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Related Experiment Videos

Haemoglobin and flow-mediated vasodilation.

Per Lav Madsen1, Michaela Scheuermann Freestone, Stefan Neubauer

  • 1University Laboratory of Physiology and the Department of Cardiovascular Medicine, University of Oxford, UK. Fyrrevang11@dadlnet.dk

Clinical Science (London, England : 1979)
|December 17, 2005
PubMed
Summary

Low hemoglobin concentration is linked to vasodilation through nitric oxide (NO) absorption. This study found that lower hemoglobin levels correlated with increased flow-mediated vasodilation (FMD) in normal subjects, suggesting a compensatory mechanism.

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Area of Science:

  • Cardiovascular Physiology
  • Vascular Biology
  • Endocrinology

Background:

  • Low hemoglobin concentration (Hb) is associated with peripheral vasodilation through incompletely understood mechanisms.
  • Nitric oxide (NO) released from vascular endothelium influences vasodilation; Hb absorbs NO, limiting its bioactivity.
  • A proposed mechanism suggests graded NO absorption mediates the relationship between low Hb and vasodilation.

Purpose of the Study:

  • To investigate the relationship between Hb concentration and flow-mediated vasodilation (FMD) in radial and brachial arteries.
  • To compare FMD in normal subjects and patients with Type II diabetes, who have impaired NO-mediated vasodilation.
  • To determine if radial artery FMD is a more sensitive measure of vasodilation.

Main Methods:

Related Experiment Videos

  • Assessed FMD using cuff ischemia in 33 normal subjects and 13 diabetic patients.
  • Measured FMD in both radial and brachial arteries.
  • Correlated FMD measurements with Hb concentration.
  • Main Results:

    • The radial artery exhibited significantly larger FMD than the brachial artery in normal subjects (22% vs. 9%).
    • Radial artery FMD showed a negative correlation with Hb concentration (r²=-0.66, P<0.05) in normal subjects.
    • In normal subjects, lower Hb levels (<14.1 g/dl) were associated with higher radial artery FMD (30%) compared to higher Hb levels (13%).
    • Diabetic patients had lower FMD, and no correlation with Hb concentration was found.

    Conclusions:

    • In normal individuals, NO-mediated vasodilation partially compensates for the effects of low Hb concentration during post-ischemic reperfusion.
    • The radial artery serves as a more sensitive indicator for assessing flow-mediated vasodilation.
    • Impaired NO-mediated vasodilation in diabetes may disrupt the compensatory relationship between Hb levels and vasodilation.