PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION.

Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E.

Risultato della ricerca: Article

20 Citazioni (Scopus)

Abstract

Aim. Impaired endothelial function and increased carotid intima-media thickness are key events in the atherosclerotic process and predict future cardiovascular events in subjects with and without coronary artery disease. The purpose of this study was to investigate whether the vasodilator response to increased flow in the brachial artery and the presence of carotid lesions may have a prognostic significance for in-stent restenosis in patients undergoing coronary angioplasty. Methods. The study population included 58 patients undergoing percutaneous coronary intervention (PCI) with stenting and at least 10 months of follow-up. All patients underwent ultrasound detection of brachial artery reactivity 30 days after PCI. Flow mediated dilatation (FMD) was investigated after 5 minutes of occlusion of the artery and nitroglycerin mediated dilation (NMD) was investigated after administration of sublingual nitrates. Vascular echography was performed to measure intima media thickness (IMT) of carotid arteries. At baseline we evaluated all the established traditional cardiovascular risk factors. We also subdivided our study cohort according to values of FMD in patients with FMD above and patients below the median value. Results. Patients with FMD above the median value showed higher prevalence of hypertension (P=0.002), diabetes (P=0.02) and carotid IMT (P=0.006) than those below the median. Brachial FMD was inversely correlated (P=0.001) to carotid IMT. At the end of follow-up clinical events occurred in nine patients. In a multivariate analysis, including all the variables evaluated at baseline, carotid IMT (P=0.02), level of glycemia (P=0.001), a lower FMD (P=0.005) and presence of carotid plaque remained the only variables predictive of restenosis. Conclusion. Evaluation of FMD and carotid IMT may provide important prognostic information in patients undergoing PCI
Lingua originaleEnglish
pagine (da-a)12-19
Numero di pagine8
RivistaInternational Angiology
Volume28
Stato di pubblicazionePublished - 2009

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Carotid Intima-Media Thickness
Stents
Dilatation
Percutaneous Coronary Intervention
Brachial Artery
Sublingual Administration
Nitroglycerin
Vasodilator Agents
Angioplasty
Carotid Arteries
Nitrates
Blood Vessels
Coronary Artery Disease
Ultrasonography
Arm
Cohort Studies
Multivariate Analysis
Arteries
Hypertension

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cita questo

Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E. (2009). PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION. International Angiology, 28, 12-19.

PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION. / Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E.

In: International Angiology, Vol. 28, 2009, pag. 12-19.

Risultato della ricerca: Article

Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E. 2009, 'PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION.', International Angiology, vol. 28, pagg. 12-19.
Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E. PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION. International Angiology. 2009;28:12-19.
Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E. / PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION. In: International Angiology. 2009 ; Vol. 28. pagg. 12-19.
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title = "PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION.",
abstract = "Aim. Impaired endothelial function and increased carotid intima-media thickness are key events in the atherosclerotic process and predict future cardiovascular events in subjects with and without coronary artery disease. The purpose of this study was to investigate whether the vasodilator response to increased flow in the brachial artery and the presence of carotid lesions may have a prognostic significance for in-stent restenosis in patients undergoing coronary angioplasty. Methods. The study population included 58 patients undergoing percutaneous coronary intervention (PCI) with stenting and at least 10 months of follow-up. All patients underwent ultrasound detection of brachial artery reactivity 30 days after PCI. Flow mediated dilatation (FMD) was investigated after 5 minutes of occlusion of the artery and nitroglycerin mediated dilation (NMD) was investigated after administration of sublingual nitrates. Vascular echography was performed to measure intima media thickness (IMT) of carotid arteries. At baseline we evaluated all the established traditional cardiovascular risk factors. We also subdivided our study cohort according to values of FMD in patients with FMD above and patients below the median value. Results. Patients with FMD above the median value showed higher prevalence of hypertension (P=0.002), diabetes (P=0.02) and carotid IMT (P=0.006) than those below the median. Brachial FMD was inversely correlated (P=0.001) to carotid IMT. At the end of follow-up clinical events occurred in nine patients. In a multivariate analysis, including all the variables evaluated at baseline, carotid IMT (P=0.02), level of glycemia (P=0.001), a lower FMD (P=0.005) and presence of carotid plaque remained the only variables predictive of restenosis. Conclusion. Evaluation of FMD and carotid IMT may provide important prognostic information in patients undergoing PCI",
author = "{Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E.} and Salvatore Novo and Egle Corrado",
year = "2009",
language = "English",
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pages = "12--19",
journal = "International Angiology",
issn = "0392-9590",
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T1 - PROGNOSTIC ROLE OF ENDOTHELIAL DYSFUNCTION AND CAROTID INTIMA-MEDIA THICKNESS IN PATIENTS UNDERGOING CORONARY STENT IMPLANTATION.

AU - Camarda, P.; Coppola, G.; Muratori, I.; Ciaramitaro, G.; Farinella, M.; Rotolo, A.; Andolina, G.; Cospite, V.; Evola, S.; Assennato, P.; Hoffmann, E.

AU - Novo, Salvatore

AU - Corrado, Egle

PY - 2009

Y1 - 2009

N2 - Aim. Impaired endothelial function and increased carotid intima-media thickness are key events in the atherosclerotic process and predict future cardiovascular events in subjects with and without coronary artery disease. The purpose of this study was to investigate whether the vasodilator response to increased flow in the brachial artery and the presence of carotid lesions may have a prognostic significance for in-stent restenosis in patients undergoing coronary angioplasty. Methods. The study population included 58 patients undergoing percutaneous coronary intervention (PCI) with stenting and at least 10 months of follow-up. All patients underwent ultrasound detection of brachial artery reactivity 30 days after PCI. Flow mediated dilatation (FMD) was investigated after 5 minutes of occlusion of the artery and nitroglycerin mediated dilation (NMD) was investigated after administration of sublingual nitrates. Vascular echography was performed to measure intima media thickness (IMT) of carotid arteries. At baseline we evaluated all the established traditional cardiovascular risk factors. We also subdivided our study cohort according to values of FMD in patients with FMD above and patients below the median value. Results. Patients with FMD above the median value showed higher prevalence of hypertension (P=0.002), diabetes (P=0.02) and carotid IMT (P=0.006) than those below the median. Brachial FMD was inversely correlated (P=0.001) to carotid IMT. At the end of follow-up clinical events occurred in nine patients. In a multivariate analysis, including all the variables evaluated at baseline, carotid IMT (P=0.02), level of glycemia (P=0.001), a lower FMD (P=0.005) and presence of carotid plaque remained the only variables predictive of restenosis. Conclusion. Evaluation of FMD and carotid IMT may provide important prognostic information in patients undergoing PCI

AB - Aim. Impaired endothelial function and increased carotid intima-media thickness are key events in the atherosclerotic process and predict future cardiovascular events in subjects with and without coronary artery disease. The purpose of this study was to investigate whether the vasodilator response to increased flow in the brachial artery and the presence of carotid lesions may have a prognostic significance for in-stent restenosis in patients undergoing coronary angioplasty. Methods. The study population included 58 patients undergoing percutaneous coronary intervention (PCI) with stenting and at least 10 months of follow-up. All patients underwent ultrasound detection of brachial artery reactivity 30 days after PCI. Flow mediated dilatation (FMD) was investigated after 5 minutes of occlusion of the artery and nitroglycerin mediated dilation (NMD) was investigated after administration of sublingual nitrates. Vascular echography was performed to measure intima media thickness (IMT) of carotid arteries. At baseline we evaluated all the established traditional cardiovascular risk factors. We also subdivided our study cohort according to values of FMD in patients with FMD above and patients below the median value. Results. Patients with FMD above the median value showed higher prevalence of hypertension (P=0.002), diabetes (P=0.02) and carotid IMT (P=0.006) than those below the median. Brachial FMD was inversely correlated (P=0.001) to carotid IMT. At the end of follow-up clinical events occurred in nine patients. In a multivariate analysis, including all the variables evaluated at baseline, carotid IMT (P=0.02), level of glycemia (P=0.001), a lower FMD (P=0.005) and presence of carotid plaque remained the only variables predictive of restenosis. Conclusion. Evaluation of FMD and carotid IMT may provide important prognostic information in patients undergoing PCI

UR - http://hdl.handle.net/10447/52712

M3 - Article

VL - 28

SP - 12

EP - 19

JO - International Angiology

JF - International Angiology

SN - 0392-9590

ER -