Review Article
Peripheral Vascular Dysfunction in Chronic Kidney Disease
Table 2
Summary of studies measuring in vivo endothelial function in adult patients with CKD.
| Study | Reported degree of CKD | Method | Finding |
| Yilmaz et al. [25] | Stage 1 | FMD | Improved following 12-week treatment with ramipril | Yilmaz et al. [26] | Stage 1–4 | FMD | Improved following 3-month treatment with ramipril or valsartan | Nanayakkara et al. [27] | CCr = 38 ± 15 | FMD | Improvement following 18-month stepwise treatment with pravastatin, vitamin E, and homocysteinie lowering therapy | Annuk et al. [28] | CCr = 29.4 ± 24.0 | VOP | Impaired and related to degree of renal impairment | Annuk et al. [29] | CCr = 25.1 ± 16.2 | VOP | Impairments correlated to markers of oxidative stress | Annuk et al. [30] | Serum Cr = 287 ± 143 | VOP | Improved by acute COX inhibition or L-arginine treatment | Annuk et al. [31] | Stage 3–5 | VOP | Negatively correlated to levels of lipid hydroperoxides (LOOH) | Ghiadoni et al. [32] | Stage 3–5, hemodialysis | FMD | Acute vitamin C infusion restored impaired function in hemodialysis but not in CKD | Costa-Hong et al. [33] | ESRD | FMD | Plasma TBARS levels associated with impaired endothelial-dependent dilation in patients without symptoms of CVD | Cross et al. [34] | Predialysis hemodialysis | VOP, FMD | Acute infusion of vitamin C improves endothelium-dependent dilation in forearm resistance vasculature but not in brachial artery | Cross et al. [35] | Predialysis, hemodialysis | VOP, FMD | Local or systemic L-arginine infusion did not improve resistance or endothelial-dependent dilation |
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FMD = flow-mediated dilation; VOP = venous occlusion plethysmography; CCr = creatinine clearance (mL/min/1.73 m2); Serum Cr = serum creatinine (μmol/L).
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