Vascular endothelial function in terms of flow-mediated dilation (FMD) of
peripheral arteries can be assessed reliably by measuring beat-to-beat
pulse-wave conduction time (PCT) simultaneously for two symmetric
segments of arteries locating on the right and left sides of body. When
reactive hyperemia is induced in the peripheral tissues on one side, the
time dependent changes in PCT caused by FMD on that side can be detected
as the beat-to-beat differences in PCT between two sides (.DELTA.PCT).
.DELTA.PCT would provide a sensitive and specific assessment of the FMD
response, because the influences of the systemic changes in hemodynamic
and neurohumoral factors common to both sides are subtracted out. In
addition, measurement of PCT requires no skillful technique and is
advantageous in that the apparatus is inexpensive.