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Updated: Jun 24, 2026

Non-invasive Assessment of Microvascular and Endothelial Function
Published on: January 29, 2013
Digital thermal monitoring of vascular function: a novel tool to improve cardiovascular risk assessment
Khawar M Gul1, Naser Ahmadi, Zhiying Wang
1Harbor-UCLA Medical Center, USA.
Insights
Digital thermal monitoring (DTM) can detect vascular dysfunction in coronary heart disease (CHD) patients. Lower temperature rebound after cuff occlusion indicates impaired vascular function, potentially identifying high-risk individuals.
Area of Science:
- Cardiovascular Physiology
- Vascular Function Assessment
- Biomedical Engineering
Background:
- Digital thermal monitoring (DTM) assesses vascular function by measuring fingertip temperature changes during reactive hyperemia.
- Reactive hyperemia, a response to blood flow restoration after occlusion, is influenced by endothelial function.
Purpose of the Study:
- To evaluate the utility of DTM in identifying vascular dysfunction in individuals with and without coronary heart disease (CHD).
- To correlate DTM-derived metrics with established cardiovascular risk scores.
Main Methods:
- 133 participants (19 with known CHD) underwent DTM during and after 2 minutes of supra-systolic arm cuff inflation.
- Simultaneous measurement of fingertip temperatures in occluded and non-occluded hands.
- Analysis of post-cuff deflation temperature rebound (TR) in relation to CHD status and Framingham Risk Score (FRS).
Main Results:
- Lower post-cuff deflation temperature rebound (TR) was observed in patients with CHD and those with a higher FRS.
- After adjusting for covariates, TR remained significantly lower in the CHD group (p < 0.05).
- DTM-measured vascular dysfunction was associated with the presence of CHD and elevated cardiovascular risk.
Conclusions:
- DTM is a potential tool for assessing vascular dysfunction associated with CHD.
- DTM-derived metrics may help identify individuals at higher cardiovascular risk.
- This non-invasive method shows promise for clinical application in cardiovascular risk stratification.
Abstract:
Digital thermal monitoring (DTM) of vascular function during cuff-occlusive reactive hyperemia relies on the premise that changes in fingertip temperature during and after an ischemic stimulus reflect changes in blood flow. To determine its utility in individuals with and without known coronary heart disease (CHD), 133 consecutive individuals (age 54 +/- 10 years, 50% male, 19 with known CHD) underwent DTM during and after 2 minutes of supra-systolic arm cuff inflation. Fingertip temperatures of the occluded and non-occluded fingertips were measured simultaneously. Post-cuff deflation temperature rebound (TR) was lower in the CHD patients and in those with an increased Framingham risk score (FRS) compared to the normal group. After adjustment for age, sex, and cardiac risk factors, TR was significantly lower in those with CHD compared to those without CHD (p < 0.05). This study demonstrates that vascular dysfunction measured by DTM is associated with CHD and an increased FRS, and could potentially be used to identify high-risk patients.
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