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July 1, 1998HypertensionOpen Access

Contribution of Nitric Oxide to Reactive Hyperemia

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Why the study?

Does nitric oxide contribute to reactive hyperemia, and does L-arginine improve reactive hyperemia in patients with atherosclerosis or endothelial dysfunction?

Population

44 human subjects, comprising 15 normal control subjects without risk factors for atherosclerosis and 29…

Comparison

Intrafemoral arterial NG-monomethyl-L-arginine… vs Baseline measurements and comparison between…

Design

Other

Key result

L-NMMA significantly inhibited reactive hyperemia in normal controls (P=0.0011) but not in patients with atherosclerosis or risk factors, demonstrating abnormal nitric oxide bioactivity.

Authors

NDNader DakakSHSyed HusainDMDavid Mulcahy

Discussion

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Overview

Supports loss of NO-mediated reactive hyperemia in atherosclerosis; leaves open whether L-arginine or NO-targeted therapies alter clinical outcomes.

Study Design

Type

Case-Control (n=44)

Structured PICO

Does nitric oxide contribute to reactive hyperemia, and does L-arginine improve reactive hyperemia in patients with atherosclerosis or endothelial dysfunction?

P
Population
44 subjects, including 15 normal controls and 29 patients with risk factors or angiographic atherosclerosis, assessed for endothelial function and reactive hyperemia.
I
Intervention
Intrafemoral arterial NG-monomethyl-L-arginine (L-NMMA) in 44 subjects, and L-arginine in 9 patients with atherosclerosis.
C
Comparator
Baseline measurements (prior to L-NMMA/L-arginine administration) and comparison between normal controls and patients with atherosclerosis/risk factors.
O
Outcome
Microvascular vasodilation in response to acetylcholine, sodium nitroprusside, and reactive hyperemia (induced by 3-minute leg blood flow occlusion).surrogate

Main Result

p-value: p=0.0011

Nitric oxide contributes to reactive hyperemia in the normal human peripheral vasculature, but this NO bioactivity is diminished in patients with atherosclerosis and is not improved by acute L-arginine administration.

Cite This Study

Dakak et al. (1998) conducted a case-control in Atherosclerosis and endothelial dysfunction (n=44). L-NMMA and L-arginine vs. Normal controls vs patients with atherosclerosis was evaluated on Inhibition of reactive hyperemia by L-NMMA (p=0.0011). L-NMMA significantly inhibited reactive hyperemia in normal controls (P=0.0011) but not in patients with atherosclerosis or risk factors, demonstrating abnormal nitric oxide bioactivity.

synapsesocial.com/papers/6a64b9ba380cdf552bd9477fhttps://doi.org/10.1161/01.hyp.32.1.9
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