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Noninvasive assessment of impaired endothelial function in psoriasis
Rheumatology International, 06/19/09
Ulusoy RE et al. – Study demonstrates that noninvasive methods such as ultrasonography, saving time and cost-effective, can be utilized for following outpatient psoriasis disease (PD) patients for the risk of endothelial dysfunction (ED), which may preclude to atherosclerosis.
Methods- Main objectives of this study were:
- Noninvasive assessment of endothelial dysfunction (ED) and
- Diagnosing the possible early vascular development of atherosclerosis
in psoriasis disease (PD)
- 28 PD pts (study group) w/o any obstructive vascular involvement, compared with 28 healthy controls (control group)
- Endothelium-independent dilation was assessed by measuring changes in brachial artery diameter following sublingual glyceryl trinitrate
- All pts underwent a complete transthoracic echocardiographic and tissue Doppler study
- A standard form was utilized for the documentation of the presence or absence of the known risk factors for atherosclerotic vascular disease
- No difference between pts and controls in terms of echocardiographic and tissue Doppler parameters, and baseline brachial artery diameters
- Flow-mediated dilation showed 37% impairment in study group vs control
- Endothelium-independent NTG dilatation did not differ in both groups
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