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Riou M, Oulehri W, Momas C, Rouyer O, Lebourg F, Meyer A, Enache I, Pistea C, Charloux A, Marcot C, de Blay F, Collange O, Mertes M, Andrès E, Talha S, Geny B. Reduced Flow-Mediated Dilatation Is Not Related to COVID-19 Severity Three Months after Hospitalization for SARS-CoV-2 Infection. J Clin Med 2021; 10:jcm10061318. [PMID: 33806800 PMCID: PMC8004847 DOI: 10.3390/jcm10061318] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 03/16/2021] [Accepted: 03/18/2021] [Indexed: 01/12/2023] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has spread rapidly worldwide, with more than two million deaths. Evidence indicates the critical role of the vascular endothelium in its pathophysiology but, like potential changes in functional vasodilation, the vascular effect of SARS-CoV-2 at a given distance from the acute infection is largely unknown. We assessed brachial artery flow-mediated dilatation (FMD) in 27 COVID-19 patients needing conventional or intensive care unit hospitalization, three months after SARS-CoV-2 infection diagnosis and in nine age- and sex- matched control subjects. Interestingly, the FMD was lower in COVID-19 patients as compared to controls (8.2 (7.2–8.9) vs. 10.3 (9.1–11.7)); p = 0.002, and half of the hospitalized COVID-19 survivors presented with a reduced FMD < 8% at three months of COVID-19 onset. Impaired FMD was not associated with severe or critical SARS-CoV-2 infection, reflected by ICU hospitalization, total hospitalization duration, or severity of lung damage. In conclusion, reduced FMD is often observed even three months after hospitalization for SARS-CoV-2 infection, but such alteration predominantly appears to not be related to COVID-19 severity. Longer and larger follow-up studies will help to clarify the potential prognosis value of FMD among COVID-19 patients, as well as to further determine the mechanisms involved.
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Affiliation(s)
- Marianne Riou
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Walid Oulehri
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Department of Anesthesiology and Surgical Critical Care, University Hospital of Strasbourg, 1 Place de l’hôpital, 67091 Strasbourg, France
| | - Cedric Momas
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Olivier Rouyer
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Fabienne Lebourg
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Alain Meyer
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Irina Enache
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Cristina Pistea
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Anne Charloux
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Christophe Marcot
- Department of Pneumology, University Hospital of Strasbourg, 1 Place de l’hôpital, 67091 Strasbourg, France;
| | - Frederic de Blay
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Department of Pneumology, University Hospital of Strasbourg, 1 Place de l’hôpital, 67091 Strasbourg, France;
| | - Olivier Collange
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Department of Anesthesiology and Surgical Critical Care, University Hospital of Strasbourg, 1 Place de l’hôpital, 67091 Strasbourg, France
| | - Michel Mertes
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Department of Anesthesiology and Surgical Critical Care, University Hospital of Strasbourg, 1 Place de l’hôpital, 67091 Strasbourg, France
| | - Emmanuel Andrès
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Department of Internal Medicine, University Hospital of Strasbourg, 1 Place de l’hôpital, 67091 Strasbourg, France
| | - Samy Talha
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
| | - Bernard Geny
- Team 3072 “Mitochondria, Oxidative Stress and Muscle Protection”, Unistra, Faculty of Medicine, Translational Medicine Federation of Strasbourg (FMTS), University of Strasbourg, 11 rue Humann, 67000 Strasbourg, France; (M.R.); (W.O.); (O.R.); (A.M.); (I.E.); (C.P.); (A.C.); (F.d.B.); (O.C.); (M.M.); (E.A.); (S.T.)
- Physiology and Functional Exploration Service, University Hospital of Strasbourg, CHU, 1 Place de l’hôpital, 67091 Strasbourg, France; (C.M.); (F.L.)
- Correspondence:
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Bytyçi I, Shenouda R, Wester P, Henein MY. Carotid Atherosclerosis in Predicting Coronary Artery Disease: A Systematic Review and Meta-Analysis. Arterioscler Thromb Vasc Biol 2021; 41:e224-e237. [PMID: 33626907 DOI: 10.1161/atvbaha.120.315747] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
[Figure: see text].
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Affiliation(s)
- Ibadete Bytyçi
- Institute of Public Health and Clinical Medicine, Umeå University, Sweden (I.B., R.S., P.W., M.Y.H.).,Clinic of Cardiology, University Clinical Centre of Kosovo and Universi College, Prishtina (I.B.)
| | - Rafik Shenouda
- Institute of Public Health and Clinical Medicine, Umeå University, Sweden (I.B., R.S., P.W., M.Y.H.).,International Cardiac Centre-ICC and Alexandria University, Egypt (R.S.)
| | - Per Wester
- Institute of Public Health and Clinical Medicine, Umeå University, Sweden (I.B., R.S., P.W., M.Y.H.)
| | - Michael Y Henein
- Institute of Public Health and Clinical Medicine, Umeå University, Sweden (I.B., R.S., P.W., M.Y.H.).,Molecular and Clinic Research Institute, St George University, London, and Brunel University, United Kingdom (M.Y.H.)
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3
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Association between coronary artery disease severity and videocapillaroscopic findings of nail fold capillary circulation. JOURNAL OF SURGERY AND MEDICINE 2020. [DOI: 10.28982/josam.683083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Yao FJ, Zhang YD, Wan Z, Li W, Lin H, Deng CH, Zhang Y. Erectile dysfunction is associated with subclinical carotid vascular disease in young men lacking widely-known risk factors. Asian J Androl 2019; 20:400-404. [PMID: 29442076 PMCID: PMC6038168 DOI: 10.4103/aja.aja_73_17] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
This study aimed to gain insight into the underlying pathogenesis of erectile dysfunction in young men under the age of 40 years without widely-known risk factors. Compared with normal controls, patients with erectile dysfunction had increased carotid intima–media thickness, fasting levels of blood glucose and insulin, and homeostatic model assessment index, as well as lower flow-mediated vasodilation and testosterone levels (P < 0.05), though all of these values were within their respective normal range. Multivariate logistic regression analysis identified carotid intima–media thickness, flow-mediated vasodilation, insulin level, and homeostatic model assessment index as significant predictors of erectile dysfunction. Young men with flow-mediated vasodilation <10.65% were 11.645 times more likely to have erectile dysfunction, young men with carotid intima–media thickness >0.623 mm had a 4.16-fold, and young men with homeostatic model assessment index >1.614 had a 5.993-fold greater risk of having erectile dysfunction. In conclusions, in young men with normal results from general clinical screening, an increased carotid intima–media thickness and homeostatic model assessment index and reduced flow-mediated vasodilation were associated with a higher incidence of erectile dysfunction. Erectile dysfunction may appear before the detection of traditional cardiovascular risk factors and may be the earliest clinical sign of subclinical cardiovascular disease.
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Affiliation(s)
- Feng-Juan Yao
- Department of Ultrasound, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - Ya-Dong Zhang
- Department of Urology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - Zi Wan
- Department of Urology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - Wei Li
- Department of Ultrasound, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - Hong Lin
- Department of Ultrasound, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - Chun-Hua Deng
- Department of Urology, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
| | - Yan Zhang
- Division of Cardiovascular Rehabilitation, Heart Center, Key Laboratory on Assisted Circulation, Ministry of Health, First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China
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Gunning MN, Fauser BCJM. Are women with polycystic ovary syndrome at increased cardiovascular disease risk later in life? Climacteric 2017; 20:222-227. [DOI: 10.1080/13697137.2017.1316256] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- M. N. Gunning
- Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - B. C. J. M. Fauser
- Department of Reproductive Medicine and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
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Uysal F, Akbal E, Akbal A, Cevizci S, Arık K, Gazi E. Epicardial Adipose Tissue Is Increased in Patients With Inflammatory Bowel Disease. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016; 35:1859-1864. [PMID: 27417739 DOI: 10.7863/ultra.14.09040] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Accepted: 12/21/2015] [Indexed: 06/06/2023]
Abstract
OBJECTIVES Patients with inflammatory bowel disease (IBD) have high cardiovascular morbidity, and, in general, epicardial adipose tissue thickness is related to atherosclerotic vascular disease. This study aimed to investigate the association between epicardial adipose tissue thickness and carotid intima-media thickness as markers of early atherosclerosis in patients with IBD. METHODS The study comprised 47 patients with IBD (25 with Crohn disease and 22 with ulcerative colitis) and 35 control participants. In all individuals, epicardial adipose tissue and carotid intima-media thickness values were measured by sonography. RESULTS The mean age ± SD of the 47 patients with IBD was 42.3 ± 11.2 years, versus 41.4 ± 10.1 years for the control group. The epicardial adipose tissue thickness was higher in both the Crohn disease and ulcerative colitis groups compared to the control group (P < .001), but not the carotid intima-media thickness (P = .695 and .917, respectively). There was a strong positive correlation between the carotid intima-media and epicardial adipose tissue thickness values in the Crohn disease and ulcerative colitis groups (r = 0.757; 95% confidence interval, 0.711-0.901; r = 0.786; 95% confidence interval, 0.364-0.615; both P < .001). However, there was no significant difference between the patients who were in the active and inactive disease periods in both groups in terms of carotid intima-media and epicardial adipose tissue thickness values. CONCLUSIONS Our findings suggest that epicardial adipose tissue thickness might be a marker for detection of early atherosclerosis in patients with IBD. There was a strong positive correlation between carotid intima-media thickness and epicardial adipose tissue thickness values in the patients with IBD. However, there was no correlation between IBD activity and carotid intima-media or epicardial adipose tissue thickness.
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Affiliation(s)
- Fatma Uysal
- Department of Radiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Erdem Akbal
- Department of Gastroenterology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Ayla Akbal
- Department of Physical Medicine and Rehabilitation, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Sibel Cevizci
- Department of Public Health, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Kasım Arık
- Department of General Surgery, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Emine Gazi
- Department of Cardiology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
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Tat J, Au JS, Keir PJ, MacDonald MJ. Reduced common carotid artery longitudinal wall motion and intramural shear strain in individuals with elevated cardiovascular disease risk using speckle tracking. Clin Physiol Funct Imaging 2015; 37:106-116. [PMID: 26183827 DOI: 10.1111/cpf.12270] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2014] [Accepted: 05/21/2015] [Indexed: 11/26/2022]
Abstract
Longitudinal motion of the intima-media and adventitia layers of the common carotid artery (CCA) wall were assessed with ultrasound speckle tracking in seven individuals with spinal cord injury (SCI), who are considered at increased risk of cardiovascular disease, and in seven able-bodied participants. CCA longitudinal wall displacement and intramural shear strain were compared to traditional markers of arterial health, including CCA stiffness and intima-media thickness (IMT). For each cardiac cycle, longitudinal CCA wall motion was characterized by bidirectional movement patterns containing motion retrograde to blood flow during systole, followed by antegrade motion during diastole. Relative displacement of the intima-media versus the adventitia was used to calculate longitudinal intramural shear strain and provided insight to local arterial wall properties. The retrograde intramural shear strain was smaller in individuals with SCI by 60·2% (P<0·05) compared to able-bodied participants, showing smaller peak displacements in both the intima-media (P<0·05) and adventitia (P<0·05). In the antegrade direction, there were no group differences in either longitudinal displacements or shear strain. The group differences observed in the retrograde wall motion phase were greater than those observed for CCA stiffness or IMT and were found to be independent of both indices, indicating indices of the retrograde phase intramural shear strain may be a novel and sensitive marker of vascular health. Our findings demonstrate that assessment of longitudinal arterial wall shear strain may provide valuable insight into vascular structure and function and may hold potential for the early detection of cardiovascular disease.
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Affiliation(s)
- Jimmy Tat
- Department of Kinesiology, McMaster University, Hamilton, ON, Canada
| | - Jason S Au
- Department of Kinesiology, McMaster University, Hamilton, ON, Canada
| | - Peter J Keir
- Department of Kinesiology, McMaster University, Hamilton, ON, Canada
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Abali R, Tasdemir N, Alpsoy S, Tasdemir UG, Guzel S, Yuksel MA, Temel Yuksel I, Yilmaz M. No relationship between osteoprotegerin concentrations and endothelial dysfunction in non-obese women with and without polycystic ovary syndrome. Arch Gynecol Obstet 2014; 291:1075-80. [PMID: 25280574 DOI: 10.1007/s00404-014-3499-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2013] [Accepted: 09/25/2014] [Indexed: 10/24/2022]
Abstract
PURPOSE To investigate the relationships of osteoprotegerin (OPG) concentrations to brachial artery flow-mediated vasodilation (FMD) and the carotid artery intima media thickness (CIMT) in polycystic ovary syndrome (PCOS). METHODS Thirty-seven women with PCOS and 41 controls matched for body mass index (BMI) and age were included in study. The serum OPG concentrations, hormonal and metabolic profiles were measured in women with PCOS and in control group. The CIMT and brachial artery FMD were evaluated in both groups. RESULTS The mean serum concentrations of all hormones were comparable, except LH, which was higher in women with PCOS. Lipid parameters were similar between groups. There were no differences between groups with respect to fasting glucose, 2-h glucose, fasting insulin, HbA1c and HOMA-IR. The mean osteoprotogerin concentrations were higher in PCOS group (11.39 ± 2.29 vs. 10.22 ± 2.25 pmol/L, P = 0.026). The mean CIMT was higher in PCOS group than control group (0.52 ± 0.058 vs. 0.45 ± 0.059 mm, P < 0.01). The mean brachial artery FMD was lower in PCOS group (0.068 ± 0.022 vs. 0.055 ± 0.029, P = 0.017). CONCLUSIONS We found high osteoprotogerin concentrations, increased CIMT and decreased FMD, in women with PCOS. However, there was no correlation between osteoprotegerin and cardiovascular risk markers.
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Affiliation(s)
- Remzi Abali
- Department of Gynecology and Obstetrics, Faculty of Medicine, Namik Kemal University, 100. YilMah. Barbaros Cad, No: 132, Tekirdag, Turkey,
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Taşolar H, Taşolar S, Kurtuluş D, Altun B, Bayramoğlu A, Otlu YÖ, Ballı M, Çetin M, Altunışık N, Kapıcıoğlu Y, Pekdemir H. Increased epicardial adipose tissue thickness on transthoracic echocardiography in patients with Behçet disease. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2014; 33:1393-1400. [PMID: 25063404 DOI: 10.7863/ultra.33.8.1393] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
OBJECTIVES Owing to the fact that the potential frequency of endothelial dysfunction and early atherosclerosis might be higher in Behçet disease, characterized by acute and chronic inflammatory attacks, it may lead to impairment in flow-mediated dilatation and an increase in epicardial adipose tissue thickness. Therefore, we aimed to evaluate whether epicardial adipose tissue thickness and brachial artery flow-mediated dilatation as markers of early atherosclerosis and endothelial dysfunction were associated with Behçet disease. METHODS Thirty-five patients with Behçet disease and 35 healthy volunteers were included in this study. Epicardial adipose tissue was identified as an anechoic space between epicardial layers on 2-dimensional images, and its thickness was measured on the free wall of the right ventricle. Right brachial artery flow-mediated dilatation was assessed according to recent guidelines. RESULTS Serum γ-glutamyl transferase (GGT) levels and epicardial adipose tissue thickness were significantly higher (P = .001; P < .001 respectively), whereas flow-mediated, endothelium-dependent dilatation was significantly lower in the Behçet disease group than controls (P < .001). There was a significant negative association between epicardial adipose tissue thickness and flow-mediated dilatation (P < .001). Epicardial adipose tissue thickness was also positively correlated with Behçet disease activity (P< .001), Behçet disease duration (P< .001), and waist circumference (P< .001). Flow-mediated dilatation was negatively correlated with GGT (P< .001), Behçet disease activity (P< .001), and age (P< .001). There was also a significant association between GGT and Behçet disease activity (P < .001). CONCLUSIONS We found that epicardial adipose tissue thickness was significantly higher and flow-mediated dilatation was significantly lower in patients with Behçet disease than in controls. We suggest that identification of increased epicardial adipose tissue might aid in the diagnosis and treatment of possible coronary artery disease in patients with Behçet disease.
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Affiliation(s)
- Hakan Taşolar
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey.
| | - Sevgi Taşolar
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Duygu Kurtuluş
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Burak Altun
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Adil Bayramoğlu
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Yılmaz Ömür Otlu
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Mehmet Ballı
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Mustafa Çetin
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Nihal Altunışık
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Yelda Kapıcıoğlu
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
| | - Hasan Pekdemir
- Departments of Cardiology (H.T., M.B., M.Ç.) and Radiology (S.T.), Adiyaman University Training and Research Hospital, Adiyaman, Turkey; Department of Physical Medicine and Rehabilitation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey (D.K.); Department of Cardiology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey (B.A.); and Departments of Cardiology (A.B., Y.Ö.O., H.P.) and Dermatology (N.A., Y.K.), Faculty of Medicine, Inonu University, Malatya, Turkey
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Altun B, Tasolar H, Eren N, Binnetoğlu E, Altun M, Temiz A, Gazi E, Barutcu A, Altunoren O, Colkesen Y, Uysal F. Epicardial Adipose Tissue Thickness in Hemodialysis Patients. Echocardiography 2013; 31:941-6. [DOI: 10.1111/echo.12498] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
- Burak Altun
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Hakan Tasolar
- Department of Cardiology; Adiyaman University Training and Research Hospital; Adiyaman Turkey
| | - Necmi Eren
- Department of Nephrology; Adiyaman University Training and Research Hospital; Adiyaman Turkey
| | - Emine Binnetoğlu
- Department of Internal Medicine; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Mehzat Altun
- Vocational Health College; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Ahmet Temiz
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Emine Gazi
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Ahmet Barutcu
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Orcun Altunoren
- Department of Nephrology; Adiyaman University Training and Research Hospital; Adiyaman Turkey
| | - Yucel Colkesen
- Department of Cardiology; Canakkale Onsekiz Mart University; Canakkale Turkey
| | - Fatma Uysal
- Department of Radiology; Canakkale Onsekiz Mart University; Canakkale Turkey
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11
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Zahnd G, Orkisz M, Sérusclat A, Moulin P, Vray D. Evaluation of a Kalman-based block matching method to assess the bi-dimensional motion of the carotid artery wall in B-mode ultrasound sequences. Med Image Anal 2013; 17:573-85. [DOI: 10.1016/j.media.2013.03.006] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2012] [Revised: 03/13/2013] [Accepted: 03/18/2013] [Indexed: 12/01/2022]
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12
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Sprung VS, Atkinson G, Cuthbertson DJ, Pugh CJA, Aziz N, Green DJ, Cable NT, Jones H. Endothelial function measured using flow-mediated dilation in polycystic ovary syndrome: a meta-analysis of the observational studies. Clin Endocrinol (Oxf) 2013; 78:438-46. [PMID: 22775449 DOI: 10.1111/j.1365-2265.2012.04490.x] [Citation(s) in RCA: 86] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2012] [Revised: 03/15/2012] [Accepted: 07/02/2012] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Women with polycystic ovary syndrome (PCOS) demonstrate an increased prevalence of cardiovascular disease (CVD) risk factors. Previous researchers have compared flow-mediated dilation (FMD), an early marker of CVD, in women with and without PCOS. Evidence for a PCOS-mediated reduction in FMD remains equivocal, potentially because of study differences in cohort-matching and measurement approaches. The aims of this systematic review and meta-analysis were to examine to what extent FMD is impaired in PCOS and to explore the influence of potential moderators of FMD reduction, such as age and BMI. DESIGN A systematic review and meta-analysis of published observational studies comparing FMD in PCOS with control women. PATIENTS Twenty-one published studies were included (PCOS, n = 908; controls, n = 566). A subanalysis, using tighter inclusion criteria, involved seven studies (PCOS, n = 402; control, n = 251). MEASUREMENTS Mean differences in FMD between PCOS and controls were synthesized. The subanalysis was delimited to the inclusion of age and BMI-matched controls. These factors were then explored as moderators using meta-regression. RESULTS The pooled mean FMD was 3.4% (95% CI=1.9, 4.9) lower in PCOS compared with control women, with substantial heterogeneity between studies. In the subanalysis, the PCOS-mediated reduction in FMD was 4.1% (95% CI=2.7, 5.5). Heterogeneity remained substantial (I(2) =81%). Subsequent meta-regression indicated that the magnitude of FMD difference was not influenced by BMI (P = 0.17) nor age (P = 0.38). CONCLUSIONS This systematic research synthesis indicates that endothelial function is compromised in PCOS women, even if they are young and nonobese.
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Affiliation(s)
- Victoria S Sprung
- Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
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13
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Modulation of vascular tone control under isometric muscular stress: role of estrogen receptors. Vascul Pharmacol 2012; 58:127-33. [PMID: 23070057 DOI: 10.1016/j.vph.2012.10.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2012] [Revised: 08/31/2012] [Accepted: 10/05/2012] [Indexed: 11/20/2022]
Abstract
AIMS The aim of this study was to evaluate isometric muscle contraction (handgrip) changes on key elements of cardiac afterload, before and after raloxifene administration in postmenopausal women. METHODS/RESULTS 12 postmenopausal and 12 fertile women were studied. Postmenopausal women underwent raloxifene administration (60 mg/day for 30 days). We evaluated vascular reactivity in superficial palmar arterial arch during handgrip in postmenopausal women before and after (M+R) drug administration, and in controls. Blood flow was higher after raloxifene administration (p<0.05). Mean arterial pressure (MAP)/mean arterial flow (Fmed) and arterial pulse pressure (APP)/systolic maximum arterial flow (Fmax syst) were lower after raloxifene administration (p<0.001). Systolic blood pressure (SBP)/R-R ratio was higher in postmenopausal women than in the controls and M+R (p<0.01). End-handgrip systolic and diastolic blood pressure were higher in patients before raloxifene administration than in controls (p<0.001); diastolic and mean arterial pressure reduced after raloxifene administration (p<0.001). End-effort APP/Fmax syst-ratio before treatment was higher than baseline (p<0.05). Controls and no-treated patients showed a MAP/Fmed ratio at end-handgrip higher than M+R group and rest (p<0.05). Handgrip reduced R-R interval and increased SBP/R-R ratio were shown in all groups (p<0.05). CONCLUSIONS Raloxifene reduced the vascular effects of isometric muscle contraction by modulating the vasomotor tone of peripheral vessels in relation to exercise.
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Saba L, Meiburger KM, Molinari F, Ledda G, Anzidei M, Acharya UR, Zeng G, Shafique S, Nicolaides A, Suri JS. Carotid IMT variability (IMTV) and its validation in symptomatic versus asymptomatic Italian population: can this be a useful index for studying symptomaticity? Echocardiography 2012; 29:1111-9. [PMID: 22748012 DOI: 10.1111/j.1540-8175.2012.01763.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
The carotid intima-media thickness (IMT) is a validated marker of cerebrovascular disease risk. This paper presents a new parameter, the IMT variability (IMTV), and compares it between symptomatic and asymptomatic patients taken from a cohort of Italian population. One hundred forty-two patients were analyzed (age 59 ± 112 years, 59% males), 42 of these patients suffered from TIA or minor stroke. The lumen-intima (LI) and media-adventitia (MA) interfaces of the far wall were manually traced by a Reader. We also used a computer-based automated system (called AutoEdge) to obtain the LI/MA interfaces. The LI/MA interfaces were used to measure the IMT and the IMTV along the distal wall of the common carotid artery. Wilcoxon and Pearson correlation analyses were performed. The agreement between the Reader's IMT and the AutoEdge IMT values was 98.7% for the symptomatic (0.83 ± 0.44 mm for Reader, 0.82 ± 0.35 mm for AutoEdge) and 94.9% for the asymptomatic patients (0.78 ± 0.45 mm for Reader, 0.74 ± 0.30 mm for AutoEdge). Correlation was 65% for symptomatic and 68% for asymptomatic patients, respectively. The IMT measured using AutoEdge was 1.2% lower compared to manual measurements in symptomatic population, while 5.12% lower in asymptomatic. The IMTV was 11% higher in symptomatic patients compared to asymptomatic when using manual delineations, 8% higher when using AutoEdge. There was no statistical difference between the manual and automated IMTV measurements (Wilcoxon signed rank, P > 0.7). We conclude that the IMT and IMTV values were very similar between Reader and AutoEdge software when studying symptomatic and asymptomatic patients in Italian population.
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Affiliation(s)
- Luca Saba
- Department of Radiology, A.U.O. Cagliari, Cagliari, Italy
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