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J Am Coll Cardiol, 1998; 32:1672-1679
© 1998 by the American College of Cardiology Foundation
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Vitamin E administration improves impairment of endothelium-dependent vasodilation in patients with coronary spastic angina

Takeshi Motoyama, MDa, Hiroaki Kawano, MDa, Kiyotaka Kugiyama, MDa, Osamu Hirashima, MDa, Masamichi Ohgushi, MDa, Ryusuke Tsunoda, MDa, Yasushi Moriyama, MDa, Yuji Miyao, MDa, Michihiro Yoshimura, MDa, Hisao Ogawa, MDa and Hirofumi Yasue, MDa

a Division of Cardiology, Kumamoto University School of Medicine, Kumamoto, Japan



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Figure 1 Diagram of the study.

 


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Figure 2 (A) Bar graphs showing the percent increase in brachial arterial diameter during reactive hyperemia before treatment in patients with coronary spastic angina (CSA) (solid bar) and controls (open bar). (B) Bar graphs showing the plasma {alpha}-tocopherol levels before treatment in patients with CSA (solid bar) and controls (open bar). (C) Bar graphs showing the plasma TBARS levels before treatment in patients with CSA (solid bar) and controls (open bar).

 


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Figure 3 Percent increase in brachial arterial diameter during reactive hyperemia in patients with coronary spastic angina before and after treatment in the placebo group and the vitamin E group. *Significant effect of vitamin E treatment compared with values in placebo group, p < .001 by ANOVA. {ominus}, diltiazem + placebo; •, diltiazem + vitamin E.

 


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Figure 4 Plasma {alpha}-tocopherol levels in patients with coronary spastic angina before and after treatment in the placebo group and the vitamin E group. *Significant effect of vitamin E treatment compared with values in placebo group, p < .001 by ANOVA. {ominus}, diltiazem + placebo; •, diltiazem + vitamin E.

 


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Figure 5 Plasma TBARS levels in patients with coronary spastic angina before and after treatment in the placebo group and the vitamin E group. *Significant effect of vitamin E treatment compared with values in the placebo group, p < .001 by ANOVA. {ominus}, diltiazem + placebo; •, diltiazem + vitamin E.

 


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Figure 6 Correlation between the percent increases in brachial arterial diameter during reactive hyperemia versus the changes of coronary arterial diameter in response to acetylcholine at a dose of 50 µg/min in patients with coronary spastic angina (squares) and controls (circles).

 





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