Document Detail


Prostaglandin levels: predictors of indomethacin responsiveness.
MedLine Citation:
PMID:  3467304     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pretreatment plasma dilator prostaglandin levels were measured in 16 premature infants with patent ductus arteriosus in an attempt to correlate abnormally elevated levels with clinical responsiveness to indomethacin therapy. Nine of the 16 infants responded well to indomethacin, with complete disappearance of their murmurs by 48 h. Eight of these nine infants had elevated baseline 6 keto PGF1 alpha levels (greater than 500 pg/ml). In contrast, seven of the 16 infants did not respond to indomethacin, and six of these had 6 keto PGF1 alpha within the normal range (less than 500 pg/ml). PGE2 levels varied in the same general direction, but lacked the specificity and sensitivity of the 6 keto PGF1 alpha levels. Thus, 6 keto PGF1 alpha levels seem to correlate with, and may eventually be helpful in predicting, clinical indomethacin responsiveness in the premature neonate with patency of the ductus arteriosus.
Authors:
C Hammerman; W Zaia; S Berger; E Strates; A Aldousany
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatric cardiology     Volume:  7     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  1986  
Date Detail:
Created Date:  1987-01-29     Completed Date:  1987-01-29     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  61-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
6-Ketoprostaglandin F1 alpha / blood*
Dinoprostone
Ductus Arteriosus, Patent / blood*,  drug therapy
Humans
Indomethacin / therapeutic use*
Infant, Newborn
Infant, Premature / blood*
Prostaglandins E / blood*
Chemical
Reg. No./Substance:
0/Prostaglandins E; 363-24-6/Dinoprostone; 53-86-1/Indomethacin; 58962-34-8/6-Ketoprostaglandin F1 alpha

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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