Harmer, JA and Keech, AC and Veillard, AS and Skilton, MR and Marwick, TH and Watts, GF and Meredith, IT and Celermajer, DS, for the FIELD Vascular Study Investigators, Cigarette smoking and albuminuria are associated with impaired arterial smooth muscle function in patients with type 2 diabetes mellitus: a FIELD substudy, Diabetes Research and Clinical Practice, 106, (2) pp. 328-336. ISSN 0168-8227 (2014) [Refereed Article]
Copyright 2014 Elsevier Ireland Ltd
METHODS: Flow-mediated dilatation (a marker of endothelial function) and dilator response to glyceryl trinitrate (to assess smooth muscle function) of the brachial artery were assessed at baseline in 193 patients with type 2 diabetes from the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study. Traditional risk factors were assessed and a multivariable model was constructed to identify factors independently associated with impaired arterial function.
RESULTS: Median age was 64 years (interquartile range, 58-69; 61% male) and duration of diabetes was 4 years (interquartile range, 2-9). Flow-mediated dilatation (3.06±0.25%, mean±SEM) was severely impaired but not significantly associated with other risk factors. Dilator responses to glyceryl trinitrate (10.56±0.52%) were significantly and independently impaired in past and present cigarette smokers (P=0.005) and in subjects with increased urinary albumin/creatinine ratio (P=0.01).
CONCLUSIONS: In adults with type 2 diabetes and known or suspected atherosclerosis, arterial smooth muscle-dependent dilatation was shown to be significantly impaired in cigarette smokers and those with elevated urinary albumin levels.
|Item Type:||Refereed Article|
|Keywords:||Arterial function; Atherosclerosis; Flow-mediated dilatation; Glyceryl trinitrate; Smooth muscle cell; Type 2 diabetes mellitus|
|Research Division:||Biomedical and Clinical Sciences|
|Research Group:||Cardiovascular medicine and haematology|
|Research Field:||Cardiology (incl. cardiovascular diseases)|
|Objective Group:||Clinical health|
|Objective Field:||Clinical health not elsewhere classified|
|UTAS Author:||Marwick, TH (Professor Tom Marwick)|
|Web of Science® Times Cited:||8|
|Deposited By:||Menzies Institute for Medical Research|
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