Document Detail


Evaluation of endothelial function using finger plethysmography.
MedLine Citation:
PMID:  19552735     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aims of this study were to establish the optimum duration of blood flow occlusion to obtain maximal response and to compare the response after lower-arm and upper-arm occlusion. METHODS: Pulse wave amplitude was analysed using a novel finger plethysmograph (EndoPat; Itamar). For measuring reactive hyperaemic index (RHI) induced by forearm cuff occlusion, 30 healthy subjects were examined at different days in a random order of four cuff occlusion times (1.5, 3, 5 and 8 min). RHI induced by 5 min upper-arm cuff occlusion was also measured in 20 subjects. RESULTS: Average RHI was lower with 1.5 and 3 min forearm occlusion compared with 8 min forearm occlusion (P = 0.002 and P = 0.024). There was no significant difference between values of 5 min and 8 min forearm occlusion and between 5 min forearm and 5 min upper-arm occlusion (P = 0.1). All subjects reported less discomfort after forearm occlusion compared with upper-arm occlusion. CONCLUSION: Maximum response was reached after 5 min of blood flow occlusion and therefore this occlusion time is recommended. The response after forearm and upper-arm occlusion did not differ significantly. Forearm occlusion might be preferred as this caused less discomfort.
Authors:
A K Faizi; D W Kornmo; S Agewall
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Publication Detail:
Type:  In Vitro; Journal Article     Date:  2009-06-22
Journal Detail:
Title:  Clinical physiology and functional imaging     Volume:  29     ISSN:  1475-097X     ISO Abbreviation:  -     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-27     Completed Date:  2009-11-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101137604     Medline TA:  Clin Physiol Funct Imaging     Country:  England    
Other Details:
Languages:  eng     Pagination:  372-5     Citation Subset:  IM    
Affiliation:
Department of Medicine, Aker University Hospital and Oslo University, Oslo 0514, Norway.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blood Flow Velocity / physiology*
Endothelium, Vascular / physiology*
Female
Fingers / blood supply*,  physiology*
Humans
Hyperemia / physiopathology*
Male
Middle Aged
Plethysmography / methods*
Reproducibility of Results
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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