Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis

Endothelial dysfunction may contribute to the increased morbidity and mortality associated with coronary heart disease (CHD). Flow-mediated dilatation (FMD) is the most popular noninvasive method for vascular endothelial function evaluation. This meta-analysis aimed to investigate the association be...

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Main Authors: Xiaoyong Xiao, Xiang Li, Xiaohua Xiao, Jingjing Wang, Dehong Liu, Zhe Deng
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Cardiology Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/7967324
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author Xiaoyong Xiao
Xiang Li
Xiaohua Xiao
Jingjing Wang
Dehong Liu
Zhe Deng
author_facet Xiaoyong Xiao
Xiang Li
Xiaohua Xiao
Jingjing Wang
Dehong Liu
Zhe Deng
author_sort Xiaoyong Xiao
collection DOAJ
description Endothelial dysfunction may contribute to the increased morbidity and mortality associated with coronary heart disease (CHD). Flow-mediated dilatation (FMD) is the most popular noninvasive method for vascular endothelial function evaluation. This meta-analysis aimed to investigate the association between FMD and CHD. We searched the publications listed in the PubMed, Web of Science, Scopus, and Embase databases. Stata 14 software was used to analyze the data. Standardized mean difference (SMD) was used to calculate FMD levels, and the effect sizes were expressed with a 95% confidence interval (CI). I2 statistics were used to evaluate statistical heterogeneity. In this meta-analysis, 9 studies enrolled a total number of 943 participants, including 534 (56.63%) patients with CHD and 409 controls (43.37%). We found that patients with CHD showed a significantly lower FMD than the controls (SMD −0.706%; 95% CI: −0.985, −0.427; P=0.001) with high heterogeneity. In addition, funnel plot analysis suggested asymmetry that could be evidence of publication bias. But sensitivity analyses show that there were no influential studies. This meta-analysis provides evidence that patients with CHD show a significantly lower FMD than controls and highlights the literature on FMD as a hallmark in CHD diseases.
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spelling doaj-art-437aeb5c500942988aa43d4ed4b0b46a2025-02-03T06:08:43ZengWileyCardiology Research and Practice2090-05972022-01-01202210.1155/2022/7967324Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-AnalysisXiaoyong Xiao0Xiang Li1Xiaohua Xiao2Jingjing Wang3Dehong Liu4Zhe Deng5Department of EmergencyDepartment of UltrasoundDepartment of Geriatric MedicineDepartment of EmergencyDepartment of EmergencyDepartment of EmergencyEndothelial dysfunction may contribute to the increased morbidity and mortality associated with coronary heart disease (CHD). Flow-mediated dilatation (FMD) is the most popular noninvasive method for vascular endothelial function evaluation. This meta-analysis aimed to investigate the association between FMD and CHD. We searched the publications listed in the PubMed, Web of Science, Scopus, and Embase databases. Stata 14 software was used to analyze the data. Standardized mean difference (SMD) was used to calculate FMD levels, and the effect sizes were expressed with a 95% confidence interval (CI). I2 statistics were used to evaluate statistical heterogeneity. In this meta-analysis, 9 studies enrolled a total number of 943 participants, including 534 (56.63%) patients with CHD and 409 controls (43.37%). We found that patients with CHD showed a significantly lower FMD than the controls (SMD −0.706%; 95% CI: −0.985, −0.427; P=0.001) with high heterogeneity. In addition, funnel plot analysis suggested asymmetry that could be evidence of publication bias. But sensitivity analyses show that there were no influential studies. This meta-analysis provides evidence that patients with CHD show a significantly lower FMD than controls and highlights the literature on FMD as a hallmark in CHD diseases.http://dx.doi.org/10.1155/2022/7967324
spellingShingle Xiaoyong Xiao
Xiang Li
Xiaohua Xiao
Jingjing Wang
Dehong Liu
Zhe Deng
Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis
Cardiology Research and Practice
title Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis
title_full Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis
title_fullStr Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis
title_full_unstemmed Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis
title_short Flow-Mediated Dilatation in the Assessment of Coronary Heart Disease: A Meta-Analysis
title_sort flow mediated dilatation in the assessment of coronary heart disease a meta analysis
url http://dx.doi.org/10.1155/2022/7967324
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