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September 11, 2013ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)Open Access

Endothelial function assessment in atherosclerosis. Comparison of brachial artery flow‑mediated vasodilation and peripheral arterial tonometry

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Key result

Flow-mediated dilation was significantly correlated with intima-media thickness (r = -0.53) and atherosclerotic risk factors, whereas reactive hyperemia index showed no such correlations despite correlating modestly with FMD (r = 0.35).

Why the study?

Does reactive hyperemia-peripheral artery tonometry (RH-PAT) correlate with flow-mediated dilation (FMD) and atherosclerotic risk factors in subjects with moderate-to-low cardiovascular risk?

Population

80 subjects aged 43.6 ±14.8 years, with moderate-to-low cardiovascular risk.

Comparison

Reactive hyperemia-peripheral artery tonometry… vs Brachial artery flow-mediated dilation (FMD)

Design

Cross-sectional

Authors

GWG. WilkGOGrzegorz OsmendaPMPaweł T. Matusik

Discussion

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Member takes

Overview

FMD may better capture atherosclerotic risk than RH-PAT; leaves open whether RH-PAT adds incremental value in moderate-to-low risk groups.

Study Design

Type

Observational (n=80)

Multicenter

No

Structured PICO

Does reactive hyperemia-peripheral artery tonometry (RH-PAT) correlate with flow-mediated dilation (FMD) and atherosclerotic risk factors in subjects with moderate-to-low cardiovascular risk?

P
Population
80 adults aged 19 to 68 years with moderate-to-low cardiovascular risk underwent assessment of endothelial function to compare FMD and RH-PAT.
E
Exposure
Reactive hyperemia-peripheral artery tonometry (RH-PAT) to measure reactive hyperemia index (RHI)
C
Comparator
Brachial artery flow-mediated dilation (FMD)
O
Outcome
Correlation between RHI and FMD, and their respective correlations with intima-media thickness (IMT), SCORE, and classical atherosclerotic risk factorssurrogate

Main Result

Effect estimate: r = 0.35

p-value: p=<0.01

Although RH-PAT correlates modestly with FMD, FMD remains a more sensitive method for evaluating the impact of classical atherosclerotic risk factors on vascular endothelial function.

Limitations

  • Sample size may not be sufficient to fully discriminate the effects of individual risk factors in a multivariate analysis.
  • RH-PAT measures microvascular response which may depend on non-endothelial factors.
  • Microvasculature response during RH-PAT needs to be further studied, including the assessment of nonendothelial factors that may affect the measurements

Cite This Study

Wilk et al. (2013) conducted an observational in Atherosclerosis risk (n=80). Brachial artery flow-mediated dilation (FMD) and reactive hyperemia-peripheral artery tonometry (RH-PAT) was evaluated on Correlation between reactive hyperemia index (RHI) and flow-mediated dilation (FMD) (r = 0.35, p=<0.01). Flow-mediated dilation was significantly correlated with intima-media thickness (r = -0.53) and atherosclerotic risk factors, whereas reactive hyperemia index showed no such correlations despite correlating modestly with FMD (r = 0.35).

synapsesocial.com/papers/6a7c5907d501feb4353bee6fhttps://doi.org/10.20452/pamw.1879
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Also Consider

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

  1. 1Comparison of peripheral arterial tonometry and flow-mediated vasodilation for assessment of the severity and complexity of coronary artery disease2014 · 45 citations
  2. 2Non-invasive endothelial function testing and the risk of adverse outcomes: a systematic review and meta-analysis2014 · 256 citations
  3. 3Assessment of peripheral vascular endothelial function in the ambulatory setting2007 · 149 citations
  4. 4Testing Endothelial Function and its Clinical Relevance2012 · 119 citations
  5. 5Relationships between three different tests to evaluate endothelium-dependent vasodilation and cardiovascular risk in a middle-aged sample2013 · 57 citations