Endothelial impairment evaluation by peripheral arterial tonometry in pediatric endocrinopathies:A narrative review  

作　　者：Alberto La Valle Marco Crocco Decimo Silvio Chiarenza Mohamad Maghnie Giuseppe d'Annunzio 

机构地区：[1]Pediatric Clinic and Endocrinology,IRCCS Istituto Giannina Gaslini,Genoa16147,Italy [2]Pediatric Clinic and Endocrinology,IRCCS Giannina Gaslini Institute,Department of Neuroscience,Rehabilitation,Ophthalmology,Genetics,Maternal and Child Health University of Genoa,Genoa16147,Italy

出　　处：《World Journal of Diabetes》2021年第6期810-826,共17页世界糖尿病杂志（英文版）（电子版）

摘　　要：Endothelial dysfunction(ED)is characterized by an imbalance between vasodilator and vasoconstriction agents.Several pathological conditions clinically diagnosed in childhood and adolescence are characterized by ED and increased risk for early development of microangiopathic and macroangiopathic impairment,in particular type 1 diabetes mellitus(T1DM),T2DM,obesity,metabolic syndromeand pituitary dysfunction associated to various endocrinopathies.More recently insulin resistance following chemotherapy or radiotherapy for tumors,bone marrow transplantation for hematological malignancies(i.e.,cancer survivors),or immunosuppressive treatment for solid organ transplantation has been observed.Assessment of ED by means of non-invasive techniques is the gold standard for early ED detection before clinical manifestation.It is aimed to recognize patients at risk and to avoid the development and progression of more serious illnesses.Reactive hyperemia-peripheral artery tonometry is a noninvasive technique to assess peripheral endothelial function by measuring modifications in digital pulse volume during reactive hyperemia,and represents a non-invasive,reproducible and operator-independent tool able to detect precocious ED.This narrative review aimed to provide an overview of the most important papers regarding ED detection by EndoPat 2000 in children and adolescents with different endocrine diseases.A comprehensive search of English language articles was performed in the MEDLINE database without using other search filters except the publication interval between 2005 and 2020.

关 键 词：Pediatric diabetes mellitus Pediatric endocrinopathies Metabolic syndrome Cancer survivors Endothelial dysfunction Peripheral artery tonometry 

分 类 号：R725.8[医药卫生—儿科]