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Updated: Aug 30, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
The clinical implications of endothelial dysfunction
Michael E Widlansky1, Noyan Gokce, John F Keaney
1Evans Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Insights
Measuring endothelial function aids atherosclerosis research and patient care. Improved endothelial function correlates with reduced cardiovascular risk, suggesting its use in evaluating new treatments.
Area of Science:
- Cardiovascular Research
- Vascular Biology
- Medical Diagnostics
Background:
- Atherosclerosis prevention and treatment require novel strategies.
- Endothelial function measurement is a key tool in atherosclerosis research.
- Impaired endothelial function is linked to cardiovascular risk factors and clinical syndromes.
Purpose of the Study:
- To review the literature on endothelial function in atherosclerosis.
- To evaluate the clinical utility of assessing endothelial dysfunction.
- To explore the role of endothelial function as a surrogate marker for therapeutic strategies.
Main Methods:
- Literature review of recent studies on endothelial function and atherosclerosis.
- Analysis of the relationship between endothelial dysfunction and cardiovascular risk.
- Examination of interventions that improve endothelial function and reduce cardiovascular risk.
Main Results:
- Endothelial dysfunction severity correlates with cardiovascular risk.
- Interventions reducing cardiovascular risk also improve endothelial function.
- Endothelial function assessment shows potential as a clinical tool and surrogate marker.
Conclusions:
- Endothelial function measurement is valuable for atherosclerosis research.
- Assessing endothelial dysfunction can aid patient care and therapeutic strategy evaluation.
- Further research into endothelial function's clinical utility is warranted.
Abstract:
Defining new approaches for the prevention and treatment of atherosclerosis is an important priority. Recently, measurement of endothelial function in patients has emerged as a useful tool for atherosclerosis research. Risk factors are associated with impaired endothelial function, and clinical syndromes relate, in part, to a loss of endothelial control of vascular homeostasis. Recent studies have shown that the severity of endothelial dysfunction relates to cardiovascular risk. A growing number of interventions known to reduce cardiovascular risk have been shown to improve endothelial function. This work suggests that studies of endothelial function could be used in the care of patients and as a surrogate marker for the evaluation of new therapeutic strategies. This article will review this growing literature in an effort to evaluate the current clinical utility of endothelial dysfunction.
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