4.4 Article

Laser Doppler assessment of dermal circulatory changes in people with coronary artery disease

Journal

MICROVASCULAR RESEARCH
Volume 84, Issue 1, Pages 55-59

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.mvr.2012.02.002

Keywords

-

Ask authors/readers for more resources

Background: Dermal microcirculation provides an easily accessible vasculature bed which can be used to assess endothelial mediated vasodilatation. We studied and compared microcirculatory changes in response to acetylcholine iontophoresis (ACh), local heating of the skin and reactive hyperaemia in patients with coronary artery disease (CAD). Methods and results: Forty eight patients with CAD were studied and compared with 25 age and sex matched control subjects. Vasodilatory changes in the dermal microcirculation were assessed in response to ACh iontophoresis, local heating of the skin and reactive hyperaemia using a laser Doppler flowmeter (LDF). Results: Body mass index (BMI) and systolic BP were higher in people with CAD, (p = 0.001, 0.043). The perfusion change (measured as absolute in agreement with our previous publish results) in response to ACh iontophoresis, local heating of the skin and reactive hyperaemia, in healthy controls was 234 (190-286), 90 (69-118), 139(106-172) arbitrary perfusion units (APU) compared to 161 (121-214), 50 (39-63), 116(77-143) APU in patients with CAD; p < 0.03. The time to peak perfusion in response to reactive hyperaemia was significantly higher in patients with CAD, 14.1 +/- 4.0 vs 10.9 +/- 1.7 s; p = 0.001. There was a small but significant positive correlation between the perfusion change in response to ACh iontophoresis and local heating (r = 0.31, p = 0.035). On ROC curve analysis, perfusion changes with heating had higher sensitivity and specificity in discriminating patients with CAD from the healthy controls with an area under the curve (AUC) of 0.86, with a specificity of 92% and sensitivity of 77% compared to a perfusion changes by reactive hyperaemia, AUC of 0.68 (41% sensitivity and 91% specificity) and ACh iontophoresis, AUC of 0.76 (88% sensitivity and 60% specificity). Conclusion: Vasodilatation in the dermal microcirculation measured by the three techniques is attenuated in patients with coronary artery disease. Local heating of the skin is a better discriminator of patients with CAD than ACh iontophoresis and reactive hyperaemia. (C) 2012 Elsevier Inc. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Obstetrics & Gynecology

Risk factors for pregnancy-associated venous thromboembolism in Singapore

Sandra Lynn Jaya-Bodestyne, Lai Heng Lee, Lay Kok Tan, Kok Hian Tan, Truls Ostbye, Rahul Malhotra, John Allen, Sophie Seine Xuan Tan, Melinda Si Yun Tan, Lawrence Cheng Kiat Ng, Yang Yong, Thiam Chye Tan

Summary: This case-control study identified smoking and preterm delivery as the most significant risk factors for pregnancy-associated VTE. Other high-risk factors included Malay race, multiparity, non-0 blood group, and caesarean section. These findings can be useful in developing thromboprophylaxis strategies for pregnancy and the postpartum period, especially in Singapore.

JOURNAL OF PERINATAL MEDICINE (2021)

Article Peripheral Vascular Disease

Reliability of the Edinburgh Claudication Questionnaire for Identifying Symptomatic PAD in General Practice

Luke Boylan, Craig Nesbitt, Lesley Wilson, John Allen, Andrew Sims, Ina Guri, Philip Mawson, Crispian Oates, Gerard Stansby

Summary: The study assessed the accuracy of the ECQ for PAD diagnosis using DUS and found that the ECQ had relatively poor overall diagnostic test accuracy in isolation, but could be helpful in ruling out or as supplementary test in General Practice for symptomatic disease diagnosis.

ANGIOLOGY (2021)

Article Biophysics

Deep learning-based photoplethysmography classification for peripheral arterial disease detection: a proof-of-concept study

John Allen, Haipeng Liu, Sadaf Iqbal, Dingchang Zheng, Gerard Stansby

Summary: The proof-of-concept study demonstrated the potential of a deep learning-based classification method for detecting peripheral arterial disease using toe PPG signals. The method showed high sensitivity and specificity in detecting PAD, making it a promising tool for use in clinical settings.

PHYSIOLOGICAL MEASUREMENT (2021)

Article Biophysics

Filtering-induced time shifts in photoplethysmography pulse features measured at different body sites: the importance of filter definition and standardization

Haipeng Liu, John Allen, Syed Ghufran Khalid, Fei Chen, Dingchang Zheng

Summary: Filtering can significantly influence the timing of feature points on PPG signals, with measurement site and type of pulse feature playing important roles. Finger measurement site showed higher overall time shift and lower intra-subject variability compared to other sites, highlighting the need to consider these factors in PPG signal processing.

PHYSIOLOGICAL MEASUREMENT (2021)

Review Cardiac & Cardiovascular Systems

Assessing hemodynamics from the photoplethysmogram to gain insights into vascular age: a review from VascAgeNet

Peter H. Charlton, Birute Paliakait, Kristjan Pilt, Martin Bachler, Serena Zanelli, Daniel Kulin, John Allen, Magid Hallab, Elisabetta Bianchini, Christopher C. Mayer, Dimitrios Terentes-Printzios, Verena Dittrich, Bernhard Hametner, Dave Veerasingam, Dejan Zikic, Vaidotas Marozas

Summary: This review summarizes the research on assessing vascular age using the photoplethysmogram (PPG) signal. The methods can be divided into those using a single PPG signal, those using multiple PPG signals, and those using PPG in combination with other signals. The review presents evidence on the performance, repeatability and reproducibility, and clinical utility of PPG-derived parameters for assessing vascular age.

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY (2022)

Article Surgery

Validation of a Standardised Duplex Ultrasound Classification System for the Reporting and Grading of Peripheral Arterial Disease

Samuel Huthart, Crispian Oates, John Allen, Kathia Fiaschi, Andrew J. Sims, Gerard Stansby

Summary: The study validates the diagnostic performance of the standardised DUS scoring system for the identification of peripheral arterial disease (PAD), as well as its capacity to grade disease severity. The system shows moderate agreement with ankle brachial pressure index (ABPI) in determining disease severity.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2022)

Article Surgery

Determining the benefit of neoadjuvant chemotherapy in reduction of axillary dissection rates in Z0011 trial cohort with high nodal burden

Zhiyan Yan, Adele Wong, Ruey Pyng Ng, Yien Sien Lee, Mei En Annabelle Lim, Lester Chee Hao Leong, John Allen, Geok Hoon Lim

Summary: This study aimed to determine the rate of nodal pathological complete response in breast cancer patients with high nodal burden who received neoadjuvant chemotherapy. The results showed that NACT could achieve nodal pCR in these patients to some extent, especially in certain subtypes.

GLAND SURGERY (2022)

Article Peripheral Vascular Disease

Prospective Assessment of the Diagnostic Accuracy of Multi-site Photoplethysmography Pulse Measurements for Diagnosis of Peripheral Artery Disease in Primary Care

Gerard Stansby, Andrew J. Sims, Lesley Wilson, Tom A. W. Beale, James Wightman, Ina Guri, Scott Wilkes, Shona Haining, John Allen

Summary: This study assessed the diagnostic accuracy of multi-site photoplethysmography (MPPG), an alternative non-invasive test for peripheral arterial disease (PAD), in primary care. The results showed that MPPG has comparable sensitivity to ankle brachial pressure index (ABPI), but is quicker, automated, and simpler to perform than ABPI, offering the potential for rapid and accessible PAD assessments in primary care.

ANGIOLOGY (2023)

Article Engineering, Biomedical

Deep learning identification of coronary artery disease from bilateral finger photoplethysmography sensing: A proof-of-concept study

Sadaf Iqbal, Sharad Agarwal, Ian Purcell, Alan Murray, Jaume Bacardit, John Allen

Summary: This study used a novel approach, DL-PPG, which uses deep learning analysis of bilateral-site photoplethysmography waveforms, to identify patients with coronary artery disease (CAD). The results showed that DL-PPG had higher sensitivity and specificity compared to conventional machine learning methods in classifying CAD. This approach could provide significant value in low-cost, portable, and easy-to-use diagnostics for CAD in various clinical settings.

BIOMEDICAL SIGNAL PROCESSING AND CONTROL (2023)

Article Biophysics

The 2023 wearable photoplethysmography roadmap

Peter H. Charlton, John Allen, Raquel Bailon, Stephanie Baker, Joachim A. Behar, Fei Chen, Gari D. Clifford, David A. Clifton, Harry J. Davies, Cheng Ding, Xiaorong Ding, Jessilyn Dunn, Mohamed Elgendi, Munia Ferdoushi, Daniel Franklin, Eduardo Gil, Md Farhad Hassan, Jussi Hernesniemi, Xiao Hu, Nan Ji, Yasser Khan, Spyridon Kontaxis, Ilkka Korhonen, Panicos A. Kyriacou, Pablo Laguna, Jesus Lazaro, Chungkeun Lee, Jeremy Levy, Yumin Li, Chengyu Liu, Jing Liu, Lei Lu, Danilo P. Mandic, Vaidotas Marozas, Elisa Mejia-Mejia, Ramakrishna Mukkamala, Meir Nitzan, Tania Pereira, Carmen C. Y. Poon, Jessica C. Ramella-Roman, Harri Saarinen, Md Mobashir Hasan Shandhi, Hangsik Shin, Gerard Stansby, Toshiyo Tamura, Antti Vehkaoja, Will Ke Wang, Yuan-Ting Zhang, Ni Zhao, Dingchang Zheng, Tingting Zhu

Summary: This article introduces the application of wearable photoplethysmography technology in health monitoring, discusses key topics in related areas, and provides guidance for researchers developing wearable photoplethysmography technology.

PHYSIOLOGICAL MEASUREMENT (2023)

Article Physiology

Deep learning classification of systemic sclerosis from multi-site photoplethysmography signals

Sadaf Iqbal, Jaume Bacardit, Bridget Griffiths, John Allen

Summary: This study demonstrates the potential of using convolutional neural networks for DL-PPG classification to detect SSc. EfficientNetB0 outperforms GoogLeNet, and both CNNs perform better than traditional machine learning methods. This automated AI approach has significant benefits for SSc diagnostics in various clinical settings.

FRONTIERS IN PHYSIOLOGY (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

Technical evaluation of a simulator for accurate reproduction of oscillometric blood pressure pulses, providing traceability for automated oscillometric sphygmomanometers

Stephan Mieke, Alan Murray

Summary: This study explored the potential of a simulator for oscillometric blood pressure measurement devices, and found that the simulator could reproduce oscillometric pulses with high repeatability and accuracy. This suggests that the simulator has the potential to become a secondary standard for oscillometric sphygmomanometers.

BIOMEDICAL PHYSICS & ENGINEERING EXPRESS (2023)

Article Health Care Sciences & Services

Usability and Preliminary Efficacy of an Artificial Intelligence-Driven Platform Supporting Dietary Management in Diabetes: Mixed Methods Study

Kim Bul, Nikki Holliday, Mohammad Rashed Alam Bhuiyan, Cain C. T. Clark, John Allen, Petra A. Wark

Summary: This study examined the usability and preliminary efficacy of a web-based AI-driven nutrition platform for people with diabetes and their carers. The results showed reductions in weight and waist size after using the platform. Most participants found the platform to be accessible and user-friendly, but suggested adding an education component for those less familiar with the role of diet in diabetes management.

JMIR HUMAN FACTORS (2023)

Article Physiology

The effect of lower limb strengthening exercise on orthostatic blood pressure and the skeletal muscle pump in older people with orthostatic hypotension

James Frith, Lisa Robinson, Jake Ryan Gibbon, John Allen

Summary: The study concludes that increasing lower limb muscle strength does not improve the effectiveness of the skeletal muscle pump and is not an efficacious intervention for orthostatic hypotension in older people. Additionally, the use of below knee compression is unlikely to be clinically effective in this population.

CLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING (2023)

Article Medicine, Research & Experimental

Ethnic disparities in publicly-available pulse oximetry databases

Fatemeh Y. Sinaki, Rabab Ward, Derek Abbott, John Allen, Richard Ribon Fletcher, Carlo Menon, Mohamed Elgendi

Summary: Sinaki et al. have highlighted ethnic disparities in 12 publicly-available pulse oximetry databases, and discussed the potential consequences of such disparities on pulse oximetry device and algorithm development.

COMMUNICATIONS MEDICINE (2022)

Article Peripheral Vascular Disease

Differences in peripheral microcirculatory blood flow regulation in chronic kidney disease based on wavelet analysis of resting near-infrared spectroscopy

Jingting Yao, Justin D. Sprick, Jinhee Jeong, Jeanie Park, David A. Reiter

Summary: This study used time-frequency spectral analysis of resting near-infrared spectroscopy (NIRS) signals to evaluate the regulation of peripheral microvascular perfusion in CKD patients. The findings suggest that CKD patients have impaired neurogenic and endothelial functions, which may be associated with increased sympathetic activity and reduced endothelial function in CKD.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Role of protein kinase D1 in vasoconstriction and haemodynamics in rats

Yoh Sugawara, Yusuke Mizuno, Shinya Oku, Yuri Sawada, Takahisa Goto

Summary: This study investigated the role of Protein kinase D (PKD) in aortic contraction and hemodynamics, finding that PKD1 plays a crucial role in these processes through phosphorylation of MYPT1 and actin polymerization in a calcium-independent manner.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Quantitative evaluation of choroidal and retinal microvasculature post-alcohol consumption: A pilot study

Xuenan Zhuang, Guiqin He, Yunkao Zeng, Miaoling Li, Yongyue Su, Xuelin Chen, Yining Zhang, Yuhong Gan, Feng Wen, Xiongze Zhang

Summary: This study assessed the impact of acute, heavy alcohol consumption on the ocular microvasculature. The findings suggest that excessive alcohol consumption leads to vasoconstriction in ocular arterioles and vasodilation in capillaries, particularly evident 1-hour post-consumption.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Role of mammalian target of rapamycin in the formation and progression of retinopathy of prematurity-like vascular abnormalities in neonatal rats

Ayuki Nakano, Akane Morita, Shiho Arima, Tohru Nagamitsu, Tsutomu Nakahara

Summary: This study examines the preventative and therapeutic effects of inhibiting mammalian target of rapamycin complex 1 (mTORC1) on abnormal retinal blood vessels in a rat model of retinopathy of prematurity (ROP). The results suggest that mTORC1 activation in proliferating endothelial cells contributes to the appearance and progression of ROP-like retinal blood vessels. Inhibition of mTORC1 may be a promising approach for selectively targeting abnormal retinal blood vessels in ROP.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Harnessing the benefits of glycine supplementation for improved pancreatic microcirculation in type 1 diabetes mellitus

Bing Wang, Xiaohong Song, Xu Zhang, Yuan Li, Mengting Xu, Xueting Liu, Bingwei Li, Sunjing Fu, Hao Ling, Yingyu Wang, Xiaoyan Zhang, Ailing Li, Mingming Liu

Summary: This study found that glycine supplementation can improve pancreatic microcirculation in T1DM mice and reverse the production of inflammatory cytokines. Furthermore, glycine supplementation also alleviates damage to pancreatic islet and vascular tissues, suggesting a potential therapeutic effect for T1DM.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Apoptosis-inducing, anti-angiogenic and anti-migratory effects of a dinuclear Pd(II) complex on breast cancer: A promising novel compound

Merve Erkisa Genel, Kaan Adacan, Selin Selvi, Deniz Erol Kutucu, Ayca Uvez, Elif Ilkay Armutak, Abdurrahman Sengul, Engin Ulukaya, Ebru Gurel Gurevin

Summary: This study investigated the anti-growth/cytotoxic effect of a dinuclear Pd(II) complex on breast cancer cell lines and confirmed its anti-migration and antiangiogenic properties. The results suggest the potential of this complex in the treatment of breast cancer.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Effects of high-intensity interval training on retinal vessel diameters and oxygen saturation in patients with hypertension: A cross-sectional and randomized controlled trial

Cedric Mueller, Christoph Hauser, Justin Carrard, Konstantin Gugleta, Timo Hinrichs, Arno Schmidt-Trucksass, Henner Hanssen, Lukas Streese

Summary: This study aimed to evaluate the differences in microvascular health between normotensive individuals and patients with arterial hypertension and to assess the effects of short-term high-intensity interval training (HIIT) on microvascular health in patients with arterial hypertension. The study found that short-term HIIT can ameliorate hypertension-induced retinal microvascular abnormalities in patients with arterial hypertension.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

PDGFRA exhibits potential as an indicator of angiogenesis within the tumor microenvironment and is up-regulated in BLCA

Yuyang Hou, Wenjing Du, Qiong Wu, Xinyu Chai, Yinan Wang, Yingqian Mi, Yuan Tian, Mengyan Tang, Jun Li, Dongmei Yan

Summary: This study identified a prognostic signature consisting of four genes in bladder cancer patients and utilized angiogenesis-related genes and molecular subtypes to construct this signature, which could help predict survival outcomes. The study also evaluated immune cell infiltration and predicted chemotherapeutic responses, confirming the effectiveness of this prognostic signature.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Vessel Metrics: A software tool for automated analysis of vascular structure in confocal imaging

Sean D. Mcgarry, Cynthia Adjekukor, Suchit Ahuja, Jasper Greysson-Wong, Idy Vien, Kristina D. Rinker, Sarah J. Childs

Summary: The article introduces a software tool called Vessel Metrics for analyzing developmental vascular microscopy images, which can expedite the analysis process and ensure consistency between research groups. The tool includes a segmentation algorithm that accurately quantifies different image types and has been validated in zebrafish and mouse models.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Handheld vital microscopy for the identification of microcirculatory alterations in cervical intraepithelial neoplasia and cervical cancer

Y. P. Latul, C. Ince, N. E. van Trommel, A. van den Brandhof-van den Berg, J. P. W. R. Roovers, A. W. Kastelein

Summary: This study evaluated the real-time detection capability of handheld vital microscopy (HVM) for cervical intraepithelial neoplasia (CIN) and cervical cancer (CC). The results showed that HVM enables easy, real-time, and non-invasive assessment of cervical lesions through the detection of microvascular alterations. This method has the potential to be used for point-of-care screening, reducing unnecessary surgical interventions.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Astrocytic expression of Yes-associated protein (YAP) regulates retinal neovascularization in a mouse model of oxygen-induced retinopathy

Zhifei Liu, Jieqiong Zhang, Xue Li, Qiumei Hu, Xi Chen, Linlin Luo, Liqianyu Ai, Jian Ye

Summary: The study revealed that astrocytic YAP can alleviate retinal pathological angiogenesis by inhibiting overactivation of astrocytes, thereby suppressing excessive VEGF-A production and neuroinflammation.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Evidence of serial connection between the plasma volume and two interstitial fluid compartments

Robert G. Hahn

Summary: The fast-exchange interstitial fluid compartment is directly connected to the circulating blood, while the slow-exchange compartment is not.

MICROVASCULAR RESEARCH (2024)

Review Peripheral Vascular Disease

Gut microbiota dysbiosis-associated obesity and its involvement in cardiovascular diseases and type 2 diabetes. A systematic review

Nadia Hamjane, Mohcine Bennani Mechita, Naima Ghailani Nourouti, Amina Barakat

Summary: Gut microbiota dysbiosis plays a crucial role in the development of obesity-related metabolic abnormalities, including insulin resistance, type 2 diabetes, and cardiovascular diseases. Inflammation is a major mechanism linking gut microbiota dysbiosis to obesity-associated metabolic complications.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Design of in vitro biomimetic experimental system and simulation analysis for transvascular transport of nano-preparation

Guangzhen Zhou, Yan Gao, Yanbin Shi, Shengnan Qiu, Guimei Lin, Xinbing Ding, Wenguang Wang, Yihua Feng, Fei Wang, Jinwei Qiao

Summary: This study utilized an in vitro biomimetic experimental system to investigate the transvascular transport of nano-preparations, and found that the pressure gradient between vascular fluid pressure and interstitial fluid pressure determines the existence of the enhanced penetration and retention effect of nanopreparations.

MICROVASCULAR RESEARCH (2024)

Article Peripheral Vascular Disease

Vascularization of the adult mouse lung grafted onto the chick chorioallantoic membrane

Kenji Chamoto, Barry C. Gibney, Willi L. Wagner, Maximilian Ackermann, Hassan A. Khalil, Steven J. Mentzer

Summary: In the study, the process of angiogenesis in adult regenerating tissue was investigated by grafting portions of the regenerating lung onto the chick chorioallantoic membrane. The results showed peri-graft angiogenesis, particularly in the cardiac lobe. Functional vascular connections were observed between the cardiac lobe and the chick chorioallantoic membrane vascular network. Elevated gene expression levels were found in the cardiac lobe compared to other lobes.

MICROVASCULAR RESEARCH (2024)