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Cited by 629

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Endothelial dysfunction and cardiovascular risk profile in nonalcoholic fatty liver disease†

Open access
Villanova, Nicola, Moscatiello, Simona, Ramilli, Stefano, Bugianesi, Elisabetta, Magalotti, Donatella, Vanni, Ester, Zoli, Marco, Marchesini, Giulio·2005·Hepatology

Abstract

Nonalcoholic fatty liver disease (NAFLD) is consistently associated with features of the metabolic syndrome, a condition carrying a high risk of cardiovascular events. We measured the vasodilatory response of the brachial artery in response to ischemia (a test of endothelial function) (FMV) as well as cardiovascular risk profile in 52 NAFLD cases and 28 age- and sex-matched controls. The 10-year risk of coronary events was calculated according to the Framingham equation and the scores derived from the PROCAM study and NCEP-ATPIII proposals. FMV was 6.33% +/- 5.93% in NAFLD versus 12.22% +/- 5.05% in controls (P < .0001), and higher in pure fatty liver (9.93%) compared with nonalcoholic steatohepatitis (4.94%) (P = .010). No differences were observed in flow-independent vasodilation (response to sublingual nitroglycerin). Percent FMV was negatively associated with insulin resistance (homeostasis model assessment) in the whole population (r = -0.243; P = .030). In logistic regression analysis, NAFLD was associated with a percent FMV in the lower tertile (OR, 6.7; 95% CI, 1.26-36.1), after adjustment for age, sex, body mass index, and insulin resistance. Among NAFLD patients, low FMV was associated with nonalcoholic steatohepatitis (adjusted OR, 6.8; 95% CI, 1.2-40.2). The 10-year probability of cardiovascular events was moderately increased in NAFLD, and particularly in nonalcoholic steatohepatitis. In conclusion, our study provides evidence of endothelial dysfunction and increased risk of cardiovascular events in NAFLD. The risk of advanced liver disease is well recognized in NAFLD patients, but the large majority of cases might experience cardiovascular disease in the long term, indirectly limiting the burden of liver failure.

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Metadata

Authors
Villanova, N., Moscatiello, S., Ramilli, S., Bugianesi, E., Magalotti, D., Vanni, E., Zoli, M., & Marchesini, G.
Venue
Hepatology
Published
2005-08
Volume
42
Issue
2
Pages
473-480
ISSN
0270-9139 (ISSN-L)
OpenAlex
W2028392657
Cited by
629
References
10
FWCI
18.98
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Endothelial dysfunction and cardiovascular risk profile in nonalcoholic fatty liver disease†. https://app.cochat.ai/papers/10.1002/hep.20781
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Villanova, N., Moscatiello, S., Ramilli, S., Bugianesi, E., Magalotti, D., Vanni, E., Zoli, M., & Marchesini, G. (2005). Endothelial dysfunction and cardiovascular risk profile in nonalcoholic fatty liver disease†. Hepatology. https://doi.org/10.1002/hep.20781

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