Endothelial dysfunction (ED) might be an important and early event in the pathogenesis of major cardiovascular diseases. AIMS: 1.To determine the prevalence of abnormal endothelium-dependent vasodilation (EDV) 2.To assess its correlation with clinical, biochemical, inflammatory and extracellular matrix (ECM) activity markers. 3.To determine its correlation with ambulatory blood pressure monitoring (ABPM) and cardiovascular characteristics. N=121, aged 22-81(58,34+-1,28), 48,7%M, 77hypertensives, BMI (kg/m2) waist (cm).Gly, creat, HDL, LDL, chol, and tg, by Hitachi. IR-HOMA score. ECM: COMP (Cartilage Oligomeric Matrix Protein)(AnaMar EIA)(U/L).CRPhs: DRG EIA.(mg/L). ABPM: Spacelabs 90210: Systolic BP, Diastolic BP, and Mean Arterial Pressure MAP((SBP-DBP/3 + DSB)). SBP variability (SBPV), DBP variability (DBPV) and MAP variability (MAPV). EIV and EDV: cutaneous microcirculatory responses at the forearm by laser Doppler (DRT4, MOOR). Flow, speed and concentration were evaluated. Peak-Flow was considered normal >67% (group A) and abnormal <67% (group B). Rising and recovering time were measured too. An endothelium-independent response was evaluated by sodium nitroprusside iontophoresis. Large (LAEI) and small (SAEI) artery elasticity index and stroke volume (SV) by HDI/PulseWave CR-2000. Statistical analysis: Kolmogorov-Smirnov normality test, t-student, Pearson chi-square and linear regression, Mann-Whitney U. 1. The prevalence of abnormal EDV was N=27 (22,3 %).2. There was a significant correlation with age (r=0,284, p=0,002) and waist: p=0,029. 2-. Group B patients presented higher values in IR (p=0,034), CPRhs (p=0,011) and COMP (p= 0,004).3- The significant differences for the ABPM (Group B vs A) were: 24h-DBPV (p=0,015) and 24h-MAPV (p=0,043). 8. The significant differences for the CV Profiling System (Group B vs A) were: SAEI (p=0,005), and SV (p=0,010). 1.The prevalence of ED in the microcirculation was 22,3%. 2.There was a statistically significant correlation with age, CRPhs and IR 2-The correlation with COMP suggests an activation of the extracellular matrix.3-There was a statistically significant in correlation with DBP variability, heart rate, small artery elasticity index and stroke volume.
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