Atherosclerosis
Conditions
Keywords
Atherosclerosis, Vascular Endothelium, Counterpulsation, External
Brief summary
Shear stress maybe the most crucial local factor affecting atherogenesis. The present study investigated the effect of exposure to increased shear stress promoted by Enhanced External Counterpulsation (EECP) on the progression of subclinical atherosclerosis and the underlying inflammation- related molecular mechanisms
Detailed description
Hypercholesterolemic subjects with subclinical atherosclerosis will be randomized into two groups: standard treatment group and standard treatment plus EECP intervention group. The results of ultrasound examination and markers of inflammations will be compared.
Interventions
EECP one hour per day, 5 hours a week for a total of 35- 36 hours over a 7 week period
Simvastatin 40 mg/d for 7 weeks as the guideline- driven standard medical treatment
Sponsors
Study design
Eligibility
Inclusion criteria
* 20- 70 years old subjects whose LDL higher than 160mg/dl and carotid intima-media thickness higher than 75 percent of his age.
Exclusion criteria
* Presence of history of coronary heart disease, stroke or atherosclerotic peripheral disease. Presence of impaired renal function, connective disease, or infectious disease.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Intima-media thickness of the carotid artery | 7 weeks | Change from baseline in Intima-media thickness of the carotid artery measured by Doppler ultrasound equipment at 7 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in vascular endothelial function | 7 weeks | Change from baseline in vascular endothelial function evaluated by flow mediated dilation of the brachial artery |
| Change in serum markers of inflammation | 7 weeks | Change from baseline in serum markers of inflammation and laboratory parameters |
Countries
China