Document Detail


Could dilated cardiomyopathy alter the peripheral microcirculation and blood rheology?
MedLine Citation:
PMID:  20204769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our aim was to perform a preliminary study of blood flow in the peripheral microcirculation in patients with heart failure. Cardiac patients were investigated to establish possible microcirculatory changes due to this pathology. We evaluated 16 patients (non-smokers, dislipidemic with hypercholesterolemia), receiving oral treatment and in NYHA class 2.3 +/- 0.5. A dilated cardiomyopathy (DCM) group was evaluated before cardiac resynchronization therapy (CRT) obtained by biventricular intra-cardiac defibrillator (ICD) implantation, and again 3 months after its implantation. We measured the ejection fraction (EF), peripheral blood flow (using laser Doppler) at the left wrist on the volar side, capillary morphology (using computerized videocapillaroscopy) on the nail bed of the 4th finger of the left hand, rheological status (using the LORCA), as well as hematocrit, hemoglobin concentration, red blood cell (RBC) surface acetylcholinesterase (AchE), and homocysteine. Our data show that in the DCM vs. control group, peripheral flow did not depend only on the heart: throughout the study, blood flow did not change significantly compared to controls and was increased after CRT. There was no decrease in aggregation time. The blood flow did not alter RBC deformability or RBC surface AchE. Due to the lower oxygenation and to a non-significant increase in the number of capillaries after CRT, DCM patients are at higher cardiovascular risk than healthy subjects.
Authors:
Giuseppe Cicco; Valeria Fanelli; Sebastiano Cicco; Massimo Iacoviello; Stefano Favale
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in experimental medicine and biology     Volume:  662     ISSN:  0065-2598     ISO Abbreviation:  Adv. Exp. Med. Biol.     Publication Date:  2010  
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0121103     Medline TA:  Adv Exp Med Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-7     Citation Subset:  IM    
Affiliation:
Interdepartmental Center of Research on Hemorheology, Microcirculation, Oxygen Transport and Non Invasive Optical Technologies, Universit? degli studi di Bari Aldo Moro, Policlinico, Piazza G. Cesare, 11 70124, Bari, Italy. gcicco.emo@tiscali.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiomyopathy, Dilated / physiopathology*,  ultrasonography
Female
Hemorheology / physiology*
Humans
Male
Microcirculation / physiology*
Middle Aged
Time Factors

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