EVALUACION NO INVASIVA DE LA FUNCION ENDOTELIAL Y SU INCORPORACION A LA PRÁCTICA CLÍNICA

PERAL DE BRUNO MARIA; CLAUDIO JOO TURONI

Revista de la Facultad de Medicina

Faculatad de Medicina UNT

Lugar: Tucuman; Año: 2015 vol. 15 p. 16 - 20

1669-8606

Cardiovascular disease (CVD) is the major cause of morbidity and mortality. Recently, they are proposed non-invasive studies of endothelial function, included that known as VASCULAR NON INVASIVE EVALUATION (VNIE) in which are included studies of endothelial function. Endothelial dysfunction is implicated in numerous disorders associated with atherosclerosis and CVD.Objective: To update the knowledge about the measurement techniques of endothelial function and analyze its projection into clinical practice.Methods: Endothelial function is assessed by flow-mediated dilation (reactive hyperaemia) with ultrasound of the brachial artery or analysis of the pulse wave.Discussion: These non-invasive methods would be useful in clinical practice to improve the cardiovascular risk stratification, operating preventive strategies and improve treatment monitoring. While most clinical research studies are under implementation, it is necessary to define whether endothelial function assessed by reactive hyperaemia, is an independent factor of risk that provides additional information on classical risk factors. They should be made also comparisons of different risk assessment tools currently used in clinical practice in the assessment of endothelial functionKeywords .: Non-invasive Vascular Assessment , endothelial function , Cardiovascular Diseases