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Cited by 218

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Endothelial Function in Resistance and Conduit Arteries and 5-Year Risk of Cardiovascular Disease

Open access
Lind, Lars, Berglund, Lars, Larsson, Anders, Sundström, Johan·2011·Circulation

Abstract

Background—: Impaired endothelial function has been implicated as a cause of cardiovascular disease. Little is known of the relations of measures of endothelial function in resistance and conduit arteries to incident cardiovascular disease in the general population, and available techniques have not been compared. Methods and Results—: In 1016 participants (70 years of age) of the population-based Prospective Study of the Vasculature in Uppsala Seniors (PIVUS) study (52% women), we measured endothelium-dependent vasodilation using the invasive forearm technique with acetylcholine given in the brachial artery, the brachial artery ultrasound technique with measurement of flow-mediated dilatation, and the pulse-wave analysis–based method with β-2-agonist terbutaline provocation. During 5 years of follow-up, 101 participants experienced a composite end point of myocardial infarction, stroke, or death, excluding the 85 persons with a history of myocardial infarction or stroke at baseline. In logistic regression models adjusted for several established and novel cardiovascular disease risk factors and medications, endothelium-dependent vasodilation by the invasive forearm technique with acetylcholine was associated with risk of the end point (odds ratio, 0.72 per SD; 95% confidence interval, 0.56 to 0.93; P =0.01). Endothelial function by the other 2 methods was not related to risk of the end point. Addition of endothelium-dependent vasodilation to the Framingham risk score improved discrimination of risk of the end point. Conclusions—: Endothelium-dependent vasodilation in resistance arteries, but not in the brachial conduit artery (flow-mediated dilatation), was associated with 5-year risk of a composite end point of death, myocardial infarction, or stroke independently of major cardiovascular disease risk factors. This vascular measurement improved risk discrimination when added to an established risk score in an elderly population.

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Metadata

Authors
Lind, L., Berglund, L., Larsson, A., & Sundström, J.
Venue
Circulation
Published
2011-04-12
Volume
123
Issue
14
Pages
1545-1551
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2041293047
Cited by
218
References
5
FWCI
13.74
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Endothelial Function in Resistance and Conduit Arteries and 5-Year Risk of Cardiovascular Disease. https://app.cochat.ai/papers/10.1161/circulationaha.110.984047
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Lind, L., Berglund, L., Larsson, A., & Sundström, J. (2011). Endothelial Function in Resistance and Conduit Arteries and 5-Year Risk of Cardiovascular Disease. Circulation. https://doi.org/10.1161/circulationaha.110.984047

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