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

By M. Klonizakis, G. Tew, J. Michaels and J. M. Saxton


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

Publisher: Elsevier
Year: 2009
DOI identifier: 10.1016/j.mvr.2008.09.009
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