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Updated: May 27, 2026

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A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Noninvasive assessment of endothelial function in clinical practice
Antonio L Arrebola-Moreno1, Martin Laclaustra, Juan Carlos Kaski
1Cardiovascular Sciences Research Centre, St George’s, University of London, London, UK.
Revista Espanola De Cardiologia (English Ed.)
|November 22, 2011
Summary
Identifying individuals at high risk for cardiovascular disease is key for prevention. Noninvasive endothelial function tests like flow-mediated vasodilation can improve cardiovascular risk stratification and preventive strategies.
Area of Science:
- Cardiology
- Vascular Biology
- Preventive Medicine
Background:
- Cardiovascular diseases (CVDs) are a leading cause of mortality globally.
- Preventive strategies are crucial for managing the burden of CVDs.
- Endothelial dysfunction is an early marker of cardiovascular risk.
Purpose of the Study:
- To review noninvasive techniques for assessing endothelial function.
- To evaluate the clinical utility of these techniques in cardiovascular risk stratification.
- To provide an overview of flow-mediated vasodilation, pulse wave analysis, and finger plethysmography.
Main Methods:
- Review of scientific literature on noninvasive endothelial function assessment.
- Focus on flow-mediated vasodilation (FMD) via brachial artery ultrasound.
- Inclusion of pulse wave analysis (PWA) and postischemic hyperemia finger plethysmography.
Main Results:
- Noninvasive techniques offer accessible methods for evaluating endothelial health.
- These methods can aid in identifying individuals at higher cardiovascular risk.
- Scientific evidence supports the clinical value of these diagnostic tools.
Conclusions:
- Noninvasive endothelial function testing improves cardiovascular risk assessment.
- Enhanced risk stratification facilitates targeted preventive strategies.
- These techniques are valuable additions to the clinical evaluation of cardiovascular health.

