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Updated: May 1, 2026

Ultrasound Assessment of Endothelial Function: A Technical Guideline of the Flow-mediated Dilation Test
Published on: April 27, 2016
Endothelial dysfunction in metabolic and vascular disorders
Marija M Polovina1, Tatjana S Potpara
1Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia.
Endothelial dysfunction links insulin resistance and type 2 diabetes mellitus (T2DM) to cardiovascular disease. Understanding these connections is key for managing metabolic and vascular health.
Area of Science:
- Cardiovascular Science
- Metabolic Science
- Endothelial Biology
Background:
- Vascular endothelium regulates cardiovascular health and metabolic homeostasis.
- Endothelial dysfunction is central to atherosclerosis and increasingly linked to insulin resistance and type 2 diabetes mellitus (T2DM).
- Metabolic disorders like T2DM are major risk factors for atherosclerosis, sharing endothelial dysfunction as a common pathway.
Purpose of the Study:
- To review the association between insulin resistance, T2DM, and endothelial dysfunction.
- To explore the underlying mechanisms linking these conditions.
- To discuss the prognostic implications and therapeutic strategies for endothelial dysfunction in metabolic and vascular disorders.
Main Methods:
- Literature review focusing on the interplay between metabolic and vascular health.
- Analysis of current research on endothelial dysfunction mechanisms.
- Synthesis of evidence on prognostic impacts and treatment options.
Main Results:
- Endothelial dysfunction is a shared background for metabolic and vascular disorders.
- It is implicated in the pathogenesis of atherosclerosis and the development of insulin resistance and T2DM.
- Evidence suggests endothelial dysfunction predicts adverse outcomes in both cardiovascular disease and insulin resistance states.
Conclusions:
- Endothelial dysfunction is a critical link between insulin resistance, T2DM, and cardiovascular disease.
- Targeting endothelial dysfunction may offer therapeutic benefits for patients with metabolic and vascular disorders.
- Further research into mechanisms and treatments is warranted.
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