Evaluation of microvascular endothelial function in patients with type 1 diabetes using laser-Doppler perfusion monitoring:: Which method to choose?

被引:41
作者
Gomes, Marilia B. [1 ]
Matheus, Alessandra S. M. [1 ]
Tibirica, Eduardo [1 ,2 ]
机构
[1] Univ Estado Rio De Janeiro, Diabet Unit, Rio De Janeiro, Brazil
[2] Inst Oswaldo Cruz, Lab Neurocardiovasc Pharmacol, BR-20001 Rio De Janeiro, Brazil
关键词
laser-Doppler perfusion monitoring; endothelial function; type; 1; diabetes; post-occlusive reactive hyperemia;
D O I
10.1016/j.mvr.2008.04.003
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The evaluation of microvascular function is essential in the investigation of the pathophysiology of cardiometabolic diseases [Struijker-Boudier, H.A. et al., 2007. Evaluation of the microcirculation in hypertension and cardiovascular disease. Eur. Heart J.28,2834-2840]. In clinical research and practice, the study of microcirculation is of great value in the assessment of the effects of medical interventions and monitoring disease progression. It is well-known that patients with type 1 and 2 diabetes have microvascular dysfunction that results from numerous factors including hyperglycemia, oxidative stress and insulin resistance [Schalkwijk, C.G., Stehouwer, C.D., 2005. Vascular complications in diabetes mellitus: the role of endothelial dysfunction. Clin. Sci. (Lond). 109,143-159]. Moreover, skin microvascular dysfunction in type 1 diabetes precedes symptoms of end-organ microvascular disease [Khan, F. et al., 2000. Impaired skin microvascular function in children, adolescents, and young adults with type 1 diabetes. Diabetes Care 23,215-220]. In this study, we assessed skin microvascular function of patients with type 1 diabetes using laser-Doppler perfusion monitoring (LDPM) coupled with physiological and pharmacological local vasodilator stimuli. (C) 2008 Elsevier Inc. All fights reserved.
引用
收藏
页码:132 / 133
页数:2
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