Comparison of forearm endothelial function between premenopausal and postmenopausal women with or without hypercholesterolemia

We sought to determine whether menopausal status or postmenopausal hypercholesterolemia affects forearm resistance artery endothelial function. We studied the forearm resistance artery endothelial function in 75 Japanese women: 25 premenopausal volunteers, 25 postmenopausal women with normal serum l...

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Veröffentlicht in:Maturitas 2003-04, Vol.44 (4), p.307-315
Hauptverfasser: Sanada, Mitsuhiro, Higashi, Yukihito, Nakagawa, Keigo, Kodama, Ichiro, Tsuda, Mikio, Nagai, Nobutaka, Chayama, Kazuaki, Ohama, Koso
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container_end_page 315
container_issue 4
container_start_page 307
container_title Maturitas
container_volume 44
creator Sanada, Mitsuhiro
Higashi, Yukihito
Nakagawa, Keigo
Kodama, Ichiro
Tsuda, Mikio
Nagai, Nobutaka
Chayama, Kazuaki
Ohama, Koso
description We sought to determine whether menopausal status or postmenopausal hypercholesterolemia affects forearm resistance artery endothelial function. We studied the forearm resistance artery endothelial function in 75 Japanese women: 25 premenopausal volunteers, 25 postmenopausal women with normal serum low-density lipoprotein (LDL) cholesterol concentrations, and 25 hypercholesterolemic postmenopausal women. Excluded from the study were patients with hypertriglyceridemia, hypertension, or diabetes, cigarette smokers. The forearm blood flow (FBF) during reactive hyperemia and after sublingual nitroglycerin (NTG) administration was measured by strain-gauge plethysmography. The serum concentrations of lipoprotein (a) [Lp(a)] were significantly higher in the hypercholesterolemic postmenopausal group than in the other two groups ( P
doi_str_mv 10.1016/S0378-5122(03)00045-8
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We studied the forearm resistance artery endothelial function in 75 Japanese women: 25 premenopausal volunteers, 25 postmenopausal women with normal serum low-density lipoprotein (LDL) cholesterol concentrations, and 25 hypercholesterolemic postmenopausal women. Excluded from the study were patients with hypertriglyceridemia, hypertension, or diabetes, cigarette smokers. The forearm blood flow (FBF) during reactive hyperemia and after sublingual nitroglycerin (NTG) administration was measured by strain-gauge plethysmography. The serum concentrations of lipoprotein (a) [Lp(a)] were significantly higher in the hypercholesterolemic postmenopausal group than in the other two groups ( P&lt;0.01). These lipid parameters were similar between the premenopausal and postmenopausal women with normal cholesterol. The FBF responses to reactive hyperemia were significantly lower in the postmenopausal hypercholesterolemic women than in the other two groups ( P&lt;0.01). The reactive hyperemia also was impaired in the postmenopausal group with normal cholesterol as compared with the premenopausal group ( P&lt;0.01). Increases in FBF after NTG were similar between the three groups. By stepwise multivariate analysis, menopausal status and serum LDL cholesterol was the significant predictor of forearm endothelial function. These findings suggest that reactive hyperemia is impaired in forearm resistance arteries after menopause, especially in postmenopausal women with hypercholesterolemia.</description><identifier>ISSN: 0378-5122</identifier><identifier>EISSN: 1873-4111</identifier><identifier>DOI: 10.1016/S0378-5122(03)00045-8</identifier><identifier>PMID: 12697372</identifier><identifier>CODEN: MATUDK</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Biological and medical sciences ; Blood Flow Velocity ; Disorders of blood lipids. 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The reactive hyperemia also was impaired in the postmenopausal group with normal cholesterol as compared with the premenopausal group ( P&lt;0.01). Increases in FBF after NTG were similar between the three groups. By stepwise multivariate analysis, menopausal status and serum LDL cholesterol was the significant predictor of forearm endothelial function. These findings suggest that reactive hyperemia is impaired in forearm resistance arteries after menopause, especially in postmenopausal women with hypercholesterolemia.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood Flow Velocity</subject><subject>Disorders of blood lipids. 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Hyperlipoproteinemia</topic><topic>Endothelium, Vascular - drug effects</topic><topic>Endothelium, Vascular - physiology</topic><topic>Endothelium, Vascular - physiopathology</topic><topic>Female</topic><topic>Forearm - blood supply</topic><topic>Forearm resistance artery endothelial function</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Hypercholesterolemia</topic><topic>Hypercholesterolemia - physiopathology</topic><topic>Medical sciences</topic><topic>Metabolic diseases</topic><topic>Middle Aged</topic><topic>Nitroglycerin - pharmacology</topic><topic>Plethysmography</topic><topic>Postmenopause</topic><topic>Postmenopause - physiology</topic><topic>Premenopause</topic><topic>Premenopause - physiology</topic><topic>Puberal and climacteric disorders (male and female)</topic><topic>Vascular Resistance</topic><topic>Vasodilation</topic><topic>Vasodilator Agents - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sanada, Mitsuhiro</creatorcontrib><creatorcontrib>Higashi, Yukihito</creatorcontrib><creatorcontrib>Nakagawa, Keigo</creatorcontrib><creatorcontrib>Kodama, Ichiro</creatorcontrib><creatorcontrib>Tsuda, Mikio</creatorcontrib><creatorcontrib>Nagai, Nobutaka</creatorcontrib><creatorcontrib>Chayama, Kazuaki</creatorcontrib><creatorcontrib>Ohama, Koso</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Maturitas</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sanada, Mitsuhiro</au><au>Higashi, Yukihito</au><au>Nakagawa, Keigo</au><au>Kodama, Ichiro</au><au>Tsuda, Mikio</au><au>Nagai, Nobutaka</au><au>Chayama, Kazuaki</au><au>Ohama, Koso</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of forearm endothelial function between premenopausal and postmenopausal women with or without hypercholesterolemia</atitle><jtitle>Maturitas</jtitle><addtitle>Maturitas</addtitle><date>2003-04-25</date><risdate>2003</risdate><volume>44</volume><issue>4</issue><spage>307</spage><epage>315</epage><pages>307-315</pages><issn>0378-5122</issn><eissn>1873-4111</eissn><coden>MATUDK</coden><abstract>We sought to determine whether menopausal status or postmenopausal hypercholesterolemia affects forearm resistance artery endothelial function. 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The reactive hyperemia also was impaired in the postmenopausal group with normal cholesterol as compared with the premenopausal group ( P&lt;0.01). Increases in FBF after NTG were similar between the three groups. By stepwise multivariate analysis, menopausal status and serum LDL cholesterol was the significant predictor of forearm endothelial function. These findings suggest that reactive hyperemia is impaired in forearm resistance arteries after menopause, especially in postmenopausal women with hypercholesterolemia.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>12697372</pmid><doi>10.1016/S0378-5122(03)00045-8</doi><tpages>9</tpages></addata></record>
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Biological and medical sciences
Blood Flow Velocity
Disorders of blood lipids. Hyperlipoproteinemia
Endothelium, Vascular - drug effects
Endothelium, Vascular - physiology
Endothelium, Vascular - physiopathology
Female
Forearm - blood supply
Forearm resistance artery endothelial function
Gynecology. Andrology. Obstetrics
Humans
Hypercholesterolemia
Hypercholesterolemia - physiopathology
Medical sciences
Metabolic diseases
Middle Aged
Nitroglycerin - pharmacology
Plethysmography
Postmenopause
Postmenopause - physiology
Premenopause
Premenopause - physiology
Puberal and climacteric disorders (male and female)
Vascular Resistance
Vasodilation
Vasodilator Agents - pharmacology
title Comparison of forearm endothelial function between premenopausal and postmenopausal women with or without hypercholesterolemia
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