ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE

Aim. To assess the role of endothelial vasodilating, vasoconstrictive and adhesive dysfunction in the development of angina pectoris (AP) in patients with ischemic heart disease (IHD).Material and methods. 83 patients with IHD were included in the study. 30 patients had AP of functional class (FC)-I...

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Main Authors: N. E. Zakirova, R. G. Oganov, A. N. Zakirova, M. P. Plotnikova, G. M. Salakhova
Format: Article
Language:English
Published: Столичная издательская компания 2016-01-01
Series:Рациональная фармакотерапия в кардиологии
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Online Access:https://www.rpcardio.online/jour/article/view/1132
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author N. E. Zakirova
R. G. Oganov
A. N. Zakirova
M. P. Plotnikova
G. M. Salakhova
author_facet N. E. Zakirova
R. G. Oganov
A. N. Zakirova
M. P. Plotnikova
G. M. Salakhova
author_sort N. E. Zakirova
collection DOAJ
description Aim. To assess the role of endothelial vasodilating, vasoconstrictive and adhesive dysfunction in the development of angina pectoris (AP) in patients with ischemic heart disease (IHD).Material and methods. 83 patients with IHD were included in the study. 30 patients had AP of functional class (FC)-II, 27 patients - FC-III and 26 patients - FC-IV. The control group consisted of 25 healthy persons. Bicycle ergometry, daily ECG monitoring and echocardiography were used for verification of IHD. Endothelial vasodilating function was assessed by endothelium-dependent (EDVD) and endothelium-independent vasodilatation (EIDVD) of brachial artery. Vasoconstrictive function was assessed by the level of endothelin (ET-1). Endothelial adhesive function was evaluated by plasma concentration of intracellular adhesion molecules – JCAM-1, VCAM-1 and Е-selectin.Results. Normal EDVD and EIDVD were observed in patients with AP of FC-II. The more severe FC of AP the more prominent endothelial vasodilating dysfunction was revealed as well as the higher levels of ET-1 and intracellular adhesion molecules. Patients with AP of FC-IV had hyperexpression of JCAM-1, VCAM-1, Е-selectin and ET-1 and low levels of EDVD and EIDVD.Conclusion. Progression of IHD related with growing endothelial vasodilating, vasoconstrictive and adhesive dysfunction.
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spelling doaj-art-656b2386e59d41ad9befefa50ca64d802025-08-23T10:00:26ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532016-01-0144232710.20996/1819-6446-2008-4-4-23-271131ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASEN. E. Zakirova0R. G. Oganov1A. N. Zakirova2M. P. Plotnikova3G. M. Salakhova4Bashkir State Medical University, Lenina ul. 3, Ufa, 450000 RussiaState Research Centre of Preventive Medicine of Rosmedtechnology, MoscowBashkir State Medical University, Lenina ul. 3, Ufa, 450000 RussiaBashkir State Medical University, Lenina ul. 3, Ufa, 450000 RussiaBashkir State Medical University, Lenina ul. 3, Ufa, 450000 RussiaAim. To assess the role of endothelial vasodilating, vasoconstrictive and adhesive dysfunction in the development of angina pectoris (AP) in patients with ischemic heart disease (IHD).Material and methods. 83 patients with IHD were included in the study. 30 patients had AP of functional class (FC)-II, 27 patients - FC-III and 26 patients - FC-IV. The control group consisted of 25 healthy persons. Bicycle ergometry, daily ECG monitoring and echocardiography were used for verification of IHD. Endothelial vasodilating function was assessed by endothelium-dependent (EDVD) and endothelium-independent vasodilatation (EIDVD) of brachial artery. Vasoconstrictive function was assessed by the level of endothelin (ET-1). Endothelial adhesive function was evaluated by plasma concentration of intracellular adhesion molecules – JCAM-1, VCAM-1 and Е-selectin.Results. Normal EDVD and EIDVD were observed in patients with AP of FC-II. The more severe FC of AP the more prominent endothelial vasodilating dysfunction was revealed as well as the higher levels of ET-1 and intracellular adhesion molecules. Patients with AP of FC-IV had hyperexpression of JCAM-1, VCAM-1, Е-selectin and ET-1 and low levels of EDVD and EIDVD.Conclusion. Progression of IHD related with growing endothelial vasodilating, vasoconstrictive and adhesive dysfunction.https://www.rpcardio.online/jour/article/view/1132ischemic heart diseaseangina pectorisendothelial dysfunctionendothelium-dependent vasodilatationendothelin-1adhesion molecules
spellingShingle N. E. Zakirova
R. G. Oganov
A. N. Zakirova
M. P. Plotnikova
G. M. Salakhova
ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE
Рациональная фармакотерапия в кардиологии
ischemic heart disease
angina pectoris
endothelial dysfunction
endothelium-dependent vasodilatation
endothelin-1
adhesion molecules
title ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE
title_full ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE
title_fullStr ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE
title_full_unstemmed ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE
title_short ENDOTHELIAL DYSFUNCTION IN ISCHEMIC HEART DISEASE
title_sort endothelial dysfunction in ischemic heart disease
topic ischemic heart disease
angina pectoris
endothelial dysfunction
endothelium-dependent vasodilatation
endothelin-1
adhesion molecules
url https://www.rpcardio.online/jour/article/view/1132
work_keys_str_mv AT nezakirova endothelialdysfunctioninischemicheartdisease
AT rgoganov endothelialdysfunctioninischemicheartdisease
AT anzakirova endothelialdysfunctioninischemicheartdisease
AT mpplotnikova endothelialdysfunctioninischemicheartdisease
AT gmsalakhova endothelialdysfunctioninischemicheartdisease