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December 1, 2003European Heart JournalOpen Access

Microvessel haemodynamics: interesting news which is not NO news?

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Key result

EDHF rather than nitric oxide primarily mediates abnormal microvessel vasorelaxation in obese patients.

Why the study?

The mechanisms linking metabolic and vascular consequences of visceral obesity and type 2 diabetes, particularly the role of endothelial factors in microvessel vasodilation, remain incompletely understood.

Comparison

EDHF-dependent versus NO-dependent vasodilation in microvessels of obese subjects with insulin resistance

Design

Editorial discussing recent research findings

Authors

EKEelco J.P. de Koning

Discussion

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Member takes

Overview

EDHF may contribute to microvascular dysfunction in obesity; hypothesis-generating and should not yet change practice.

PICO

P
Population
Obesity and insulin resistance

Highlights the potential role of EDHF-dependent vasodilation in microvascular dysfunction and metabolic/hemodynamic coupling in obesity and insulin resistance.

Limitations

  • Human studies focusing on EDHF-dependent vasodilation in the heart are scarce.
  • Whether EDHF-dependent vasodilation plays a role in haemodynamic/metabolic coupling in the heart remains unresolved.

Cite This Study

Eelco J.P. de Koning (2003) conducted an editorial in Obesity and insulin resistance. In a discussed study of 10 obese subjects, endothelium-derived hyperpolarizing factor (EDHF), rather than nitric oxide, was primarily involved in abnormal microvessel vasorelaxation.

synapsesocial.com/papers/6aa9f33d20cf838608fbbebehttps://doi.org/10.1016/j.ehj.2003.09.001
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Also Consider

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

  1. 1The Endothelium in Health and Disease-A Target for Therapeutic Intervention.2003 · 119 citations
  2. 2The Coupling of Glucose Metabolism and Perfusion in Human Skeletal Muscle: The Potential Role of Endothelium-Derived Nitric Oxide1996 · 133 citations
  3. 3Insulin–endothelial interactions2012
  4. 4Diet-Induced Obesity Impairs Endothelium-Derived Hyperpolarization via Altered Potassium Channel Signaling Mechanisms2011 · 75 citations
  5. 5Microvascular Endothelial Dysfunction in Obesity and Hypertension2013 · 63 citations