Xie Debo,He Yun,Cheng Xiaofeng,Wu Feng,Jin Jun,Huang Lan.Clinical value of peripheral arterial reactive hyperemia index in evaluation of endothelial function in patients with coronary heart disease[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(19):2168-2173.
Xie Debo,He Yun,Cheng Xiaofeng,Wu Feng,Jin Jun,Huang Lan.Clinical value of peripheral arterial reactive hyperemia index in evaluation of endothelial function in patients with coronary heart disease[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(19):2168-2173.DOI:
Clinical value of peripheral arterial reactive hyperemia index in evaluation of endothelial function in patients with coronary heart disease
Objective To apply reactive hyperemia index (RHI) of peripheral arteries and circulating endothelial progenitor cells (EPCs) proportion in the patients with coronary heart diseases (CHD)
and determine the application value of the index in the evaluation of endothelial function in order to provide clinical measure for disease assessment
antilipid therapy evaluation and prognosis. Methods A total of 195 patients admitted in the institute of cardiovascular diseases of Xinqiao Hospital from September to December 2015 were enrolled in this study. They were 115 males and 80 females
at an average age of 61 and median age of 60. According to the results of coronary angiography
the 195 patients were divided into the CHD group (n=129) and control group (n=66). Then CHD group was subdivided into low-
moderate-and high-risk subgroups based on Synergy between PCI with TAXUS and Cardiac Surgery (SYNTAX) Scoring System. The circulating EPCs was determined by flow cytometry and the RHI by noninvasive peripheral arterial tonometry (Endo-PAT 2000). The specificity and sensitivity were compared between the index and the proportion of EPCs in evaluating risk factors of CHD. Results Compared with the control group
the proportion of circulating EPCs was significantly decreased
and RHI was lower in CHD group (P0.05). A positive correlation was observed between the proportion of ERPs and RHI (r=0.269
P0.05). In SYNTAX subgroups
the proportion of EPCs and RHI were obviously reduced in the moderate- and high-risk subgroups than the lowrisk subgroup (P0.05). Diabetes
hypertension and smoking may have influences on RHI and EPCs proportion (P0.05)
and among them
diabetes contributed most. Conclusion RHI is superior to EPCs in noninvasion