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Multi-modal magnetic resonance imaging quantifies atherosclerosis and vascular dysfunction in patients with type 2 diabetes mellitusDepartment of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK.
Department of Cardiovascular Medicine, University of Oxford, Oxford, UK. Vascular magnetic resonance imaging (MRI) is emerging as a powerful research tool. We studied 18 patients with type 2 diabetes mellitus and 20 controls (all with coronary artery disease). MRI measured distensibility, pulse wave velocity (PWV) and atherosclerosis in the aorta, and brachial artery flow-mediated dilatation (FMD). Patients with diabetes showed lower aortic distensibility (2.1 x 10-3 vs. 3.5 x 10-3 mmHg-1, p<0.01), faster PWV (8.8 vs., 6.2 m/s, p<0.01) and impaired FMD (8.5% vs. 13.8%, p<0.05). Diabetes was an independent negative predictor of distensibility. Aortic atherosclerosis was similar in the two groups. There was a negative correlation between aortic distensibility and atherosclerosis in control subjects only, suggesting that other factors such as protein cross-linking may explain lower aortic distensibility in diabetes. MRI provides comprehensive vascular phenotyping in patients with type 2 diabetes and is likely to be useful in studies of disease progression and drug therapy.
Key Words: magnetic resonance imaging coronary artery disease diabetes distensibility endothelial function atherosclerosis
Diabetes and Vascular Disease Research, Vol. 4, No. 1,
44-48 (2007) |
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