Adjusting Flow-Mediated Dilation for Shear Stress Stimulus Allows Demonstration of Endothelial Dysfunction in a Population with Moderate Cardiovascular Risk
Author(s) -
Jaume Padilla,
Blair D. Johnson,
Sean C. Newcomer,
Daniel P. Wilhite,
Timothy D. Mickleborough,
Alyce D. Fly,
Kieren J. Mather,
Janet P. Wallace
Publication year - 2009
Publication title -
journal of vascular research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.58
H-Index - 74
eISSN - 1423-0135
pISSN - 1018-1172
DOI - 10.1159/000226227
Subject(s) - brachial artery , medicine , reactive hyperemia , shear stress , population , cardiology , forearm , endothelial dysfunction , occlusion , blood flow , anatomy , blood pressure , materials science , environmental health , composite material
Although normalization of brachial artery flow-mediated dilation (FMD) to individual shear stress (FMD:shear stress ratio) has been proposed to improve this measure of endothelial function, the clinical utility of FMD normalization has not yet been demonstrated. We tested (1) whether following conventional 5-min forearm occlusion, the FMD:shear stress ratio would discriminate a population with moderate cardiovascular risk (MR) from a low-risk (LR) population, and (2) whether the dose-response profile relating shear stress to FMD would be different between the 2 populations.
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