title: Handgrip exercise increases postocclusion hyperaemic brachial artery dilatation.
abstract: OBJECTIVE
  To examine the effect of handgrip exercise induced ischaemia on non-invasive assessment of endothelial function in the brachial artery.
  
  
  METHODS
  High frequency ultrasound was used to measure brachial artery diameter at rest and after reactive hyperaemia induced by forearm cuff occlusion with and without handgrip exercise induced ischaemia.
  
  
  METHODS
  10 healthy subjects, < 40 years, without known cardiovascular risk factors.
  
  
  METHODS
  Brachial artery dilatation and blood flow.
  
  
  RESULTS
  Hyperaemia following forearm occlusion with handgrip exercise induced ischaemia increased brachial artery diameter significantly more than hyperaemia following occlusion alone, 6.9 (3.2)% and 4.5 (1.6)%, respectively (95% confidence interval 0.3% to 4.5%). There was no difference in peak blood flow with and without exercise induced ischaemia
  
  
  CONCLUSIONS
  Handgrip exercise induced ischaemia with forearm occlusion caused more pronounced brachial artery dilatation than occlusion alone without change in peak blood flow. This suggests continued brachial artery responsiveness to the stimulus of ischaemia despite maximum blood flow and peripheral vasodilatation with occlusion alone.
authors.affiliation: Department of Medicine, Sahlgrenska University Hospital, Göteborg University, S-413 45 Göteborg, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Agewall
authors.forename: G A
authors.initials: GA
authors.lastname: Whalley
authors.forename: R N
authors.initials: RN
authors.lastname: Doughty
authors.forename: N
authors.initials: N
authors.lastname: Sharpe
mesh_terms: D000328:Adult; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000473:pathology*; D004730:Endothelium, Vascular / Q000502:physiology; D015444:Exercise / Q000502:physiology*; D005260:Female; D018737:Hand Strength; D006801:Humans; D007511:Ischemia / Q000473:pathology*; D008297:Male; D012039:Regional Blood Flow / Q000502:physiology; D014463:Ultrasonography; D014664:Vasodilation / Q000502:physiology*