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Audrey Abella, 07 Oct 2019
Individuals with left main coronary artery disease (CAD) who underwent percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) continued to show similar rates of the primary outcome (composite of death, stroke, or myocardial infarction), highlighting the potential of PCI as a CABG alternative in this patient setting, according to the final r­esults of the EXCEL* trial presented at TCT 2019.

High salt intake may decrease sublingual microvascular density

23 May 2019

Increased consumption of salt appears to reduce sublingual microvascular density following administration of nitroglycerin (NTG), according to a recent study, adding that larger changes in body weight following high salt intake coincide with a larger decrease in microvascular density.

“Changes in microvascular density occurred without blood pressure effects, indicating that high salt load as such contributes to microvascular changes, and may precede hypertension development,” the authors said.

This open-label, randomized, cross-over trial included 18 healthy men to examine the effect of a 2-week high-salt (>12 g/day) and low-salt (<3 g/day) diet on microvascular (diameter <20 μm) density with sublingual sidestream darkfield imaging. Sublingual NTG was used to recruit microvessels.

No significant between-diet difference was observed in microvascular density (following NTG: 0.96±3.88 mm/mm2; p=0.31; without NTG: –0.3±1.64 mm/mm2; p=0.95).

An association existed between high salt intake and a decrease in microvascular density following NTG (r, –0.47; p=0.047), but not without NTG (r, 0.06; p=0.800). Participants with larger changes in body weight had a significantly larger decrease in microvascular density following high salt intake relative to those with small changes in body weight (–0.79±1.35 and 0.84±1.56 mm/mm2, respectively; p=0.031).

“The pathophysiology of salt-sensitive hypertension remains uncertain, but may involve microvascular alterations,” the authors noted. “High salt intake decreases microvascular density in hypertensive patients, but due to lack of studies in normotensive patients the causal pathway remains unclear.”

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Most Read Articles
Audrey Abella, 07 Oct 2019
Individuals with left main coronary artery disease (CAD) who underwent percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) continued to show similar rates of the primary outcome (composite of death, stroke, or myocardial infarction), highlighting the potential of PCI as a CABG alternative in this patient setting, according to the final r­esults of the EXCEL* trial presented at TCT 2019.