PMID- 20102776 OWN - NLM STAT- MEDLINE DCOM- 20100913 LR - 20211020 IS - 1532-8600 (Electronic) IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 59 IP - 9 DP - 2010 Sep TI - Endothelial function in individuals with coronary artery disease with and without type 2 diabetes mellitus. PG - 1365-71 LID - 10.1016/j.metabol.2009.12.023 [doi] AB - The goal of this study was to determine if individuals with coronary artery disease (CAD) and type 2 diabetes mellitus (T2DM) had greater endothelial dysfunction (ED) than individuals with only CAD. Flow-mediated dilation (FMD), calculated as percentage increase in brachial artery diameter in response to postischemic blood flow, was measured after an overnight fast in 2 cohorts. The first cohort included 76 participants in the Northern Manhattan Study with CAD; 25 also had T2DM. The second cohort was composed of 27 individuals with both T2DM and CAD who were participants in a study of postprandial lipemia. Combined, we analyzed 103 patients with CAD: 52 with T2DM (T2DM+) and 51 without T2DM (T2DM-). The 52 CAD T2DM+ subjects had a mean FMD of 3.9% +/- 3.2%, whereas the 51 CAD T2DM- subjects had a greater mean FMD of 5.5% +/- 4.0% (P < .03). An investigation of various confounders known to affect FMD identified age and body mass index as the only significant covariates in a multiple regression model. Adjusting for age and body mass index, we found that FMD remained lower in T2DM+ subjects compared with T2DM- subjects (difference, -1.99%; P < .03). In patients with CAD, the concomitant presence of T2DM is independently associated with greater ED, as measured by FMD. This finding may be relevant to the greater early and late morbidity and mortality observed in patients with both CAD and T2DM. CI - Copyright 2010 Elsevier Inc. All rights reserved. FAU - Reyes-Soffer, Gissette AU - Reyes-Soffer G AD - Department of Medicine, Columbia University Medical Center, New York, NY 10032, USA. FAU - Holleran, Steve AU - Holleran S FAU - Di Tullio, Marco R AU - Di Tullio MR FAU - Homma, Shunichi AU - Homma S FAU - Boden-Albala, Bernadette AU - Boden-Albala B FAU - Ramakrishnan, Rajasekhar AU - Ramakrishnan R FAU - Elkind, Mitchell S AU - Elkind MS FAU - Sacco, Ralph L AU - Sacco RL FAU - Ginsberg, Henry N AU - Ginsberg HN LA - eng GR - M01 RR000645/RR/NCRR NIH HHS/United States GR - T32 HL007343-30/HL/NHLBI NIH HHS/United States GR - M01 RR00645-25/RR/NCRR NIH HHS/United States GR - P01 HL57217/HL/NHLBI NIH HHS/United States GR - T32 HL007343/HL/NHLBI NIH HHS/United States GR - T32HL07343/HL/NHLBI NIH HHS/United States GR - M01 RR000645-270806/RR/NCRR NIH HHS/United States GR - P01 HL057217-05/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20100127 PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Blood Glucose) RN - 0 (Lipids) SB - IM MH - Blood Flow Velocity MH - Blood Glucose MH - Body Mass Index MH - Brachial Artery/*physiopathology MH - Cohort Studies MH - Coronary Artery Disease/blood/complications/*physiopathology MH - Diabetes Mellitus, Type 2/blood/complications/*physiopathology MH - Endothelium, Vascular/*physiopathology MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Lipids/blood MH - Male MH - Regional Blood Flow MH - Regression Analysis PMC - PMC2891205 MID - NIHMS168495 EDAT- 2010/01/28 06:00 MHDA- 2010/09/14 06:00 PMCR- 2011/09/01 CRDT- 2010/01/28 06:00 PHST- 2009/04/08 00:00 [received] PHST- 2009/12/18 00:00 [revised] PHST- 2009/12/21 00:00 [accepted] PHST- 2010/01/28 06:00 [entrez] PHST- 2010/01/28 06:00 [pubmed] PHST- 2010/09/14 06:00 [medline] PHST- 2011/09/01 00:00 [pmc-release] AID - S0026-0495(09)00535-6 [pii] AID - 10.1016/j.metabol.2009.12.023 [doi] PST - ppublish SO - Metabolism. 2010 Sep;59(9):1365-71. doi: 10.1016/j.metabol.2009.12.023. Epub 2010 Jan 27.