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Should EDS patients not have chemical induced stress tests? |
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Clinicians and physicians should take this into consideration. Its recommended that a routine noninvasive cardiovascular evaluation should be performed in all patients with EDS. In order to exclude valvular heart disease and dilation of the aortic root or of other vessels, including the coronary arteries.(Di Mario et.al 1998 J pn Heart J 29 (4): 491-6)
In Vascular EDS patients, an abnormally low intima-media thickness generates a higher wall stress than in control subjects at the site if an elastic artery, which may increase the risk if arterial dissection and rupture. (Boutouyrie et.al "Increase Carotid all Stress in Vascular EDS" Circulation 2004; 109: 1530-1535)
http://circ.ahajournals.org/cgi/content/abstract/109/12/1530
Carotid arteries, but not aorta and radial artery, displayed abnormal elastic properties in spontaneous cervical artery dissection (sCAD) patients. Higher stiffness of carotid wall material and circumferential wall stress could increase the risk of dissection in these patients. (Calvet D. et.al "Stroke" 2004; 35: 2078)
http://stroke.ahajournals.org/cgi/content/abstract/35/9/2078
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