Dergiler / Annals of Medical Research / 2019 / Cilt: 26 - Sayı: 1

Association between coronary artery disease and responsiveness of aortic stiffness and pulsatile diameter change to nitroglycerin

Sayfa
5–11
Yayın Tarihi
2022-10-12
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Our findings warrant further studies with a larger population to describe the practicability of this method for the CAD diagnosis.

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Amaç & Hipotez:Aim: This study aimed to evaluate the difference between the effect of nitroglycerin on the aortic stiffness measured by transthoracic M-mode ultrasonography in patients with and without coronary artery disease (CAD).Material and Methods: This study was conducted on one hundredpatients with a presume diagnosis of CAD.
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Temel Bulgular & Veri:The patients who had a SYNTAX score (SS) ≥1 according to the results of coronary angiography constituted the CAD group (n:60), while patients who had a SS=0 constituted the control group (n:40).The stiffness of the ascending aorta and arterial blood pressure were measured before and 10 minutes after the sublingual administration of 800 mcg nitroglycerin.
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Sonuç & Katkı:Our findings warrant further studies with a larger population to describe the practicability of this method for the CAD diagnosis.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: This study aimed to evaluate the difference between the effect of nitroglycerin on the aortic stiffness measured by transthoracic M-mode ultrasonography in patients with and without coronary artery disease (CAD).Material and Methods: This study was conducted on one hundredpatients with a presume diagnosis of CAD. The patients who had a SYNTAX score (SS) ≥1 according to the results of coronary angiography constituted the CAD group (n:60), while patients who had a SS=0 constituted the control group (n:40).The stiffness of the ascending aorta and arterial blood pressure were measured before and 10 minutes after the sublingual administration of 800 mcg nitroglycerin. A comparison of each parameter before and after nitroglycerin was evaluated for statistical significance using paired sample t-test.Results: In the control group, after nitroglycerin administration, there was a statistically significant reduction in the pulsatile diameter change (from 2.30±0.79 to 1.74±0.91) and significant increase in stiffness index (from 6.24±2.41 to 9.07±5.88). In the CAD group, after nitroglycerin administration, there wasno statistically significant difference in terms of pulsatile diameter change (from 1.42±0.88 to 1.28±0.68) and stiffness index (from 13.52±7.64 to 13.10±7.85).Conclusion: The effect of nitroglycerin on the aortic stiffness measured by transthoracic M-mode ultrasonography differs in the CAD and control groups. Our findings warrant further studies with a larger population to describe the practicability of this method for the CAD diagnosis.

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Bu Makaleye Atıf Yap

CİN, V. G., YILDIZ, I., YILDIZ, P. Ö. (2022). Association between coronary artery disease and responsiveness of aortic stiffness and pulsatile diameter change to nitroglycerin. Annals of Medical Research, Cilt: 26 - Sayı: 1, 5–11. https://ajindex.com/articles/447253

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Kaynakça (14)

  1. Laurent S, Boutouyrie P, AsmarR, et al. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension 2001;37:1236-41
  2. Stefanadis C, Wooley CF, Bush CA, Aortic distensibility abnormalities in coronary artery disease. Am J Cardiol 1987;59:1300-4
  3. Stefanadis C, Stratos C, Boudoulas H, et al. Distensibility of the ascending aorta. Comparison of invasive and non-invasive techniques in healthy men and in men with coronary artery disease. Eur Heart J 1990;11:990-6
  4. Stefanadis C, Vlachopoulos C, Karayannacos P, et al. Effect of vasa vasorum flow on structure and function of the aorta in experimental animals. Circulation 1995;91:2669-78
  5. Tejada C, Strong JP, Montenegro MR, et al. Distribution of coronary and aortic atherosclerosis by geographic location, race and sex. Lab Invest 1968;18:509-26
  6. Farrar DJ, Bond MG, Sawyer JK, et al. Pulse wave velocity and morphological changes associated with early atherosclerosis progression in the aortas of cynomolgus monkeys. Cardiovasc Res 1984;18:107-18
  7. Oliver JJ, Webb DJ. Noninvasive assessment of arterial stiffness and risk of atherosclerotic events. Arterioscler Thromb Vasc Biol 2003;23:554-66
  8. Smulyan H, Mookherjee S, Warner RA. The effect of nitroglycerin on forearm arterial distensibility. Circulation 1986;73:1264-9
  9. Shimizu K, Yamamoto T, Takahashi M, et al. Effect of nitroglycerin administration on cardio-ankle vascular index.Vasc Health Risk Manag 2016;12:313-9
  10. Yamamoto T, Shimizu K, Takahashi M, et al. The Effect of Nitroglycerin on Arterial Stiffness of the Aorta and the Femoral-Tibial Arteries. J AtherosclerThromb 2017;24:1048-57
  11. Lang RM, Bierig M, Devereux RB, et al. Recommendations for chamber quantification: a report from the American Society of Echocardiography’s Guidelines and Standards Committee and the Chamber Quantification Writing Group, developed in conjunction with the European Association of Echocardiography, a branch of the European Society of Cardiology. J Am Soc Echocardiogr 2005;18:1440-63
  12. Teichholz LE, Kreulen T, Herman MV, et al. Problems in echocardiographic volume determinations: echocardiographicangiographic correlations in the presence of absence of asynergy. Am J Cardiol 1976;37:7-11
  13. Pitsavos C, Toutouzas K, Dernellis J, et al. Aortic stiffness in young patients with heterozygous familial hypercholesterolemia. Am Heart J 1998;135:604-8
  14. Stefanadis C, Stratos C, Boudoulas H, et