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Updated: Aug 17, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
[Impaired endothelium-dependent vasodilation and arterial elasticity in patients with coronary artery disease]
1Department of Cardiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China. taojungz@yahoo.com
Insights
Coronary artery disease patients show impaired endothelium-dependent vasodilation and reduced small artery elasticity. These two vascular dysfunctions are closely linked, suggesting small artery elasticity as a potential marker for endothelial health.
Area of Science:
- Cardiovascular Research
- Vascular Biology
- Biomedical Engineering
Context:
- Coronary artery disease (CAD) is a significant global health concern.
- Endothelial dysfunction is an early event in atherosclerosis and CAD development.
- Assessing arterial elasticity and vasodilation provides insights into vascular health.
Purpose:
- To investigate changes in endothelium-dependent vasodilation and arterial elasticity in CAD patients.
- To explore the association between vasodilation and arterial elasticity in this population.
- To determine if small artery elasticity can serve as a novel index for endothelial function.
Summary:
- Flow-mediated dilation (FMD) was significantly reduced in CAD patients compared to controls.
- Large artery elasticity (C(1)) was similar between groups, but small artery elasticity (C(2)) was significantly reduced in CAD patients.
- A positive correlation was found between reduced C(2) small artery elasticity and impaired FMD.
Impact:
- The study highlights impaired endothelial function and reduced small artery elasticity in CAD.
- Findings suggest that C(2) small artery elasticity measurement may offer a new method for assessing endothelial function.
- This research could lead to improved diagnostic tools for cardiovascular risk stratification.
Objective:
To investigate the change in endothelium-dependent vasodilation and arterial elasticity and the association between them in patients with coronary artery disease (CAD).
Methods:
Thirty patients with CAD and thirty control subjects were recruited for this study. Flow-mediated dilation (FMD) in the brachial artery was evaluated by ultrasound Doppler flow method. They also underwent a non-invasive assessment of C(1) large artery and C(2) small artery indices by using pulse wave analysis.
Results:
FMD was significantly reduced in CAD group compared with that in control group [(5.17 +/- 2.13)% vs (11.1 +/- 4.36)%, P < 0.05], C(1) large artery elasticity index was similar between the two groups [(11.59 +/- 4.56) ml/mm Hg x 10 vs (12.11 +/- 3.82) ml/mm Hg x 10, P > 0.05]. However, C(2) small artery elasticity index was significantly reduced in CAD group compared with that in control group [(4.20 +/- 1.80) ml/mm Hg x 100 vs (6.26 +/- 2.36) ml/mm Hg x 100, P < 0.05]. There was a positive association between reduced C(2) small artery elasticity index and impaired FMD (r = 0.53, P < 0.05).
Conclusions:
There were impaired endothelium-dependent vasodilation and reduced C(2) small artery elasticity index in the patients with CAD, which were closely correlated with each other. The present study suggested that the measurement of C(2) small artery elasticity might be used as a novel index for the determination of endothelial function.
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