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Updated: Jul 7, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
[Profile of endothelial dysfunction in arterial hypertension. Vascular ultrasound assessment]
Viviana Aursulesei1, Georgeta Datcu, M D Datcu
1Universitatea de Medicină şi Farmacie Gr. T. Popa Iaşi, Facultatea de Medicină, Clinica I Medicală Cardiologică.
Insights
This study shows endothelial dysfunction is common in hypertension and varies greatly between individuals. Treatment can improve this dysfunction, highlighting the need for comprehensive vascular ultrasound assessments.
Area of Science:
- Cardiovascular Medicine
- Vascular Biology
Background:
- Arterial hypertension is frequently associated with endothelial dysfunction.
- Brachial ultrasound assessment of flow-mediated dilation is a standard noninvasive method for evaluating endothelial function.
- Endothelial dysfunction has prognostic implications in hypertensive patients.
Purpose of the Study:
- To assess endothelial dysfunction in hypertensive patients using vascular ultrasound.
- To evaluate the variability and treatability of endothelial dysfunction.
- To explore novel parameters like velocity ratio and normalized diameter ratio.
Main Methods:
- Prospective, long-term follow-up of 92 carefully selected hypertensive patients.
- Utilized technical guidelines for vascular ultrasound assessment.
- Employed a comprehensive approach evaluating multiple parameters of endothelial function.
Main Results:
- Confirmed the presence of endothelial dysfunction in hypertensive individuals.
- Demonstrated significant interindividual variability in endothelial dysfunction.
- Showed that endothelial dysfunction can be improved with appropriate treatment.
- Introduced and tested the velocity ratio and normalized diameter ratio as potential new parameters.
Conclusions:
- Comprehensive assessment of endothelial dysfunction using vascular ultrasound is crucial in hypertension management.
- Endothelial dysfunction in hypertension is variable but responsive to treatment.
- Novel parameters like velocity ratio may offer additional insights into vascular health.
Unlabelled:
Assessment of endothelial dysfunction in arterial hypertension using brachial ultrasound is a common method. Because of prognostic value of flow mediated dilation, vascular ultrasound is considered the standard noninvasive method.
Material And Method:
In our study we assessed 92 hypertensive patients (very carefully selected) in a prospective and long term follow-up manner. We used the technical indications of actual guidelines.
Results:
We confirmed the importance of a complete and complex assessment of endothelial dysfunction, using different parameters. Our study demonstrated that endothelial dysfunction exists in hypertensives, has a large interindividual variability and can be improved using adequate treatment. We also proposed a new parameter--the velocity ratio, and tested the value of normalized diameter ratio, as a nonconventional variable.
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