| Postoperative altered plasma growth hormone levels--a predictor for postoperative complications? A case report. | |
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MedLine Citation:
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PMID: 11759187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We compared the onset of predictors for postoperative complications (lactate, total T2 (tT2), total T4 (tT4) and cortisone) retrospectively with the onset of altered growth hormone (GH) concentration in a patient who had had a lethal postoperative outcome and in 13 patients who were without postoperative complications for a period of 24 hours postoperatively. Compared with the values of the patients without postoperative complications, GH values were elevated (68-fold) 1 h after surgery to 103 ng/ml and lactate was increased (12-fold) to 12.7 mmol/l at 6 h postoperatively in the patient with the lethal outcome. The other parameters measured (tT3, tT4 and cortisone) showed no rapid alteration during the first hours postoperatively. This case report suggests that the rapid postoperative onset of raised GH concentration in plasma may be an earlier marker for postoperative complications than the 'established' predictors. |
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Authors:
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A Rümelin; G Nietgen; M Pirlich; P Thum; H J Schäfers; A von zur Mühlen; E Kirchner |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Current medical research and opinion Volume: 17 ISSN: 0300-7995 ISO Abbreviation: Curr Med Res Opin Publication Date: 2001 |
Date Detail:
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Created Date: 2001-12-10 Completed Date: 2002-09-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0351014 Medline TA: Curr Med Res Opin Country: England |
Other Details:
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Languages: eng Pagination: 88-92 Citation Subset: IM |
Affiliation:
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Medizinische Hochschule Hannover, Germany. ruemelin@mail.uni-mainz.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aortic Valve / transplantation Biological Markers / blood Cortisone / blood Heart Valve Diseases / surgery Human Growth Hormone / blood* Humans Lactic Acid / blood Male Pilot Projects Postoperative Complications / blood* Predictive Value of Tests Prospective Studies Thyroid Hormones / blood |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; 0/Thyroid Hormones; 12629-01-5/Human Growth Hormone; 50-21-5/Lactic Acid; 53-06-5/Cortisone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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