Influence of vessel size, age and body mass index on the flow-mediated dilatation (FMD%) of the brachial artery

Influence of vessel size, age and body mass index on the flow-mediated dilatation (FMD%) of the brachial artery
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DOI:
10.1016/s0167-5273(00)00381-8
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发表时间:
2000-11-01
影响因子:
3.5
通讯作者:
Karsch, KR
Karsch, KR
中科院分区:
医学2区
文献类型:
--
作者:
Schroeder, S;Enderle, MD;Karsch, KR

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背景:无创检测肱动脉内皮功能障碍(艾德)是临床研究中广泛应用的方法。然而,尚不清楚测试结果是否受解剖血管尺寸、患者年龄、体重指数(BMI)或性别的影响。方法:测定122例(男88例,女34例)肱动脉血流介导的舒张功能(FMD%)。在静息状态、反应性充血期间和舌下给予硝酸甘油(GTN%)后,使用高分辨率超声(13 Mhz)测量FMD%。结果:静息时管腔直径范围为2.48 mm至6.33 mm(4.46+/-0.74 mm)。FMD%和GTN%与静息管腔直径呈负相关(r=-0.33,P
Background: The non-invasive determination of the endothelial dysfunction (ED) of the brachial artery is a widely used method in clinical research. It remained, however, unclear, whether the test-results are influenced by the anatomical vessel size, the patients age, body mass index (BMI) or gender. Methods: The flow-mediated vasodilatation (FMD%) of the brachial artery was determined in 122 consecutive (88 male, 34 female) patients. FMD% was measured using high resolution ultrasound (13 Mhz) at rest, during reactive hyperaemia and after the sublingual administration of glycerolnitrate (GTN%). Results: Lumen diameters at rest varied from 2.48 mm to 6.33 mm (4.46+/-0.74 mm). The extent of FMD% as well as of GTN% showed an inverse correlation to the resting lumen diameters (r=-0.33, P