Should EDS patients not have chemical induced stress tests?
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)
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)