e-journal
Impaired Endothelial-Dependent and Endothelium-Independent Vasodilatation in Patients With Thromboangiitis Obliterans
Endothelial dysfunction is the key process in the development of atherosclerosis. The aim of our study was to
evaluate endothelial dysfunction measured by the noninvasive technique of Celermajer that plays a role in the pathogenesis of thrombangitis obliterans. Methods: A total of 36 patients with thrombangitiis obliterans ([TAO]; mean age 44.9+1.3 years) were compared with 30 healthy individuals (mean age 36.1 + 1.8 years). High frequency ultrasound was used to measure changes in response to reactive hyperemia (leading to flow-mediated endothelium-dependent dilatation) and in response to 0.4 mg sublingual nitroglycerin ([NTG]; leading to NTG-induced, endothelium-independent dilatation). Results: Patients with TAO showed a lower but statistically not significant flow-mediated dilatation and a statistically significant reduced NTG-induced vasodilatation than the control group. Conclusion: Our results suggest that both mechanisms play a role in patients with TAO, the endotheliumindependent impaired vasodilatation even in a more significant way than the impaired endothelium-dependent vasodilatation.
Keywords endothelial dysfunction, thrombangitis obliterans, flow-mediated-endothelial dependent dilatation, nitroglycerin, nitroglycerininduced endothelium independent vasodilatation
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