Document Detail


Elevated CK-MB mass and plasma brain-type natriuretic peptide concentrations following convulsive seizures in children and adolescents: possible evidence of subtle cardiac dysfunction.
MedLine Citation:
PMID:  19183225     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the presence of myocardial injury during convulsive seizures in children and adolescents by determining serum concentrations of cardiac troponin I (cTnI), creatine kinase-MB mass (CK-MB mass), and plasma brain-type natriuretic peptide (BNP). METHODS: Thirty-one children (20 boys; mean age, 6.6 +/- 5.34 years) with convulsive seizures and 50 healthy children were enrolled. Serum cTnI, CK-MB mass, and plasma BNP concentrations were analyzed 12 h after the seizure and repeated 7 days thereafter in the patient group and obtained one time in the control group. RESULTS: The difference between serum concentrations of cTnI obtained 12 h and 7 days after the seizure was not statistically significant. cTnI levels 12 h postictal and those in control subjects also were not significantly different. CK-MB mass and BNP at the 12th h were higher than those obtained on the 7th day (p < 0.05 and p < 0.001, respectively). Children with seizures had increased levels of CK-MB mass and BNP 12 h after seizure than control subjects (p < 0.05 and p < 0.001, respectively). The results of electrocardiography (ECG) recordings, which were obtained up to 30 min after seizure activity, were completely normal in patients with seizure. CONCLUSION: Normal cTnI levels are not indicative of overt myocardial necrosis in patients with seizures. However, markedly elevated BNP concentrations together with elevated CK-MB mass levels do suggest subtle cardiac dysfunction in patients with seizure, and further large-scale studies are warranted.
Authors:
Füsun Alehan; Ilknur Erol; Tuba Cemil; Nilüfer Bayraktar; Ersin Ogüs; Kürsad Tokel
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-10-06
Journal Detail:
Title:  Epilepsia     Volume:  50     ISSN:  1528-1167     ISO Abbreviation:  Epilepsia     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-04-23     Completed Date:  2009-05-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983306R     Medline TA:  Epilepsia     Country:  United States    
Other Details:
Languages:  eng     Pagination:  755-60     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Division of Child Neurology, Baskent University Faculty of Medicine, Bahcelievler, Ankara, Turkey. falehan@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Creatine Kinase, MB Form / blood*
Female
Humans
Immunoassay / methods
Infant
Male
Natriuretic Peptide, Brain / blood*
Retrospective Studies
Seizures / blood*
Statistics, Nonparametric
Time Factors
Troponin T / blood
Chemical
Reg. No./Substance:
0/Troponin T; 114471-18-0/Natriuretic Peptide, Brain; EC 2.7.3.2/Creatine Kinase, MB Form

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