Chronic rhinosinusitis, endothelial dysfunction, and atherosclerosis

Omer Celal Elcioglu1, Baris Afsar, Ali Bakan

  • 1Division of Nephrology, Department of Internal Medicine, Goztepe Training and Research Hospital, Istanbul Medeniyet University, Istanbul, Turkey.

Insights

Chronic rhinosinusitis (CRS) is linked to endothelial dysfunction and atherosclerosis. Patients with CRS showed poorer artery function (lower FMD) and thicker carotid arteries (higher CIMT) compared to controls.

Area of Science:

  • Cardiovascular Medicine
  • Otolaryngology
  • Inflammation Research

Background:

  • Chronic inflammation contributes to atherosclerosis and endothelial dysfunction (ED).
  • Chronic rhinosinusitis (CRS), an inflammatory condition, may be linked to ED and atherosclerosis development.

Purpose of the Study:

  • To examine the association between CRS and markers of atherosclerosis and ED.
  • Investigated were carotid intima-media thickness (CIMT), brachial artery flow-mediated dilation (FMD), and microalbuminuria.

Main Methods:

  • A cross-sectional study involving 38 CRS patients and 29 healthy controls.
  • Noninvasive assessments included CIMT and FMD; urine albumin-creatinine ratios were also measured.

Main Results:

  • CRS patients exhibited significantly lower FMD (p=0.031) and higher CIMT (p=0.005) than controls.
  • Multivariate analysis confirmed independent associations between CIMT, FMD, and CRS.
  • No significant association was found between CRS and urinary albumin-creatinine ratio.

Conclusions:

  • CRS is associated with endothelial dysfunction and atherosclerosis, evidenced by reduced FMD and increased CIMT.
  • Further research is needed to elucidate the underlying pathophysiological mechanisms.
Abstract

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