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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.
Background:
Chronic inflammation is associated with accelerated atherosclerosis, endothelial dysfunction (ED), and cardiovascular diseases. Because chronic rhinosinusitis (CRS) is an inflammatory disease, it may be associated with the development of ED and accelerated atherosclerosis.
Objective:
To investigate the relationship between CRS and carotid intima-media thickness (CIMT), flow-mediated dilation (FMD) of the brachial artery, and microalbuminuria.
Materials And Methods:
This cross-sectional study included 38 patients with CRS and 29 healthy controls. In addition to measuring spot urine albumin-creatinine ratios, FMD of the brachial artery and CIMT were assessed noninvasively.
Results:
Patients with CRS had lower FMD scores (p = 0.031), higher CIMT scores (p = 0.005), and a higher urinary albumin-creatinine ratio (p = 0.036) compared with healthy controls. In a multivariate analysis, CIMT and FMD were independently associated with the presence of CRS. However, the relationship between urinary albumin and creatinine, and the presence of CRS was no longer observed.
Conclusions:
CRS is associated with ED and atherosclerosis, as indicated by decreased FMD and increased CIMT in patients with CRS. Further studies are necessary to identify the exact pathophysiologic mechanisms responsible for our findings.
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