Comparison of the results of functional tests used in non-invasive examination of endothelial function
Martsinkevich, G.I.; Kovalenko, I.A.; Sokolov, A.A.; Kim, V.N.
Terapevticheskii Arkhiv 74(4): 16-18
2002
ISSN/ISBN: 0040-3660 PMID: 12043231 Document Number: 542148
Aim. To analyze results of two tests used in non-invasive assessment of endothelial function: D. Celermajer test (T1) and reactive hyperemia test (T2). Material and methods. Ultrasound investigation (7,5 MHz) was employed to measure brachial artery (BA) diameter, blood flow rate and its volume at rest above the site of occlusion (T1) and under it (T2). Control group consisted of 30 men with risk factors for atherosclerosis. Results. Peak value of the diameter dilation was within 10% in both tests, the difference being insignificant. The same dilatation of BA can be explained by different shift effect on the endothelium: in T1 the shift disturbance was longer while in T2 it was more intensive. Conclusion. To reveal endothelial dysfunction, the site of occlusion and location of the artery are not very important. However, because the shift disturbance time is different it is desirable to use the same test modification in one trial protocol.