| Title: |
Vascular health in patients in remission of Cushing's syndrome is comparable to that in BMI-matched controls. |
| Authors: |
Wagenmakers, M; Roerink, S; Schreuder, T; Plantinga, TS; Holewijn, S; Thijssen, DHJ; Smit, JW; Rongen, GA; Pereira, AM; Wagenmakers, AJM; Netea-Maier, RT; Hermus, A |
| Publisher Information: |
Endocrine Society |
| Publication Year: |
2016 |
| Collection: |
Liverpool John Moores University: LJMU Research Online |
| Subject Terms: |
RC Internal medicine |
| Description: |
CONTEXT: In active Cushing's syndrome (CS), patients suffer from endothelial dysfunction and premature atherosclerosis. However, it is uncertain to what extent vascular health recovers after long-term remission. This is highly relevant as this topic relates to future development of cardiovascular disease. OBJECTIVE: To investigate whether micro- and macrovascular health is impaired after long-term remission of CS, in patients with no or adequately treated co-morbidities. DESIGN AND SETTING: Cross-sectional case-control study in two tertiary referral centers. PATIENTS AND MAIN OUTCOME MEASURES: 63 patients (remission of CS for ≥ 4 years) and 63 healthy, well-matched controls were compared. In group A (58 patients and 58 controls) serum biomarkers associated with endothelial dysfunction, intima media thickness, pulse wave velocity and pulse wave analysis were studied. In group B (14 patients and 14 controls) endothelium-dependent and-independent vasodilatation was studied in conduit arteries (flow mediated dilation of the brachial artery) and forearm skeletal muscle resistance arteries (vasodilator response to intra-arterial acetylcholine, sodium-nitroprusside and N(G)-monomethyl-L-arginine using venous occlusion plethysmography). RESULTS: There were no significant differences between the outcome measures of vascular health of patients and controls in group A and B. CONCLUSION: Vascular health of patients in long-term remission of Cushing's syndrome seems to be comparable to that of healthy gender-, age and BMI matched controls, provided that the patients have no, or adequately controlled co-morbidities. Therefore, the effects of hypercortisolism per se on the vasculature may be reversible. This accentuates the need for stringent treatment of metabolic co-morbidities in these patients. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
1945-7197 |
| Relation: |
https://researchonline.ljmu.ac.uk/id/eprint/4691/1/VasculairhealthJCEM_11-8-2016.pdf; Wagenmakers, M, Roerink, S, Schreuder, T, Plantinga, TS, Holewijn, S, Thijssen, DHJ, Smit, JW, Rongen, GA, Pereira, AM, Wagenmakers, AJM, Netea-Maier, RT and Hermus, A (2016) Vascular health in patients in remission of Cushing's syndrome is comparable to that in BMI-matched controls. Journal of Clinical Endocrinology and Metabolism. ISSN 1945-7197 |
| DOI: |
10.1210/jc.2016-1674 |
| Availability: |
https://researchonline.ljmu.ac.uk/id/eprint/4691/; https://doi.org/10.1210/jc.2016-1674 |
| Accession Number: |
edsbas.1CBCB221 |
| Database: |
BASE |