G. Maiorano

Noninvasive detection of vascular dysfunction in alcoholic patients

Vasodilation is impaired in various conditions, such as hypercholesterolemia and tobacco use. We evaluated brachial artery flow-mediated vasodilation (FMD) after blood pressure (BP) cuff occlusion using high-resolution B-mode ultrasound in 20 alcoholics, without any coexisting conditions such as smoking, hypertension, or cholesterolemia, after a 3-month period of abstinence. They were compared with a control group of 20 alcohol-free healthy subjects. We measured the diameter of the brachial artery under baseline conditions, during reactive hyperemia (with increased flow causing endothelium-dependent dilatation), and after administration of sublingual glyceryl trinitrate (GTN), an endothelium-independent dilator. We performed an echocardiographic study (Esaote Au3) according to guidelines of the American Society of Echocardiography to assess left ventricular mass (LVM), wall thickness, systolic stress, and diastolic function changes. FMD (% diameter change) was significantly less in the alcoholic patients than in the controls (6.03+/-3.67 v 13.7+/-4.65; P < .05), whereas no difference was noted after GTN administration (13.7+/-7.97 v 16.0+/-5.12, P = NS). Echocardiographic study showed no differences between the study group for LVM, wall thickness, and systolic stress; diastolic function expressed as E/A ratio inversion was significantly impaired. These data demonstrate an impairment of endothelial-dependent vasodilatation in chronic alcohol abusers, which may contribute to the excess prevalence of cardiovascular diseases in these individuals.

Lung Carcinogenesis by Urethane in Newborn, Suckling, and Adult Swiss Mice

THERE is at present good evidence that urethane (ethyl carbamate) is a tumourinducing agent with a broad spectrum of activity. However, since the first observation of Nettleship and Henshaw (1943), lung seems to be the tissue most susceptible to the carcinogenic action of this chemical. In experiments previously reported (Fiore-Donati et al., 1961b) we observed that the administration of urethane to lactating mice gave rise to pulmonary adenomas in a high percentage of the offspring. A more extensive study, which is reported here, was designed to add new information on the influence of the age of animals and route of administration of urethane on lung carcinogenesis in mice.

Effect of alcohol consumption versus abstinence on 24-h blood pressure profile in normotensive alcoholic patients

The aim of this study was to evaluate 24-h ambulatory blood pressure monitoring in 15 male alcoholic normotensive subjects during alcohol consumption and following an abstinence phase and the effects of alcohol consumption compared with a period of 1 week of abstinence. The average 24-h BP was not different, but the diurnal pattern showed a fall in systolic BP early (06:00 to noon; P < .005) and late (18:00 to 22:00; P < .002) in the day during abstinence. BP variability was increased during the alcohol phase (P < .05). This study showed that 1 week of abstinence does not influence 24-h BP levels in normotensive subjects, but alters the diurnal pattern, characterized by a fall in systolic BP and increased BP variability.