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Comprehensive assessment of impaired coronary and peripheral artery vascular function in smokers using Oxygen-15 Labeled Water PET and Brachial Artery Ultrasound

https://repo.qst.go.jp/records/71650
https://repo.qst.go.jp/records/71650
8b65178e-4512-4f2e-bf18-4d172cde1264
Item type 会議発表用資料 / Presentation(1)
公開日 2015-05-13
タイトル
タイトル Comprehensive assessment of impaired coronary and peripheral artery vascular function in smokers using Oxygen-15 Labeled Water PET and Brachial Artery Ultrasound
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Yoshinaga, Keiichiro

× Yoshinaga, Keiichiro

WEKO 704979

Yoshinaga, Keiichiro

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Ochi, Noriki

× Ochi, Noriki

WEKO 704980

Ochi, Noriki

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Tomiyama, Yuuki

× Tomiyama, Yuuki

WEKO 704981

Tomiyama, Yuuki

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Katoh, Chietsugu

× Katoh, Chietsugu

WEKO 704982

Katoh, Chietsugu

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Inoue, Mamiko

× Inoue, Mamiko

WEKO 704983

Inoue, Mamiko

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Suzuki, Eriko

× Suzuki, Eriko

WEKO 704984

Suzuki, Eriko

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Manabe, Osamu

× Manabe, Osamu

WEKO 704985

Manabe, Osamu

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M, Ito Yoichi

× M, Ito Yoichi

WEKO 704986

M, Ito Yoichi

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Tamaki, Nagara

× Tamaki, Nagara

WEKO 704987

Tamaki, Nagara

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吉永 恵一郎

× 吉永 恵一郎

WEKO 704988

en 吉永 恵一郎

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抄録
内容記述タイプ Abstract
内容記述 Background: Cigarette smoking has impact on vascular function. Comprehensive evaluation of endothelial dependent (End) and endothelium independent (Endind) vascular function in coronary artery and peripheral artery in smokers has never been studied. The purpose of the present study was to evaluate the relationship between the coronary and peripheral vascular function in smokers using O-15 labeled water PET and brachial artery ultrasound.
Methods: Eight active smokers (Brinkman index: 219.4±230.7) and 10 healthy individuals underwent brachial artery ultrasound at rest, reactive hyperemia [250 mmHg cuff occlusion (FMD)], and sublingual nitroglycerin (NTG) administration. Delta arterial diameter and %change of arterial diameter were calculated. Myocardial blood flow (MBF) was evaluated at rest, during adenosine triphosphate (ATP) administration, and cold pressor test (CPT) with O-15 water dynamic PET. Rest MBF and CPT MBF were corrected by rate pressure product (RPP).
Results: Smokers significantly reduced End vasodilatation compared to control using ultrasound (delta FMD: 0.31±0.12 mm vs 0.44±0.11 mm, P=0.026, %FMD: 6.62±2.28% vs 11.29±2.75%, P=0.0014) and using O-15 water PET (RPP corrected CPT response: -18.0±10.1% vs 1.4±20.3%, P=0.04).There was no significant difference in NTG response (delta:0.73±0.30 mm vs 0.88±0.25 mm, P=0.27, %NTG: 15.9±6.8% vs 22.4±6.2%, P=0.055) and RPP corrected coronary flow reserve (3.19±1.22 vs 3.77±1.14, P=0.32) between the two groups. On the other hand, there was no relationship between coronary and peripheral End function (R=0.40, P=0.1) and Endind vascular function (R=0.24, P=0.3).
Conclusions: Smokers exhibited impaired coronary endothelial function as well as peripheral endothelial function. In contrast, smokers did not show alteration in endothelial independent vasodilation . In addition, there was no correlation between PET and ultrasound measurements, possibly implying that while smokers may have systemic vascular endothelial dysfunction, the characteristics of that dysfunction may be different in coronary and peripheral arteries.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 ICNC 12, Nuclear Cardiology and Cardiac CT
発表年月日
日付 2015-05-05
日付タイプ Issued
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