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Provedor de dados:  BJMBR
País:  Brazil
Título:  Penile microvascular endothelial function in hypertensive patients: effects of acute type 5 phosphodiesterase inhibition
Autores:  Verri,V.
Brandão,A.A.
Tibirica,E.
Data:  2018-01-01
Ano:  2018
Palavras-chave:  Microvascular dysfunction
Hypertension
Laser speckle contrast imaging
Penile microcirculation
Resumo:  The primary aim of this study was to evaluate penile endothelial microvascular function in patients with primary arterial hypertension and age-matched normotensive subjects using laser speckle contrast imaging (LSCI). Additionally, we analyzed the acute penile microvascular effects induced by oral phosphodiesterase type 5 inhibitor (sildenafil; SIL) administration. Endothelium-dependent microvascular reactivity was evaluated in the penises and forearms of hypertensive patients (aged 58.8±6.6 years, n=34) and age-matched healthy volunteers (n=33) at rest and 60 min following oral SIL (100 mg) administration. LSCI was coupled with cutaneous acetylcholine (ACh) iontophoresis using increasing anodal currents. Basal penile cutaneous vascular conductance (CVC) values were not significantly different between control subjects and hypertensive individuals. Penile CVC values increased significantly after SIL administration in control (P<0.0001) and hypertensive (P<0.0001) subjects. Peak CVC values were not different between the two groups during penile ACh iontophoresis before SIL administration (P=0.2052). Peak CVC values were higher in control subjects than in hypertensive subjects after SIL administration (P=0.0427). Penile endothelium-dependent microvascular function is, to some extent, preserved in patients presenting with primary arterial hypertension under effective anti-hypertensive treatment. LSCI may be a valuable non-invasive tool for the evaluation of penile vascular responses to phosphodiesterase type 5 inhibitor.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2018000300607
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/1414-431x20176601
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.51 n.3 2018
Direitos:  info:eu-repo/semantics/openAccess
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