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January 1, 2004Endothelium

Prolonged Local Forearm Hyperinsulinemia Induces Sustained Enhancement of Nitric Oxide–Dependent Vasodilation in Healthy Subjects

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Why the study?

Does intra-arterial insulin infusion enhance nitric oxide-dependent vasodilation in healthy subjects?

Population

Healthy subjects, mean age 47.7 +/- 1.1 years (36 experiments performed)

Comparison

Intra-arterial insulin infused in the brachial… vs Vehicle

Design

Other

Follow-up

4 hours

Authors

THThomas HermannFrederiksberg HospitalNINikolaj IhlemannInterventional CardiologyHelena DomínguezHelena DomínguezElectrophysiology

Discussion

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Implication

Prolonged local hyperinsulinemia directly causes a sustained, nitric oxide-mediated increase in endothelium-dependent vasodilation in resistance vessels of healthy subjects.

Structured PICO

Does intra-arterial insulin infusion enhance nitric oxide-dependent vasodilation in healthy subjects?

P
Population
Healthy subjects, mean age 47.7 +/- 1.1 years (36 experiments performed)
I
Intervention
Intra-arterial insulin infused in the brachial artery for 4 hours (240 min) at a constant rate
C
Comparator
Vehicle
O
Outcome
Endothelium-dependent and -independent vasodilation (measured by forearm blood flow via plethysmography)surrogate

Prolonged local hyperinsulinemia directly causes a sustained, nitric oxide-mediated increase in endothelium-dependent vasodilation in resistance vessels of healthy subjects.

Cite This Study

Hermann et al. (2004) studied this question.

synapsesocial.com/papers/6a70b1ce6ceb2bbd16dff80chttps://doi.org/10.1080/10623320490904098
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Direct vasodilator effects of physiological hyperinsulin‐aemia in human skeletal muscle1996 · 49 citations
  2. 2Impaired Insulin-Mediated Skeletal Muscle Blood Flow in Patients With NIDDM1992 · 458 citations
  3. 3Vasodilator Response to Systemic But Not to Local Hyperinsulinemia in the Human Forearm1998 · 51 citations
  4. 4The Vasodilating Effect of Insulin Is Dependent on Local Glucose Uptake: A Double Blind, Placebo-Controlled Study11998 · 32 citations
  5. 5Insulin Stimulates Both Endothelin and Nitric Oxide Activity in the Human Forearm1999 · 304 citations