Role of endothelial dysfunction and circadian blood pressure profile disturbances in the development of cerebrovascular insufficiency among patients with metabolic syndrome

Yu B. Lishmanov, Efimova N. Yu, V. I. Chernov, Efimova I. Yu, T. P. Kalashnikova

Research output: Contribution to journalArticle

Abstract

Aim. To assess the role of endothelial dysfunction and circadian blood pressure profile disturbances in the development of cerebrovascular insufficiency among patients with metabolic syndrome (MS). Material and methods. The study included 53 MS patients (8 men and 44 women; mean age 51,6+5,5 years), who underwent brain single-photon emission computed tomography, neuro-psychological assessment, 24-hour blood pressure monitoring (BPM), and brachial artery Doppler ultrasound, in order to assess endothelial function. The control group (12 healthy volunteers) was comparable by age and sex with the main group. Results. MS patients had significantly lower parameters of cognitive function and regional cerebral blood flow (rCBF), compared to controls. At the same, in all patients, a standard neurological examination did not identify any local symptoms. There was a strong association between endothelial function, 24-hour BPM, rCBF, and cognitive status parameters. Conclusion. In MS patients, one of the pathogenetic mechanisms of cognitive dysfunction is a reduction in rCBF, which is linked to endothelial dysfunction and circadian BP profile disturbances.

Original languageEnglish
Pages (from-to)6-11
Number of pages6
JournalRussian Journal of Cardiology
Volume101
Issue number3
DOIs
Publication statusPublished - 1 Jan 2013

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Cerebrovascular Disorders
Cerebrovascular Circulation
Blood Pressure
Regional Blood Flow
Doppler Ultrasonography
Brachial Artery
Neurologic Examination
Single-Photon Emission-Computed Tomography
Cognition
Healthy Volunteers
Psychology
Control Groups
Brain

Keywords

  • 24-hour blood pressure monitoring
  • Cerebral perfusion
  • Cognitive dysfunction
  • Endothelial dysfunction
  • Metabolic syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Role of endothelial dysfunction and circadian blood pressure profile disturbances in the development of cerebrovascular insufficiency among patients with metabolic syndrome. / Lishmanov, Yu B.; Yu, Efimova N.; Chernov, V. I.; Yu, Efimova I.; Kalashnikova, T. P.

In: Russian Journal of Cardiology, Vol. 101, No. 3, 01.01.2013, p. 6-11.

Research output: Contribution to journalArticle

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