Source:http://linkedlifedata.com/resource/pubmed/id/20382780
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2010-4-12
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pubmed:abstractText |
Flow-mediated dilatation evaluation using hand skin heating may possibly be more accurate than post-ischaemic hyperaemia to detect conduit artery endothelial dysfunction in type 1 diabetes. We measured in 24 type 1 diabetic patients (n=16 without microangiopathy) and 24 healthy matched subjects radial artery diameter (echotracking), blood flow and mean wall shear stress during heating and post-ischaemic hyperaemia. Compared with controls, flow-mediated dilatation was lower in diabetic patients during post-ischaemic hyperaemia and heating. However, in the subgroup of uncomplicated patients, a decreased flow-mediated dilatation was only apparent during heating (17.1+/-1.6% vs. 24.3+/-0.7%, p<0.05) but not during post-ischaemic hyperaemia (10.1+/-1.1% vs. 10.5+/-0.6%, NS). This was confirmed by the lower slope of the diameter-mean wall shear stress relationship in these patients in the absence of modification in endothelium-independent dilatation. We conclude that hand skin heating permits the early detection of conduit artery endothelial dysfunction in type 1 diabetic patients with normal response to post-ischaemic hyperaemia. This procedure could be useful to investigate the prognostic role of vascular dysfunction and the impact of vasculoprotective treatments in this patient population.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
1752-8984
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
158-66
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pubmed:meshHeading |
pubmed-meshheading:20382780-Adult,
pubmed-meshheading:20382780-Case-Control Studies,
pubmed-meshheading:20382780-Diabetes Mellitus, Type 1,
pubmed-meshheading:20382780-Diabetic Angiopathies,
pubmed-meshheading:20382780-Endothelium, Vascular,
pubmed-meshheading:20382780-Female,
pubmed-meshheading:20382780-Hand,
pubmed-meshheading:20382780-Hot Temperature,
pubmed-meshheading:20382780-Humans,
pubmed-meshheading:20382780-Hyperemia,
pubmed-meshheading:20382780-Male,
pubmed-meshheading:20382780-Radial Artery,
pubmed-meshheading:20382780-Skin,
pubmed-meshheading:20382780-Vasodilation
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pubmed:year |
2010
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pubmed:articleTitle |
Early stage detection of conduit artery endothelial dysfunction in patients with type 1 diabetes.
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pubmed:affiliation |
University of Rouen, Rouen cedex, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
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