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  • Hindawi Limited  (2)
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  • Hindawi Limited  (2)
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  • 1
    In: International Journal of Vascular Medicine, Hindawi Limited, Vol. 2022 ( 2022-1-6), p. 1-9
    Abstract: Previous studies have linked peripheral microvascular dysfunction measured by arterial tonometry to high residual risk in on-statin patients. Digital thermal monitoring (DTM) of microvascular function is a new and simplified technique based on fingertip temperature measurements that has been correlated with the burden of atherosclerosis and its risk factors. Here, we report analyses of DTM data from two large US registries: Registry-I (6,084 cases) and Registry-II (1,021 cases) across 49 US outpatient clinics. DTM tests were performed using a VENDYS device during a 5-minute arm-cuff reactive hyperemia. Fingertip temperature falls during cuff inflation and rebounds after deflation. Adjusted maximum temperature rebound was reported as vascular reactivity index (VRI). VRI distributions were similar in both registries, with mean ± SD of 1.58 ± 0.53 in Registry-I and 1.52 ± 0.43 in Registry-II. In the combined dataset, only 18% had optimal VRI (≥2.0) and 82% were either poor ( 〈 1.0) or intermediate (1.0-2.0). Women had slightly higher VRI than men ( 1.62 ± 0.56 vs. 1.54 ± 0.47 , p 〈 0.001 ). VRI was inversely but mildly correlated with age ( r = − 0.19 , p 〈 0.001 ). Suboptimal VRI was found in 72% of patients 〈 50 years, 82% of 50-70 years, and 86% of ≥70 years. Blood pressure was not correlated with VRI. In this largest registry of peripheral microvascular function measurements, suboptimal scores were highly frequent among on-treatment patients, possibly suggesting a significant residual risk. Prospective studies are warranted to validate microvascular dysfunction as an indicator of residual risk.
    Type of Medium: Online Resource
    ISSN: 2090-2832 , 2090-2824
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2022
    detail.hit.zdb_id: 2573977-3
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  • 2
    In: International Journal of Vascular Medicine, Hindawi Limited, Vol. 2016 ( 2016), p. 1-8
    Abstract: Background. Endothelial function is viewed as a barometer of cardiovascular health and plays a central role in vascular reactivity. Several studies showed digital thermal monitoring (DTM) as a simple noninvasive method to measure vascular reactivity that is correlated with atherosclerosis risk factors and coronary artery disease. Objectives. To further evaluate the relations between patient characteristics and DTM indices in a large patient registry. Methods. DTM measures were correlated with age, sex, heart rate, and systolic and diastolic blood pressure in 6084 patients from 18 clinics. Results. DTM vascular reactivity index (VRI) was normally distributed and inversely correlated with age ( r = - 0.21 , p 〈 0.0001 ). Thirteen percent of VRI tests were categorized as poor vascular reactivity (VRI 〈 1.0), 70 percent as intermediate (1.0 ≤ VRI 〈 2.0), and 17 percent as good (VRI ≥ 2.0). Poor VRI ( 〈 1.0) was noted in 6% of 〈 50 y, 10% of 50–70 y, and 18% of ≥70 y. In multiple linear regression analyses, age, sex, and diastolic blood pressure were significant but weak predictors of VRI. Conclusions. As the largest database of finger-based vascular reactivity measurement, this report adds to prior findings that VRI is a meaningful physiological marker and reflects a high level of residual risk found in patients currently under care.
    Type of Medium: Online Resource
    ISSN: 2090-2824 , 2090-2832
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2016
    detail.hit.zdb_id: 2573977-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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