Arterial blood pressure and vascular function in human saphenous vein

A Momin, M T A Sharabiani, O Wendler, G D Angelini, J Desai

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Hypertension is a risk factor for accelerated saphenous vein (SV) graft disease and endothelial dysfunction in a number of vascular territories. We examined the relationship between blood pressure (BP) and vascular function in SV from 94 male patients undergoing coronary artery bypass grafting (CABG). Patients were pretreated with respect to cholesterol (3.4±1.2 mmol/L) and BP (systolic 139±22 mmHg, diastolic 74±13 mmHg). All patients were taking aspirin, 85% statins, 50% angiotensin-converting enzyme inhibitors and 70% beta-blockers. We demonstrate in human SV rings ex vivo that increased BP has no effect on acetylcholine-mediated vasodilatation (p=0.58), nor on the constrictor response to L-NMMA (p=0.98), but has a positive association with the constrictor response to phenylephrine (p=0.008) and a negative correlation with the vasodilator response to sodium nitroprusside (p=0.03). These results may provide further explanation for the high incidence of early vein graft failure after CABG in hypertensive patients and support an aggressive approach to optimize BP before surgery.

Original languageEnglish
Pages (from-to)233-8
Number of pages6
JournalPerfusion
Volume30
Issue number3
DOIs
Publication statusPublished - Apr 2015

Bibliographical note

© The Author(s) 2014.

Structured keywords

  • Centre for Surgical Research

Keywords

  • Acetylcholine/pharmacology
  • Adult
  • Aged
  • Aged, 80 and over
  • Arterial Pressure
  • Coronary Artery Bypass
  • Humans
  • Male
  • Middle Aged
  • Phenylephrine/pharmacology
  • Primary Graft Dysfunction/physiopathology
  • Saphenous Vein/physiopathology
  • Vasoconstriction

Fingerprint Dive into the research topics of 'Arterial blood pressure and vascular function in human saphenous vein'. Together they form a unique fingerprint.

Cite this