scholarly journals Prospects of Laser Doppler flowmetry application in assessment of skin microcirculation in diabetes

2017 ◽  
Vol 20 (4) ◽  
pp. 279-285 ◽  
Author(s):  
Dmitry A. Kulikov ◽  
Alexey A. Glazkov ◽  
Yulia A. Kovaleva ◽  
Natalia V. Balashova ◽  
Alexander V. Kulikov

This review includes results of scientific and clinical use of laser Doppler flowmetry (LDF) in patients with diabetes mellitus. LDF is a non-invasive method for the quantitative evaluation of microcirculation, which can assess microcirculatory rhythms and conduct functional tests with various impacts, allowing the exploration of regulatory mechanisms of microcirculation. LDF reveals specific diabetes changes in the regulatory function of microcirculation. Microcirculation disturbances, which are traditionally associated with the pathogenesis of complications, also occur in patients with early disorders of carbohydrate metabolism and may precede the manifestation of diabetes. However, this method is still not applied in clinical practice. In this review, we analysed factors limiting the implementation of LDF in practical medicine and suggest ways to improve its clinical significance.

1988 ◽  
Vol 74 (2) ◽  
pp. 119-121 ◽  
Author(s):  
C. Orlandi ◽  
C. J. Dunn ◽  
L. G. Cutshaw

1. A non-invasive method is described for the assessment of angiogenesis in chronic inflammation using laser-Doppler flowmetry. 2. Significant increases in capillary blood flow were seen on days 5 and 7 after induction of subcutaneous granulomatous lesions, as compared with control skin. 3. Changes in blood flow were accompanied by changes in pulsatile flow pattern and by an intense angiogenic response observed by light microscopy. 4. The potential application of laser-Doppler flowmetry to quantitative and qualitative studies of evolving angiogenesis in pathological responses is discussed.


Author(s):  
Z. Shaienko

Currently, the problem of diabetes mellitus (DM) is one of the most important medical and social challenges worldwide. This is primarily due to the widespread prevalence of the disease and tendency to further increase in the incidence of diabetes mellitus.Systemic microcirculatory disorders play an impor­tant role in the pathogenesis of DM complications. They lead to the development of microangiopathy and neuropathy through the primary lesion of vessels involved in the blood supply of the peripheral parts of the nervous system. Currently, less than one-third of physicians recognize signs of peripheral neuropathy associated with diabetes. Untimely diagnosis contributes significantly to high morbidity, disability, and mortality.The authorinvestigates the experience of the use of laser Doppler flowmetry (LDF) in clinical practice as a method of studying the state of the microcirculatory bed in patients with diabetes mellitus.LDF is a non-invasive quantitative method of microcirculation assessment; its capabilities include the analysis of microcirculatory rhythms and functional testing with different types of provocative effects, which provides with investigating the state of regulatory mechanisms of microcirculation. The prevention and treatment of various microcirculatory disorders is one of the most important problems of medical practice. The difficulties of studying the microcirculation are caused by the very small size of microvessels and strong ramification of intra-organic vascular networks. The use of LDF in scientific research will make it possible toreveal the DM-specific changes in microcir­culatory bed functioning. The findings of some studies suggest that microcirculatory disorders are not only a pathogenetic link in the development of complications, but they are also observed in patients with early disorders of carbohydrate metabolism and may precede the manifestation of diabetes. However, the method has not yet become widespread in clinical practice.


Burns ◽  
2020 ◽  
Vol 46 (1) ◽  
pp. 104-109 ◽  
Author(s):  
Dominik Bender ◽  
Stephanie Tweer ◽  
Frank Werdin ◽  
Jens Rothenberger ◽  
Adrien Daigeler ◽  
...  

2022 ◽  
Vol 20 (4) ◽  
pp. 33-44
Author(s):  
A. V. Frolov ◽  
Yu. I. Loktionova ◽  
E. V. Zharkikh ◽  
V. V. Sidorov ◽  
A. I. Krupatkin ◽  
...  

Introduction. Yoga breathing exercises improve the ability to significantly reduce the respiratory rate. A decrease of the minute respiration volume results in compensatory reactions of the microcirculatory bed caused by changes in the gas composition. The reaction of the regulatory mechanisms of the microvascular bed can be evaluated by the optical non-invasive laser Doppler flowmetry method. The aim of the study was to assess the tissue microcirculation parameter changes in people performing yoga breathing exercises. Materials and methods. 25 volunteers performed yoga breathing exercises at a frequency of 3 times per minute, 2 times per minute, 1.5 times per minute, 1 time per minute for 5 minutes, and free breathing for 6 minutes before and after breathing exercises. Parameters aimed to defin the reaction of skin microcirculation in different body areas were simultaneously recorded in six sites by laser Doppler flowmetry using a distributed system of wearable analyzers. The parameters of tissue microcirculation recorded by the method of laser Doppler flowmetry were: the index of microcirculation (Im), nutritive blood flow (Imn), the amplitude of myogenic (Am), neurogenic (An), endothelial (Ae), respiratory (Ar) and cardiac (Ac) regulation circuits. Results. Yoga breathing exercises led to increase of microcirculation index at all breathing frequencies. Breathing at a frequency of 1.5 and 1/minute leads to a significant increase in nutritional blood flow. Low-frequency breathing exercises lead to an increase in blood pressure at the lowest breathing rates – 1.5/minute and 1/minute. The most significant changes were achieved at the lowest respiration rates (1 and 1.5/minute), that could be associated with hypoxic-hypercapnic mechanisms. Conclusion. The absence of significant changes in microcirculation parameters after low-frequency respiration during measurements in the supraorbital arteries in both groups characterizes the work of homeostatic mechanisms for maintaining brain perfusion in stressful situations for the body (low-frequency types of respiration, hypercapnia and hypoxia). When measured in the extremities, a change in the effect of the circulatory system regulatory mechanisms was observed; along with an increase in skin perfusion and the nutritional component, it can characterize the compensatory reaction of the microcirculation to respiration change.


Author(s):  
В.К. Хугаева ◽  
А.В. Ардасенов

В статье анализируются преимущества и недостатки методов лазерной допплеровской флоуметрии и биомикроскопии при изучении микроциркуляции в кровеносных и лимфатических микрососудах кожи и др. органов. На конкретных примерах показаны широкие недостаточно используемые возможности биомикроскопии. The article analyzed merits and demerits of laser Doppler flowmetry and biomicroscopy in studying microcirculation in blood and lymphatic microvessels of the skin and other organs. Specific examples show wide, underutilized potentialities of biomicroscopy.


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