Endothelial dysfunction, ambulatory pulse pressure and albuminuria are associated in Type 2 diabetic subjects

Autor: C. E. Mogensen, Per Bendix Jeppesen, Niels Holmark Andersen, Søren Tang Knudsen, Jørgen Ingerslev, Christian Alcaraz Frederiksen, Toke Bek, Per Løgstrup Poulsen
Rok vydání: 2007
Předmět:
Zdroj: Diabetic Medicine. 24:911-915
ISSN: 0742-3071
DOI: 10.1111/j.1464-5491.2007.02197.x
Popis: Aim Elevated pulse pressure (PP) is associated with microvascular complications in Type 2 diabetic patients. In non-diabetic subjects, elevated PP has been associated with endothelial dysfunction. The relation between endothelial dysfunction and PP in diabetic subjects has not previously been examined. We examined the relation between PP, markers of endothelial activation and albuminuria in Type 2 diabetic patients. Methods In 46 Type 2 diabetic patients and 19 non-diabetic subjects, we performed 24-h ambulatory blood pressure (AMBP) monitoring. Urinary albumin excretion rate was measured as three urinary albumin/creatinine ratios. Von Willebrand factor (vWF), fibrinogen, E-selectin and soluble intercellular adhesion molecule 1 (ICAM-1) were measured in plasma. Results Thirty-four patients had normoalbuminuria (group N) and 12 had micro- or macroalbuminuria (group A). PP levels increased in a stepwise manner from the control group (group C) to group N and group A; night PP 43 ± 5, 48 ± 10 and 59 ± 12 mmHg (groups C, N and A, respectively, P
Databáze: OpenAIRE