title: Impairment of flow-mediated vasodilatation of brachial artery in patients with Cushing's Syndrome.
abstract: BACKGROUND
  Cushing's Syndrome (CS) is associated with excess and premature cardiovascular disease. Endothelial dysfunction is the initiating event in the development of atherosclerosis. Endothelial function is assessed by flow-mediated dilatation (FMD) of brachial artery. The aim of this study was to assess FMD in patients with CS.
  
  
  METHODS
  We prospectively evaluated 22 patients with CS (12 women, 10 men; aged 42 +/- 11 years, serum cortisol 28.2 +/- 14 microg/dl, 24-h urinary free cortisol (UFC) 269 +/- 92 microg/day), and 23 control subjects (13 women, 10 men; aged 43 +/- 10 years, serum cortisol 14 +/- 4 microg/dl, 24 h cortisol 60 +/- 22 microg/day). Endothelial function, measured as FMD of the brachial artery using ultrasound, was calculated in two groups. Endothelial function was evaluated by assessing 1-min postischemic FMD of the brachial artery.
  
  
  RESULTS
  FMD was lower in patients with CS than that in those without (11.7 +/- 4.8% vs. 15.8 +/- 3.2%, P = 0.0001, respectively). There was no significant difference between two groups regarding baseline diameter of brachial artery. But, hyperemia diameter was lower in patients with CS than without CS (3.6 +/- 0.22 mm vs. 3.9 +/- 0.19 mm, P = 0.04, respectively).
  
  
  CONCLUSIONS
  Endothelium-dependent FMD may impair in patients with CS compared to controls. Measurement of endothelial function may identify high-risk individuals early and therapy to reduce or retard endothelial dysfunction in patients with CS may lead to decreased cardiovascular morbidity and mortality.
authors: Department of Cardiology, KTU Faculty of Medicine, Trabzon, Turkey. merihbaykan@yahoo.com
authors: Merih
authors: M
authors: Baykan
authors: Cihangir
authors: C
authors: Erem
authors: Omer
authors: O
authors: Gedikli
authors: Arif
authors: A
authors: Hacihasanoglu
authors: Turan
authors: T
authors: Erdogan
authors: Mustafa
authors: M
authors: Kocak
authors: Ismet
authors: I
authors: Durmuş
authors: Levent
authors: L
authors: Korkmaz
authors: Sükrü
authors: S
authors: Celik
mesh_terms: D000328:Adult; D050197:Atherosclerosis / Q000175:diagnosis / Q000209:etiology; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D016022:Case-Control Studies; D003480:Cushing Syndrome / Q000097:blood / Q000150:complications / Q000503:physiopathology; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging; D004730:Endothelium, Vascular / Q000503:physiopathology*; D005260:Female; D006801:Humans; D006940:Hyperemia; D008297:Male; D008875:Middle Aged; D012039:Regional Blood Flow; D015427:Reperfusion Injury; D012307:Risk Factors; D014463:Ultrasonography; D014664:Vasodilation