Abstract
Microvascular perfusion on the foot bottom in 39 subjects (Control group: 23 healthy participants; Patient group: 16 patients with diabetes mellitus) was measured with the laser Doppler flowmetry (LDF). Each subject was requested to perform a non-invasive provocation of 37 min, including 8-min baseline, 3-min ankle occlusion, 6-min post-occlusive reactive hyperemia (PORH), and 20-min heating (42 °C) period. By using the wavelet transform, we calculated the power spectral densities (PSD), on one-minute basis, of the 37-min LDF signal. The results indicated that the PSD corresponding to the endothelial NO-independent (PSDENDO1) and NO-dependent (PSDENDO2) metabolic activities varied with time in both Control and Patient groups. Patient group showed less PSDENDO1 and PSDENDO2 than those in Control group. In summary, endothelial dysfunction in peripheral microcirculation exists in diabetes patients, apparently as compared with healthy participants.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rousit, M., Cracowski, J.L.: Non-invasive assessment of skin microvascular function in humans: an insight into methods. Microcirculation 19, 47–64 (2012)
Rossi, M., Carpi, A., Di Maria, C., et al.: Spectral analysis of laser Doppler skin blood flow oscillations in human essential arterial hypertension. Microvasc. Res. 72, 34–41 (2006)
Mizeva, I., Frick, P., Podtaev, S.: Relationship of oscillating and average components of laser Doppler flowmetry signal. J. Biomed. Opt. 21, 85002 (2016). https://doi.org/10.1117/1.JBO.21.8.085002
Cracowski, J.L., Minson, C.T., Salvat-Melis, M., et al.: Methodological issues in the assessment of skin microvascular endothelial function in humans. Trends Pharmacol. Sci. 27, 503–508 (2006)
Roustit, M., Cracowski, J.L.: Assessment of endothelial and neurovascular function in human skin microcirculation. Trends Pharmacol. Sci. 34, 373–384 (2013). https://doi.org/10.1016/j.tips.2013.05.007
Hodges, G.J., Mallette, M.M., Martin, Z.T., et al.: Effect of sympathetic nerve blockade on low-frequency oscillations of forearm and leg skin blood flow in healthy humans. Microcirculation 24(7) (2017). https://doi.org/10.1111/micc.12388
Mizeva, I., Makovik, I., Dunaev, A., et al.: Analysis of skin blood microflow oscillations in patients with rheumatic diseases. J. Biomed. Opt. 22, 70501 (2017). https://doi.org/10.1117/1.JBO.22.7.070501
Iredahl, F., Löfberg, A., Sjöberg, F., et al.: Non-Invasive measurement of skin microvascular response during pharmacological and physiological provocations. PLoS ONE 10(8), e0133760 (2015). https://doi.org/10.1371/journal.pone.0133760
Jonasson, H., Bergstrand, S., Nystrom, F.H., et al.: Skin microvascular endothelial dysfunction is associated with type 2 diabetes independently of microalbuminuria and arterial stiffness. Diab. Vasc. Dis. Res. 14, 363–371 (2017)
Clough, G.F., Kuliga, K.Z., Chipperfield, A.J.: Flow motion dynamics of microvascular blood flow and oxygenation: evidence of adaptive changes in obesity and type 2 diabetes mellitus/insulin resistance. Microcirculation 24(2) (2017). https://doi.org/10.1111/micc.12331
Acknowledgment
The authors would like to express thanks to the staffs in the Department of Cardiology, I-Da Hospital, Taiwan, for their help and support in performing clinical trials. Also, thanks go to the Ministry of Science and Technology, Taiwan, for its funding support (MOST 105-2221-E-214 -012 -MY3).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Ethics declarations
The authors declare that they have no conflict of interest in the paper.
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this paper
Cite this paper
Wang, JJ., Su, XH., Hung, G., He, HY., Tseng, WK. (2020). Quantitative Reduction in the Dynamic Endothelial Function on Foot Microcirculation in Patients with Diabetes Mellitus. In: Lin, KP., Magjarevic, R., de Carvalho, P. (eds) Future Trends in Biomedical and Health Informatics and Cybersecurity in Medical Devices. ICBHI 2019. IFMBE Proceedings, vol 74. Springer, Cham. https://doi.org/10.1007/978-3-030-30636-6_39
Download citation
DOI: https://doi.org/10.1007/978-3-030-30636-6_39
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-30635-9
Online ISBN: 978-3-030-30636-6
eBook Packages: EngineeringEngineering (R0)