New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry

Background. Endothelial function is viewed as a barometer of cardiovascular health and plays a central role in vascular reactivity. Several studies showed digital thermal monitoring (DTM) as a simple noninvasive method to measure vascular reactivity that is correlated with atherosclerosis risk facto...

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Main Authors: Morteza Naghavi, Albert A. Yen, Alex W. H. Lin, Hirofumi Tanaka, Stanley Kleis
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2016/1348028
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author Morteza Naghavi
Albert A. Yen
Alex W. H. Lin
Hirofumi Tanaka
Stanley Kleis
author_facet Morteza Naghavi
Albert A. Yen
Alex W. H. Lin
Hirofumi Tanaka
Stanley Kleis
author_sort Morteza Naghavi
collection DOAJ
description Background. Endothelial function is viewed as a barometer of cardiovascular health and plays a central role in vascular reactivity. Several studies showed digital thermal monitoring (DTM) as a simple noninvasive method to measure vascular reactivity that is correlated with atherosclerosis risk factors and coronary artery disease. Objectives. To further evaluate the relations between patient characteristics and DTM indices in a large patient registry. Methods. DTM measures were correlated with age, sex, heart rate, and systolic and diastolic blood pressure in 6084 patients from 18 clinics. Results. DTM vascular reactivity index (VRI) was normally distributed and inversely correlated with age (r=-0.21, p<0.0001). Thirteen percent of VRI tests were categorized as poor vascular reactivity (VRI < 1.0), 70 percent as intermediate (1.0 ≤ VRI < 2.0), and 17 percent as good (VRI ≥ 2.0). Poor VRI (<1.0) was noted in 6% of <50 y, 10% of 50–70 y, and 18% of ≥70 y. In multiple linear regression analyses, age, sex, and diastolic blood pressure were significant but weak predictors of VRI. Conclusions. As the largest database of finger-based vascular reactivity measurement, this report adds to prior findings that VRI is a meaningful physiological marker and reflects a high level of residual risk found in patients currently under care.
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institution Kabale University
issn 2090-2824
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publishDate 2016-01-01
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series International Journal of Vascular Medicine
spelling doaj-art-296d005577144430864d5d4572ac66612025-02-03T06:05:38ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322016-01-01201610.1155/2016/13480281348028New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients RegistryMorteza Naghavi0Albert A. Yen1Alex W. H. Lin2Hirofumi Tanaka3Stanley Kleis4MEDITEX, Houston, TX, USAEndothelix, Inc., Houston, TX, USAEndothelix, Inc., Houston, TX, USAThe University of Texas at Austin, Austin, TX, USAUniversity of Houston, Houston, TX, USABackground. Endothelial function is viewed as a barometer of cardiovascular health and plays a central role in vascular reactivity. Several studies showed digital thermal monitoring (DTM) as a simple noninvasive method to measure vascular reactivity that is correlated with atherosclerosis risk factors and coronary artery disease. Objectives. To further evaluate the relations between patient characteristics and DTM indices in a large patient registry. Methods. DTM measures were correlated with age, sex, heart rate, and systolic and diastolic blood pressure in 6084 patients from 18 clinics. Results. DTM vascular reactivity index (VRI) was normally distributed and inversely correlated with age (r=-0.21, p<0.0001). Thirteen percent of VRI tests were categorized as poor vascular reactivity (VRI < 1.0), 70 percent as intermediate (1.0 ≤ VRI < 2.0), and 17 percent as good (VRI ≥ 2.0). Poor VRI (<1.0) was noted in 6% of <50 y, 10% of 50–70 y, and 18% of ≥70 y. In multiple linear regression analyses, age, sex, and diastolic blood pressure were significant but weak predictors of VRI. Conclusions. As the largest database of finger-based vascular reactivity measurement, this report adds to prior findings that VRI is a meaningful physiological marker and reflects a high level of residual risk found in patients currently under care.http://dx.doi.org/10.1155/2016/1348028
spellingShingle Morteza Naghavi
Albert A. Yen
Alex W. H. Lin
Hirofumi Tanaka
Stanley Kleis
New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry
International Journal of Vascular Medicine
title New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry
title_full New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry
title_fullStr New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry
title_full_unstemmed New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry
title_short New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry
title_sort new indices of endothelial function measured by digital thermal monitoring of vascular reactivity data from 6084 patients registry
url http://dx.doi.org/10.1155/2016/1348028
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