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Updated: May 23, 2026

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
Published on: April 27, 2016
[Endothelial dysfunction. An integrated overview of the physiopatologic and diagnostic aspects]
Serena Del Turco1, Elisabetta Bianchini, Rita Bucalo
1Istituto di Fisiologia Clinica, Consiglio Nazionale delle Ricerche, Pisa. serena@ifc.cnr.it
Insights
Endothelial dysfunction, a key early sign of atherosclerosis, involves impaired blood vessel relaxation and promotes inflammation. Studying endothelial health is crucial for cardiovascular disease prevention and risk assessment.
Area of Science:
- Cardiovascular Research
- Endothelial Biology
- Atherosclerosis Pathophysiology
Context:
- Cardiovascular risk factors initiate endothelial dysfunction.
- Dysfunction manifests as impaired endothelium-dependent vasodilation.
- Altered endothelium gains proatherogenic, proinflammatory, and prothrombotic properties.
Purpose:
- To highlight the critical role of endothelium study in cardiovascular research.
- To establish endothelial assessment as a tool for cardiovascular disease risk stratification.
- To propose an integrated approach for evaluating endothelial physiopathology.
Summary:
- Endothelial dysfunction is an early atherosclerotic event driven by cardiovascular risk factors.
- It involves impaired vasodilation and promotes a proatherogenic state.
- Comprehensive evaluation requires integrating endothelial biology and function with clinical data.
Impact:
- Understanding endothelial dysfunction aids in primary cardiovascular disease prevention.
- Endothelial assessment offers a valuable tool for risk stratification.
- An integrated approach can provide a comprehensive view of endothelial health and disease.
Abstract:
Endothelial dysfunction is an early alteration in the atherosclerotic process. Cardiovascular risk factors induce endothelial dysfunction, characterized by impaired endothelium-dependent vasodilatation and by new proatherogenic, proinflammatory and prothrombotic properties. It is evident as the study of the endothelium could play a key role in the cardiovascular research and can be an useful tool for risk stratification in primary prevention of cardiovascular disease. An ideal approach for the comprehensive evaluation on endothelial physiopathology would take into account and integrate informations about endothelial biology (activation, injury and regenerative capacity) and endothelial function, so to be correlated with clinical data.
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