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Updated: Jul 19, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
Gender differences in wall shear-mediated brachial artery vasoconstriction and vasodilation
J Levenson1, F Pessana, J Gariepy
1Centre de Médecine Préventive Cardiovasculaire, Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Broussais, Paris, France. levenso@worldnet.fr
Women exhibit greater shear-mediated arterial vasodilation and vasoconstriction than men, indicating distinct gender-related vascular tone regulation. This study assessed wall shear rate (WSR) and brachial artery diameter (BAD) changes simultaneously.
Area of Science:
- Cardiovascular physiology
- Vascular reactivity research
- Biomedical engineering for noninvasive assessment
Background:
- Simultaneous assessment of wall shear rate (WSR) and arterial reactivity is uncommon.
- Flow-mediated vasoconstriction is less studied than vasodilation in human arteries.
Purpose of the Study:
- To simultaneously investigate WSR and brachial artery diameter (BAD) changes.
- To identify potential gender differences in arterial reactivity.
Main Methods:
- Development of a novel noninvasive method for evaluating brachial artery WSR.
- Utilized a multigated, pulsed Doppler velocimeter with a robotic system.
- Validated the system in vitro, demonstrating high correlation (r = 0.98).
Main Results:
- Forearm occlusion induced significant vasoconstriction and vasodilation in response to low and high shear rates.
- Women showed a significantly higher slope of relative BAD vs. WSR changes compared to men (p < 0.01).
- Normalized arterial diameter per shear rate was greater in women for both vasoconstriction and vasodilation (p < 0.01).
Conclusions:
- Shear-mediated arterial vasodilation and vasoconstriction are more pronounced in women.
- Suggests gender-specific differences in the regulation of large artery vascular tone.
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