Reproducibility of Cutaneous Vascular Conductance Responses to Slow Local Heating Assessed Using seven-Laser Array Probes

Objective Gradual local heating of the skin induces a largely NO‐mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility. Methods Healthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser...

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Published inMicrocirculation (New York, N.Y. 1994) Vol. 22; no. 4; pp. 276 - 284
Main Authors Dawson, Ellen A., Low, David A., Meeuwis, Iris H.M., Kerstens, Floor G., Atkinson, Ceri L., Cable, Nigel Timothy, Green, Daniel J., Thijssen, Dick H.J.
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.05.2015
Wiley Subscription Services, Inc
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ISSN1073-9688
1549-8719
1549-8719
DOI10.1111/micc.12196

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Abstract Objective Gradual local heating of the skin induces a largely NO‐mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility. Methods Healthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser Doppler flux and mean arterial pressure, was examined in response to a standardized local heating protocol (0.5°C per 150 second from 33°C to 42°C, followed by 20 minutes at 44°C). Skin responses were examined at two locations on the forearm (between‐site). Heating was repeated after a break of 24–72 hours (between‐day). Reproducibility of skin responses at 33–42°C is presented for absolute CVC and relative CVC responses corrected for maximal CVC at 44°C (%CVCmax). Results Between‐day reproducibility of baseline CVC and %CVCmax for both sites was relatively poor (22–30%). At 42°C, CVC and %CVCmax responses showed less variation (9–19%), whilst absolute CVC responses at 44°C were 14–17%. Between‐day variation for %CVCmax increased when using data from site 1 on day 1, but site 2 on the subsequent day (25%). Conclusion Day‐to‐day reproducibility of baseline laser Doppler‐derived skin perfusion responses is poor, but acceptable when absolute and relative skin perfusion to a local gradual heating protocol is utilized and site‐to‐site variation is minimized.
AbstractList Objective Gradual local heating of the skin induces a largely NO‐mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility. Methods Healthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser Doppler flux and mean arterial pressure, was examined in response to a standardized local heating protocol (0.5°C per 150 second from 33°C to 42°C, followed by 20 minutes at 44°C). Skin responses were examined at two locations on the forearm (between‐site). Heating was repeated after a break of 24–72 hours (between‐day). Reproducibility of skin responses at 33–42°C is presented for absolute CVC and relative CVC responses corrected for maximal CVC at 44°C (%CVCmax). Results Between‐day reproducibility of baseline CVC and %CVCmax for both sites was relatively poor (22–30%). At 42°C, CVC and %CVCmax responses showed less variation (9–19%), whilst absolute CVC responses at 44°C were 14–17%. Between‐day variation for %CVCmax increased when using data from site 1 on day 1, but site 2 on the subsequent day (25%). Conclusion Day‐to‐day reproducibility of baseline laser Doppler‐derived skin perfusion responses is poor, but acceptable when absolute and relative skin perfusion to a local gradual heating protocol is utilized and site‐to‐site variation is minimized.
Gradual local heating of the skin induces a largely NO-mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility.OBJECTIVEGradual local heating of the skin induces a largely NO-mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility.Healthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser Doppler flux and mean arterial pressure, was examined in response to a standardized local heating protocol (0.5°C per 150 second from 33°C to 42°C, followed by 20 minutes at 44°C). Skin responses were examined at two locations on the forearm (between-site). Heating was repeated after a break of 24-72 hours (between-day). Reproducibility of skin responses at 33-42°C is presented for absolute CVC and relative CVC responses corrected for maximal CVC at 44°C (%CVCmax ).METHODSHealthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser Doppler flux and mean arterial pressure, was examined in response to a standardized local heating protocol (0.5°C per 150 second from 33°C to 42°C, followed by 20 minutes at 44°C). Skin responses were examined at two locations on the forearm (between-site). Heating was repeated after a break of 24-72 hours (between-day). Reproducibility of skin responses at 33-42°C is presented for absolute CVC and relative CVC responses corrected for maximal CVC at 44°C (%CVCmax ).Between-day reproducibility of baseline CVC and %CVCmax for both sites was relatively poor (22-30%). At 42°C, CVC and %CVCmax responses showed less variation (9-19%), whilst absolute CVC responses at 44°C were 14-17%. Between-day variation for %CVCmax increased when using data from site 1 on day 1, but site 2 on the subsequent day (25%).RESULTSBetween-day reproducibility of baseline CVC and %CVCmax for both sites was relatively poor (22-30%). At 42°C, CVC and %CVCmax responses showed less variation (9-19%), whilst absolute CVC responses at 44°C were 14-17%. Between-day variation for %CVCmax increased when using data from site 1 on day 1, but site 2 on the subsequent day (25%).Day-to-day reproducibility of baseline laser Doppler-derived skin perfusion responses is poor, but acceptable when absolute and relative skin perfusion to a local gradual heating protocol is utilized and site-to-site variation is minimized.CONCLUSIONDay-to-day reproducibility of baseline laser Doppler-derived skin perfusion responses is poor, but acceptable when absolute and relative skin perfusion to a local gradual heating protocol is utilized and site-to-site variation is minimized.
Gradual local heating of the skin induces a largely NO-mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility. Healthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser Doppler flux and mean arterial pressure, was examined in response to a standardized local heating protocol (0.5°C per 150 second from 33°C to 42°C, followed by 20 minutes at 44°C). Skin responses were examined at two locations on the forearm (between-site). Heating was repeated after a break of 24-72 hours (between-day). Reproducibility of skin responses at 33-42°C is presented for absolute CVC and relative CVC responses corrected for maximal CVC at 44°C (%CVCmax ). Between-day reproducibility of baseline CVC and %CVCmax for both sites was relatively poor (22-30%). At 42°C, CVC and %CVCmax responses showed less variation (9-19%), whilst absolute CVC responses at 44°C were 14-17%. Between-day variation for %CVCmax increased when using data from site 1 on day 1, but site 2 on the subsequent day (25%). Day-to-day reproducibility of baseline laser Doppler-derived skin perfusion responses is poor, but acceptable when absolute and relative skin perfusion to a local gradual heating protocol is utilized and site-to-site variation is minimized.
Objective Gradual local heating of the skin induces a largely NO-mediated vasodilatation. However, use of this assessment of microvascular health is limited because little is known about its reproducibility. Methods Healthy volunteers (n = 9) reported twice to the laboratory. CVC, derived from laser Doppler flux and mean arterial pressure, was examined in response to a standardized local heating protocol (0.5°C per 150 second from 33°C to 42°C, followed by 20 minutes at 44°C). Skin responses were examined at two locations on the forearm (between-site). Heating was repeated after a break of 24-72 hours (between-day). Reproducibility of skin responses at 33-42°C is presented for absolute CVC and relative CVC responses corrected for maximal CVC at 44°C (%CVCmax). Results Between-day reproducibility of baseline CVC and %CVCmax for both sites was relatively poor (22-30%). At 42°C, CVC and %CVCmax responses showed less variation (9-19%), whilst absolute CVC responses at 44°C were 14-17%. Between-day variation for %CVCmax increased when using data from site 1 on day 1, but site 2 on the subsequent day (25%). Conclusion Day-to-day reproducibility of baseline laser Doppler-derived skin perfusion responses is poor, but acceptable when absolute and relative skin perfusion to a local gradual heating protocol is utilized and site-to-site variation is minimized.
Author Atkinson, Ceri L.
Meeuwis, Iris H.M.
Kerstens, Floor G.
Dawson, Ellen A.
Green, Daniel J.
Low, David A.
Thijssen, Dick H.J.
Cable, Nigel Timothy
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Issue 4
Keywords endothelial function
skin microcirculation
local heating
nitric oxide
microvasculature
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Snippet Objective Gradual local heating of the skin induces a largely NO‐mediated vasodilatation. However, use of this assessment of microvascular health is limited...
Gradual local heating of the skin induces a largely NO-mediated vasodilatation. However, use of this assessment of microvascular health is limited because...
Objective Gradual local heating of the skin induces a largely NO-mediated vasodilatation. However, use of this assessment of microvascular health is limited...
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SubjectTerms Adolescent
Adult
endothelial function
Female
Hot Temperature
Humans
local heating
Male
Microcirculation
microvasculature
nitric oxide
Nitric Oxide - metabolism
Reproducibility of Results
Skin - blood supply
Skin - metabolism
skin microcirculation
Vasodilation
Title Reproducibility of Cutaneous Vascular Conductance Responses to Slow Local Heating Assessed Using seven-Laser Array Probes
URI https://api.istex.fr/ark:/67375/WNG-RM1H07HR-5/fulltext.pdf
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fmicc.12196
https://www.ncbi.nlm.nih.gov/pubmed/25703861
https://www.proquest.com/docview/1675570617
https://www.proquest.com/docview/1676596672
Volume 22
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