachial artery did not correlate with pre- or post-exercise plasma norepinephrine levels in either group. These findings suggest that endothelin-1 is potentially more important than norepinephrine in contributing exercise-induced brachial artery constriction in patients with chronic heart failure.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>10748306</pmid><doi>10.1016/S0167-5273(99)00200-4</doi><tpages>11</tpages></addata></record>
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subjects Biological and medical sciences
Brachial Artery
Cardiology. Vascular system
Chronic heart failure
Endothelin-1
Endothelin-1 - blood
Endothelium, Vascular - metabolism
Exercise
Exercise - physiology
Heart
Heart Failure - blood
Heart Failure - rehabilitation
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Hemodynamics
Humans
Linear Models
Male
Medical sciences
Middle Aged
Norepinephrine
Norepinephrine - blood
Regional Blood Flow
Vascular tone
Vasoconstriction
Vasomotor System - metabolism
Vasomotor System - physiology
title Superiority of endothelin-1 over norepinephrine in exercise-induced alterations of the conduit artery tone of the non-exercised arm in patients with chronic heart failure
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