2006
DOI: 10.1016/j.ahj.2005.09.014
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Effect on coronary flow velocity reserve in patients with type 2 diabetes mellitus: Comparison between angiotensin-converting enzyme inhibitor and angiotensin II type 1 receptor antagonist

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Cited by 34 publications
(26 citation statements)
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“…In a small randomized trial of type 2 diabetes patients, coronary fl ow velocity reserve improved after treatment with an ACE inhibitor but not with an angiotensin-II receptor antagonist, suggesting that ACE inhibition might have benefi cial effects on coronary microangiopathy associated with type 2 diabetes (Kawata et al 2006). In an experimental model of diabetes, this condition was associated with decreased myocardial capillary supply, which was reversed by ACE inhibition, but not by endothelin-1 receptor blockade.…”
Section: Diabetic Patients With Leftventricular Dysfunction After MImentioning
confidence: 94%
“…In a small randomized trial of type 2 diabetes patients, coronary fl ow velocity reserve improved after treatment with an ACE inhibitor but not with an angiotensin-II receptor antagonist, suggesting that ACE inhibition might have benefi cial effects on coronary microangiopathy associated with type 2 diabetes (Kawata et al 2006). In an experimental model of diabetes, this condition was associated with decreased myocardial capillary supply, which was reversed by ACE inhibition, but not by endothelin-1 receptor blockade.…”
Section: Diabetic Patients With Leftventricular Dysfunction After MImentioning
confidence: 94%
“…There is considerable evidence to suggest that insulin resistance and hyperglycemia, acting via oxidative stress, inflammation, and advanced glycation end products, can induce microvascular abnormality [21] causing increased microvascular permeability in diabetes [22]. Several studies have shown impaired coronary flow reserve in diabetic individuals in the absence of coronary artery stenosis [23][24][25][26]. An inverse relation between hyperemic myocardial blood flow and fasting insulin level has also been found among healthy, nonobese individuals, which suggests that even mild insulin resistance is associated with impaired coronary flow reserve [27].…”
Section: Tissue Perfusionmentioning
confidence: 99%
“…et al, 2000), cardiopathy (Alan and Karin, 2009) and retinopathy (Romero-Aroca et al, 2009). Therefore, numerous therapies in diabetes have been developed to maintain the normal blood glucose level by means of ␣-glucosidase inhibitors (Ye et al, 2002), angiotensin-converting enzyme inhibitors (ACEI) (Pitt et al, 2000;Kawata et al, 2006) and so on. Besides, a wealth of evidence indicates that the diabetic development and progression are associated with increased oxidative stress (AydIn et al, 2001;Sydow and Münzel, 2003).…”
Section: Introductionmentioning
confidence: 98%