Clinical impact of vasomotor function assessment and the role of ACE-inhibitors and statins.

Abstract:

:Impaired endothelial function is recognised as one of the earliest events of atherogenesis. Endothelium-dependent vasomotion has been the principal method to assess endothelial function. In this article, we will discuss the clinical value of the different techniques to evaluate endothelium-dependent vasomotion. To date, there seems not to be a simple and reliably endothelial function test to identify asymptomatic subjects at increased risk for cardiovascular disease in clinical practice. Recent studies indicate that pharmacological interventions, in particular with ACE-inhibitors and statins, might improve endothelial function. However, there is no solid evidence that improvement of endothelial function is a necessity for the observed reduction in cardiovascular events by these compounds. Overall, at this moment, there is no place in clinical practice for the use of endothelial function as a method for risk assessment or target of pharmacological interventions.

journal_name

Vascul Pharmacol

journal_title

Vascular pharmacology

authors

Asselbergs FW,van der Harst P,Jessurun GA,Tio RA,van Gilst WH

doi

10.1016/j.vph.2005.01.009

keywords:

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

125-40

issue

3

eissn

1537-1891

issn

1879-3649

pii

S1537-1891(05)00039-X

journal_volume

42

pub_type

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