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Close relation of endothelial function in the human coronary and peripheral circulations
Open accessAbstract
Objectives The relation between endothelium-dependent vasodilator function in the brachial and coronary arteries was determined in the same subjects.Background Coronary artery endothelial dysfunction precedes the development of overt atherosclerosis and is important in its pathogenesis. A noninvasive assessment of endothelial function in a peripheral conduit vessel, the brachial artery, was recently described, but the relation between brachial artery function and coronary artery vasodilator function has not been explored.Methods In 50 patients referred to the catheterization laboratory for the evaluation of coronary artery disease (mean age +/- SD 56 +/- 10 years), the coronary vasomotor response to serial intracoronary infusions of the endothelium-dependent agonist acetylcholine (10(-8) to 10(-6) mol/liter), was studied. Endothelium-dependent vasodilation was also assessed in the brachial artery by measuring the change in brachial artery diameter in response to reactive hyperemia.Results Patients with coronary artery endothelial dysfunction manifested as vasoconstriction in response to acetylcholine had significantly impaired flow-mediated vasodilation in the brachial artery compared with that of patients with normal coronary endothelial function (4.8 +/- 5.5% vs. 10.8 +/- 7.6%, p < 0.01). Patients with coronary artery disease also had an attenuated brachial artery vasodilator response compared with that of patients with angiographically smooth coronary arteries (4.5 +/- 4.6% vs. 9.7 +/- 8.1%, p < 0.02). By multivariate analysis, the strongest predictors of reduced brachial dilator responses to flow were baseline brachial artery diameter (p < 0.001), coronary endothelial dysfunction (p = 0.003), the presence of coronary artery disease (p = 0.007) and cigarette smoking (p = 0.016). The brachial artery vasodilator response to sublingual nitroglycerin was independent of coronary endothelial responses or the presence of coronary artery disease. The positive predictive value of abnormal brachial dilation ( < 3%) in predicting coronary endothelial dysfunction is 95%.Conclusions This study demonstrated a close relation between coronary artery endothelium-dependent vasomotor responses to acetylcholine and flow-mediated vasodilation in the brachial artery. This noninvasive method may become a useful surrogate in assessing the predisposition to atherosclerosis in patients with cardiac risk factors.
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“endothelial dysfunction, which can be defined as a reduced vasodilator response to acetylcholine, is an early prognostic indicator for the onset of cardiovascular disease (168–171).”
From A Critical Review of the Evidence That Metformin Is a Putative Anti-Aging Drug That Enhances Healthspan and Extends Lifespan (2021) · cites this paper as [169]
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Engelland, R. E., Hemingway, H. W., Tomasco, O. G., Olivencia‐Yurvati, A. H., & Romero, S. A. (2019) · Experimental Physiology · doi:10.1113/ep088154 · Cited by 27
“Importantly, the brachial artery can be used as a surrogate for the coronary artery given the strong relationship between brachial and coronary vasodilator function (Anderson et al., 1995; Takase et al., 1998, 2005; Vallbracht-Israng, Morguet, & Schwimmbeck, 2007).”
Methodvan der Hoeven, N. W., Janssens, G. N., Everaars, H., Nap, A., Lemkes, J. S., de Waard, G. A., van de Ven, P. M., van Rossum, A. C., Escaned, J., Mejía-Rentería, H. D., et al. (2020) · Journal of the American Heart Association · doi:10.1161/jaha.119.014411 · Cited by 26
“CK-MB (μg/L), median (IQR) 86 (28-207) 102 (37-216) 0.”
Alber, H. F., Frick, M., Suessenbacher, A., Dörler, J., Dichtl, W., Stocker, E.-M., Pachinger, O. M., & Weidinger, F. F. (2007) · Wiener Medizinische Wochenschrift · doi:10.1007/s10354-007-0377-y · Cited by 26
“Peripheral endothelial function, determined non-invasively by the ultrasonographic assessment of brachial artery flow-mediated vasodilation (FMD) [1], is related to coronary endothelial function [ 2 ], coronary risk factors [3] as well as circulating inflammatory markers [4, 5] and may serve as a surrogate parameter f…”
Progesterone does not influence vascular function in postmenopausal women
Honisett, S. Y., Pang, B., Stojanovska, L., Sudhir, K., & Komesaroff, P. A. (2003) · Journal of Hypertension · doi:10.1097/00004872-200306000-00014 · Cited by 26
Comparison of Coronary Microcirculation in Female Nurses After Day-Time Versus Night-Time Shifts
Kubo, T., Fukuda, S., Hirata, K., Shimada, K., Maeda, K., Komukai, K., Kono, Y., Miyahana, R., Nakanishi, K., Otsuka, K., et al. (2011) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2011.07.028 · Cited by 26
Evidence for a Greater Elevation in Vascular Shear Stress after Morning Exercise
Jones, H., GREEN, D. J., George, K., Black, M. A., & Atkinson, G. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318195109c · Cited by 26
Endothelial Dysfunction in Patients With Coronary Artery Disease
Manganaro, A., Ciracì, L., Andrè, L., Trio, O., Manganaro, R., Saporito, F., Oreto, G., & Andò, G. (2014) · Clinical and Applied Thrombosis/Hemostasis · doi:10.1177/1076029614524620 · Cited by 26
Analysis of endothelial precursor cells in chronic migraine: A case-control study
Oterino, A., Toriello, M., Palacio, E., González‐Quintanilla, V., Ruiz‐Lavilla, N., Montes, S., de la Vega, M. S., Martínez-Nieto, R., Castillo, J., & Pascual, J. (2012) · Cephalalgia · doi:10.1177/0333102412469737 · Cited by 26
Simultaneous Noninvasive Assessment of Systemic and Coronary Endothelial Function
Iantorno, M., Hays, A. G., Schär, M., Krishnaswamy, R. R., Soleimanifard, S., Steinberg, A. M., Stuber, M., Gerstenblith, G., & Weiss, R. G. (2016) · Circulation Cardiovascular Imaging · doi:10.1161/circimaging.115.003954 · Cited by 27
“Patients with coronary artery disease (CAD), in fact, manifest a paradoxical coronary artery vasoconstrictor response to endothelial-dependent stressors that normally cause vasodilatation,(11) whereas the brachial arteries of patients with CAD vasodilate less in response to endothelial dependent stressors than do thos…”
BackgroundMethodResultInfluentialBrief Exposure to Secondhand Smoke Reversibly Impairs Endothelial Vasodilatory Function
Pinnamaneni, K., Sievers, R. E., Sharma, R., Selchau, A. M., Gutierrez, G., Nordsieck, E. J., Su, R., An, S., Chen, Q., Wang, X., et al. (2013) · Nicotine & Tobacco Research · doi:10.1093/ntr/ntt189 · Cited by 26
HIV-Infektion, antiretrovirale Therapie und Endothel
Hürlimann, D., Weber, R. K., Enseleit, F., & Lüscher, T. F. (2005) · Herz · doi:10.1007/s00059-005-2740-3 · Cited by 26
“In-vitro-Daten zeigen, dass das HIV-Oberflächenprotein gp120 die Expres- 8 7 6 5 4 3 2 1 0 M yo ka rd in fa rk tin zi de nz / 1 00 0 P J (9 5% -”
BackgroundInfluentialAcute effect of oral vitamin C on coronary circulation in young healthy smokers
Teramoto, K., Daimon, M., Hasegawa, R., Toyoda, T., Sekine, T., Kawata, T., Yoshida, K., & Komuro, I. (2004) · American Heart Journal · doi:10.1016/j.ahj.2004.03.006 · Cited by 26
Pyridoxine improves endothelial function in cardiac transplant recipients
Miner, S. E. S., Cole, D. E. C., Evrovski, J., Forrest, Q., Hutchison, S. J., Holmes, K., & Ross, H. J. (2001) · The Journal of Heart and Lung Transplantation · doi:10.1016/s1053-2498(01)00293-5 · Cited by 26
Assessing risk for coronary heart disease: beyond Framingham
Cobb, F. R., Kraus, W. E., Root, M. M., & Allen, J. D. (2003) · American Heart Journal · doi:10.1016/s0002-8703(03)00500-3 · Cited by 26
Brachial artery ultrasound: A noninvasive tool in the assessment of triglyceride-rich lipoproteins
Vogel, R. A. (1999) · Clinical Cardiology · doi:10.1002/clc.4960221407 · Cited by 26
Mangiacapra, F., Buono, M. G. D., Abbate, A., Gori, T., Barbato, E., Montone, R. A., Crea, F., & Niccoli, G. (2020) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2020.02.009 · Cited by 25
Wang, X., Guo, F., Li, G., Cao, Y., & Fu, H. (2009) · Coronary Artery Disease · doi:10.1097/mca.0b013e32832e5c61 · Cited by 25
George, T. W., Waroonphan, S., Niwat, C., Gordon, M. H., & Lovegrove, J. A. (2012) · British Journal Of Nutrition · doi:10.1017/s0007114512003315 · Cited by 25
“Laser Doppler imaging coupled with iontophoresis (LDI) is one such method of investigating the vasodilation of the peripheral microvasculature by delivering vasodilator agents across the skin under the influence of an applied electrical field((7)).”
MethodSawada, T., Emoto, T., Motoji, Y., Hashimoto, M., Kageyama, H., Terashita, D., Mizoguchi, T., Mizuguchi, T., Iwasaki, M., Taira, K., et al. (2011) · International Journal of Cardiology · doi:10.1016/j.ijcard.2011.11.101 · Cited by 25
Evaluation of the Impact of Treatment on Endothelial Function and Cardiac Performance in Acromegaly
Akgul, E., Tokgozoglu, S. L., Erbas, T. A., Kabakçı, G., Aytemir, K., Haznedaroğlu, İ. C., Oto, A., & Kes, S. (2010) · Echocardiography · doi:10.1111/j.1540-8175.2010.01179.x · Cited by 25
Cerebrovascular mental stress reactivity is impaired in hypertension
Naqvi, T. Z., & Hyuhn, H. K. (2009) · Cardiovascular Ultrasound · doi:10.1186/1476-7120-7-32 · Cited by 25
“Brachial artery reactivity (BART) in response to shear stress assesses endothelial function by measuring arterial dilation [11,12] and is abnormal in patients with coronary artery disease [13-15], and its risk factors [4-12].”
Oudot, A., Behr‐Roussel, D., Compagnie, S., Caisey, S., Coz, O. L., Gorny, D., Alexandre, L., & Giuliano, F. (2009) · Physiological Research · doi:10.33549/physiolres.931583 · Cited by 25
Ovarian hormones modulate endothelin‐1 receptor responses in young women
Sebzda, K. N., Kuczmarski, A. V., Pohlig, R. T., Lennon, S. L., Edwards, D. G., & Wenner, M. M. (2018) · Microcirculation · doi:10.1111/micc.12490 · Cited by 27
Use of hyperspectral imaging to assess endothelial dysfunction in peripheral arterial disease
Sumpio, B. J., Citoni, G., Chin, J. A., & Sumpio, B. E. (2016) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2016.03.463 · Cited by 25
Richards, J. C., Crecelius, A. R., Larson, D. G., Luckasen, G. J., & Dinenno, F. A. (2017) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00794.2016 · Cited by 25
“The forearm was chosen, not only to isolate the local effects of our pharmacological agents, but also because of the significant correlation between endothelial function assessed in the forearm and coronary vasculature (1).”
Jekell, A., Kalani, M., & Kahan, T. (2018) · Heart and Vessels · doi:10.1007/s00380-018-1265-7 · Cited by 25
Cortese, F., Cecere, A., Cortese, A. M., Andriani, A., Truncellito, L., Valente, F., Giordano, P., & Ciccone, M. M. (2020) · Journal of Human Hypertension · doi:10.1038/s41371-020-0307-7 · Cited by 25
Cosío-Lima, L., Thompson, P. D., REYNOLDS, K. L., Headley, S., Winter, C. R., Manos, T. M., Lagasse, M. A., Todorovich, J. R., & Germain, M. (2006) · Preventive Cardiology · doi:10.1111/j.1520-037x.2006.05408.x · Cited by 25
Impaired endothelial function in hypertensive patients with target organ damage
Xu, J., Zhang, Y., Wu, S., Niu, W.-Q., Zhu, D.-L., & Gao, P.-J. (2009) · Journal of Human Hypertension · doi:10.1038/jhh.2009.10 · Cited by 25
Assessment of vascular and endothelial dysfunction in nutritional studies
Ray, S., Miglio, C., Eden, T., & Rio, D. D. (2014) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2014.03.011 · Cited by 25
Thanyasiri, P., Celermajer, D. S., & Adams, M. R. (2005) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.01086.2004 · Cited by 25
“A number of other measures of endothelial physiology were not assessed such as t-PA activity or plasminogen activator inhibitor-1 levels; however, recent studies have demonstrated that these measures correlated well with the factors measured (3, 19).”
Background
Metadata
- Authors
- Anderson, T. J., Uehata, A., Gerhard, M. D., Meredith, I. T., Knab, S., Delagrange, D., Lieberman, E. H., Ganz, P., Creager, M. A., Yeung, A. C., & Selwyn, A. P.
- Affiliations
- Brigham and Women's Hospital (US)
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 1995-11
- Volume
- 26
- Issue
- 5
- Pages
- 1235-1241
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W1980445357
- Cited by
- 2,033
- References
- 24
- Citations by year
- 2026: 10 · 2025: 18 · 2024: 26 · 2023: 30 · 2022: 25 · 2021: 50 · 2020: 47 · 2019: 42 · 2018: 41 · 2017: 61 · 2016: 67 · 2015: 72 · 2014: 82 · 2013: 75 · 2012: 66
- FWCI
- 25.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k04hl002566-04, 5k08hl002787-05, 5k07hl002663-02)
- National Heart, Lung, and Blood Institute (HL02663, 1K04-HL-02566, 1K08 HL-02787)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Physiology (medical) › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Keywords
- endothelial dysfunction, coronary artery disease, brachial artery flow-mediated dilation, coronary vasodilation, acetylcholine, reactive hyperemia, cigarette smoking, nitroglycerin, atherosclerosis risk prediction, coronary artery disease screening, brachial artery diameter, vasoconstriction
- MeSH terms
- Acetylcholine, Adult, Aged, Brachial Artery, Coronary Artery Disease, Coronary Vessels, Endothelium, Vascular, Female, Nitroglycerin, Cardiac Catheterization, Humans, Male, Middle Aged, Predictive Value of Tests, Vasodilation, Vasodilator Agents
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