Impaired microvascular endothelial function is restored by acute lower-limb exercise in post-surgical varicose vein patients

KLONIZAKIS, M., TEW, G., MICHAELS, J. and SAXTON, J. M. (2009). Impaired microvascular endothelial function is restored by acute lower-limb exercise in post-surgical varicose vein patients. Microvascular research, 77 (2), 158-162 .

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Link to published version:: 10.1016/j.mvr.2008.09.009

Abstract

Evidence exists that cutaneous microvascular endothelial dysfunction persists in patients following varicose vein surgery. This study compared cutaneous microvascular function between post-surgical varicose vein patients and healthy controls and investigated whether any impairment of function can be attenuated by acute lower-limb exercise. Cutaneous flux responses of the gaiter area were measured in supine and standing positions before and after a 25-min walk using laser Doppler fluximetry and incremental-dose administration of acetylcholine (ACh) and sodium nitroprusside (SNP). The pre-exercise peak responses to ACh (standing) were lower in patients than controls (48 ± 11 vs. 96 ± 28 PU; P = 0.032), whereas treadmill exercise abolished this difference (P = 0.819). In contrast, the pre-exercise responses to SNP (standing) appeared higher in patients than controls (3 mC responses: 24 ± 4 vs. 10 ± 2 PU, respectively; P = 0.023), with no effect of acute exercise (P > 0.05). These findings suggest that acute treadmill exercise augments microvascular endothelial function in post-surgical varicose vein patients to levels observed in age-matched controls.

Item Type: Article
Uncontrolled Keywords: microcirculation, skin, exercise, venous disease, laser Doppler, endothelial function
Research Institute, Centre or Group: Centre for Sport and Exercise Science
Identification Number: 10.1016/j.mvr.2008.09.009
Depositing User: Sarah Ward
Date Deposited: 02 Feb 2010 16:41
Last Modified: 28 Jan 2011 18:03
URI: http://shura.shu.ac.uk/id/eprint/1005

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