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健康的低心血管风险个体的视网膜和外周血管功能。

Retinal and peripheral vascular function in healthy individuals with low cardiovascular risk.

机构信息

Vascular Research Laboratory, School of Life and Health Sciences, Aston University, Birmingham, UK.

Vascular Research Laboratory, School of Life and Health Sciences, Aston University, Birmingham, UK.

出版信息

Microvasc Res. 2019 Nov;126:103908. doi: 10.1016/j.mvr.2019.103908. Epub 2019 Jul 31.

Abstract

OBJECTIVE

To assess retinal and peripheral microvascular function in individuals with low cardiovascular risk.

METHODS AND RESULTS

Retinal microvascular function was assessed using the dynamic vessel analyser (DVA) and peripheral vascular reactivity was measured using the digital thermal monitor (DTM) in 136 healthy participants. In addition, systemic blood pressure (BP) profiles, blood analyses for glucose and lipid metabolism markers (CHOL, HDL-c, LDL-c), as well as the Framingham Risk Score (FRS) were assessed in all participants. Based on peripheral vascular reactivity scores, participants were separated into 3 groups: high, intermediate and low risk. Participants with high risk showed a significant higher retinal arteriolar time to reach maximum dilation (tMD) than those with intermediate and low risk (p < 0.001). In addition, retinal arterial dilation amplitude (DA), and constriction slope (Slope) were higher in subjects with low risk (p = 0.006, p = 0.019). Only in high risk participants, peripheral vascular reactivity parameters correlated with retinal arterial functional parameters DA, (r = 0.3800, p = 0.029) and tMD (r = -0.5904, p < 0.001).

CONCLUSION

We conclude that signs of abnormal vascular function are similarly present and detectable in various microvascular beds, despite existing differences in their anatomical and physiological properties.

摘要

目的

评估心血管低危个体的视网膜和外周微血管功能。

方法和结果

本研究使用动态血管分析仪(DVA)评估视网膜微血管功能,使用数字热监测仪(DTM)测量外周血管反应性,共纳入 136 名健康参与者。此外,所有参与者均进行了系统血压(BP)谱、血糖和脂代谢标志物(CHOL、HDL-c、LDL-c)的血液分析,以及Framingham 风险评分(FRS)评估。根据外周血管反应性评分,将参与者分为三组:高风险、中风险和低风险。高风险组的视网膜小动脉达到最大扩张时间(tMD)显著长于中风险和低风险组(p<0.001)。此外,低风险组的视网膜动脉扩张幅度(DA)和收缩斜率(Slope)更高(p=0.006,p=0.019)。仅在高风险组中,外周血管反应性参数与视网膜动脉功能参数 DA(r=0.3800,p=0.029)和 tMD(r=-0.5904,p<0.001)相关。

结论

尽管其解剖和生理特性存在差异,但在各种微血管床中,异常血管功能的迹象同样存在且可检测到。

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