TY - JOUR
T1 - Impaired coronary and retinal vasomotor function to hyperoxia in Individuals with Type 2 diabetes
AU - Lott, Mary E.
AU - Slocomb, Julia E.
AU - Gao, Zhaohui
AU - Gabbay, Robert A.
AU - Quillen, David
AU - Gardner, Thomas W.
AU - Bettermann, Kerstin
N1 - Publisher Copyright:
© 2015.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Purpose: Adults with diabetes are at a high risk of developing coronary heart disease. The purpose of this study was to assess coronary artery vascular function non-invasively in individuals with and without Type 2 diabetes and to compare these coronary responses to another microvascular bed (i.e. retina). We hypothesized that individuals with diabetes would have impaired coronary reactivity and that these impairments would be associated with impairments in retinal reactivity. Methods: Coronary blood velocity (Transthoracic Doppler Echocardiography) and retinal diameters (Dynamic Vessel Analyzer) were measured continuously during five minutes of breathing 100% oxygen (i.e. hyperoxia) in 15 persons with Type 2 diabetes and 15 age-matched control subjects. Using fundus photographs, retinal vascular calibers were also measured (central retinal arteriole and venule equivalents). Results: Individuals with diabetes compared to controls had impaired coronary (-2.34. ±. 16.64% vs. -14.27. ±. 10.58%, P = 0.03) and retinal (arteriole: -. 0.04. ±. 3.34% vs. -. 3.65. ±. 5.07%, P = 0.03; venule: - 1.65. ± 3.68% vs. - 5.23. ± 5.47%, P = 0.05) vasoconstrictor responses to hyperoxia, and smaller central arteriole-venule equivalent ratios (0.83. ± 0.07 vs. 0.90. ±. 0.07, P = 0.014). Coronary reactivity was associated with central retinal arteriole equivalents (r = - 0.516, P = 0.005) and retinal venular reactivity (r = 0.387, P = 0.034). Conclusion: Diabetes impairs coronary and retinal microvascular function to hyperoxia. Impaired vasoconstrictor responses may be part of a systemic diabetic vasculopathy, which may contribute to adverse cardiovascular events in individuals with diabetes.
AB - Purpose: Adults with diabetes are at a high risk of developing coronary heart disease. The purpose of this study was to assess coronary artery vascular function non-invasively in individuals with and without Type 2 diabetes and to compare these coronary responses to another microvascular bed (i.e. retina). We hypothesized that individuals with diabetes would have impaired coronary reactivity and that these impairments would be associated with impairments in retinal reactivity. Methods: Coronary blood velocity (Transthoracic Doppler Echocardiography) and retinal diameters (Dynamic Vessel Analyzer) were measured continuously during five minutes of breathing 100% oxygen (i.e. hyperoxia) in 15 persons with Type 2 diabetes and 15 age-matched control subjects. Using fundus photographs, retinal vascular calibers were also measured (central retinal arteriole and venule equivalents). Results: Individuals with diabetes compared to controls had impaired coronary (-2.34. ±. 16.64% vs. -14.27. ±. 10.58%, P = 0.03) and retinal (arteriole: -. 0.04. ±. 3.34% vs. -. 3.65. ±. 5.07%, P = 0.03; venule: - 1.65. ± 3.68% vs. - 5.23. ± 5.47%, P = 0.05) vasoconstrictor responses to hyperoxia, and smaller central arteriole-venule equivalent ratios (0.83. ± 0.07 vs. 0.90. ±. 0.07, P = 0.014). Coronary reactivity was associated with central retinal arteriole equivalents (r = - 0.516, P = 0.005) and retinal venular reactivity (r = 0.387, P = 0.034). Conclusion: Diabetes impairs coronary and retinal microvascular function to hyperoxia. Impaired vasoconstrictor responses may be part of a systemic diabetic vasculopathy, which may contribute to adverse cardiovascular events in individuals with diabetes.
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U2 - 10.1016/j.mvr.2015.05.002
DO - 10.1016/j.mvr.2015.05.002
M3 - Article
C2 - 26002545
AN - SCOPUS:84938883790
SN - 0026-2862
VL - 101
SP - 1
EP - 7
JO - Microvascular Research
JF - Microvascular Research
ER -
