Partner: Marzena Parol

The John Paul’s II Western Hospital in Grodzisk Mazowiecki (PL)

Recent publications
1.Nowicki A., Trawiński Z., Gambin B., Secomski W., Szubielski M., Parol M., Olszewski R., 20-MHZ ultrasound for measurements offlow-mediated dilation and shear rate in the radialartery, ULTRASOUND IN MEDICINE AND BIOLOGY, ISSN: 0301-5629, DOI: 10.1016/j.ultrasmedbio.2018.02.011, Vol.44, No.6, pp.1187-1197, 2018
Abstract:

A high-frequency scanning system consisting of a 20-MHz linear array transducer combined with a 20-MHz pulsed Dopplerprobe was introduced to evaluate the degree of radial artery flow-mediated dilation (FMD [%]) in two groups of patients after5 min of controlled forearm ischemia followed by reactive hyperemia. In group I, comprising 27 healthy volunteers, FMD (mean ± standard deviation) was 15.26 ± 4.90% (95% confidence interval [CI]: 13.32%–17.20%); in group II, comprising 17 patients with chronic coronary artery disease, FMD was significantly less at 4.53 ± 4.11% (95% CI: 2.42%–6.64%). Specifically, the ratio FMD/SR (mean ± standard deviation),wasequalto5.36×10−4±4.64×10−4 (95%CI:3.54×10−4 to7.18×10−4)ingroupIand1.38×10−4±0.89×10−4 (95% CI: 0.70 × 10−4 to 2.06 × 10−4) in group II. Statistically significant differences between the two groups were confirmed by a Wilcoxon–Mann–Whitney test for both FMD and FMD/SR (p < 0.01). Areas under receiver operating characteristic curves for FMD and FMD/SR were greater than 0.9. The results confirm the usefulness of the proposed measurements of radial artery FMD and SR in differentiation of normal patients from those with chronic coronary artery disease. (E-mail: anowicki@ippt.gov.pl) © 2018 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

Keywords:

Flow-mediated vasodilation, Radial artery, Shear rate, Reactive hyperemia, Endothelium, Pulsed doppler, Ultrasonography

Affiliations:
Nowicki A.-IPPT PAN
Trawiński Z.-IPPT PAN
Gambin B.-IPPT PAN
Secomski W.-IPPT PAN
Szubielski M.-Mazovia Regional Hospital in Siedlce (PL)
Parol M.-The John Paul’s II Western Hospital in Grodzisk Mazowiecki (PL)
Olszewski R.-IPPT PAN

Conference papers
1.Nowicki A., Trawiński Z., Gambin B., Secomski W., Szubielski M., Parol M., Olszewski R., Measurements of Flow Mediated Dilation and Shear Rate in the Radial Artery Using 20 MHz Ultrasonic System in Patients with Coronary Artery Disease., XXI Międzynarodowy Kongres Polskiego Towarzystwa Kardiologicznego, 2017-09-21/09-23, Katowice (PL), pp.1, 2017
Abstract:

A novel high-frequency scanning system, with a 20-MHz linear array transducer combined with 20-MHz pulsed Doppler, was introduced to evaluate the degree of radial artery flow-mediated dilation (FMD) and shear rate (SR)-normalized FMD (FMD/SR) after 5 min of reactive hyperaemia. In group I, comprising 27 healthy volunteers, FMD was 15 ± 4.8%, and in group II, comprising 17 patients with coronary artery disease, FMD was significantly smaller, being equal to 4.6 ± 4%. FMD/SR was equal to 5.365 ± 4.835·10-4 in group I and 1.3 ± 0.89·10-4 in group II. Statistically significant differences between the two groups were confirmed by Wilcoxon-Mann-Whitney test for FMD and FMD/SR (p-values < 0.01). AUCs of ROC curves for FMD and FMD/SR were greater than 0.9. The results confirm the usefulness of the proposed measurements of radial artery FMD and SR in differentiation of normal subjects from those with atherosclerotic lesions.

Keywords:

flow mediated vasodilation, radial artery, shear rate, reactive hyporaemia, endothelium, pulsed Doppler, ultrasonography.

Affiliations:
Nowicki A.-IPPT PAN
Trawiński Z.-IPPT PAN
Gambin B.-IPPT PAN
Secomski W.-IPPT PAN
Szubielski M.-Mazovia Regional Hospital in Siedlce (PL)
Parol M.-The John Paul’s II Western Hospital in Grodzisk Mazowiecki (PL)
Olszewski R.-IPPT PAN

Conference abstracts
1.Nowicki A., Gambin B., Trawiński Z., Secomski W., Szubielski M., Parol M., Olszewski R., Radial Artery Reactive Response And Shear Rate Measurements Using 20 MHz System, IUS 2018, IEEE International Ultrasonics Symposium, 2018-10-22/10-25, KOBE (JP), pp.857-857, 2018
2.Olszewski R., Szubielski M., Parol M., Gambin B., Secomski W., Trawiński Z., Nowicki A., Are radial artery flow mediation dilatation and shear rate the new imaging biomarkers in patients with stage B heart failure?, World Congress on Acute Heart Failure, 2018-05-26/05-29, Vienna (AT), DOI: 10.1002/ejhf.1197, Vol.20 (S1), pp.568, 2018