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Titolo:
Endocrine predictors of acute hemodynamic effects of growth hormone in congestive heart failure
Autore:
Giustina, A; Volterrani, M; Manelli, F; Desenzani, P; Poiesi, C; Lorusso, R; Giordano, A;
Indirizzi:
Univ Brescia, Endocrine Sect, Brescia, Italy Univ Brescia Brescia ItalyUniv Brescia, Endocrine Sect, Brescia, Italy Univ Brescia, Chem Sect, Brescia, Italy Univ Brescia Brescia ItalyUniv Brescia, Chem Sect, Brescia, Italy Univ Brescia, Cardiac Surg Sect, Brescia, Italy Univ Brescia Brescia Italy v Brescia, Cardiac Surg Sect, Brescia, Italy Salvatore Maugeri Fdn, IRCCS, Inst Rehabil, Div Cardiol, Gussago, Italy Salvatore Maugeri Fdn Gussago Italy ehabil, Div Cardiol, Gussago, Italy
Titolo Testata:
AMERICAN HEART JOURNAL
fascicolo: 6, volume: 137, anno: 1999,
pagine: 1035 - 1043
SICI:
0002-8703(199906)137:6<1035:EPOAHE>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
GH-RELEASING HORMONE; DILATED CARDIOMYOPATHY; INTRAVENOUS MILRINONE; DIABETES-MELLITUS; CARDIAC-FAILURE; FACTOR-I; DOBUTAMINE; PERFORMANCE; PULSATILE; HYPERSECRETION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Giustina, A Spedaliia,vili, Med Clin, Endocrine Sect, P Spedali Civili 1, I-25123 Bresc Spedali Civili P Spedali Civili 1 Brescia Italy I-25123 Bresc
Citazione:
A. Giustina et al., "Endocrine predictors of acute hemodynamic effects of growth hormone in congestive heart failure", AM HEART J, 137(6), 1999, pp. 1035-1043

Abstract

Background The aim of our study was to assess whether there could be any clinical and/or endocrine (spontaneous growth hormone [GH] secretion rate, baseline insulin-like growth factor-1 [IGF-1]) predictors and/or determinants of the acute effects of continuous intravenous infusion of recombinant human GH on hemodynamic parameters in 12 patients with dilated cardiomyopathyand congestive heart failure (CHF). Methods and Results The study involved 12 male patients with chronic CHF (ischemic in 8 patients and idiopathic in 4). Ten patients were in New York Heart Association functional class III or IV and 2 in class II. The first 24 hours were considered the control period; in fact, during the following 24 hours, all the patients underwent intravenous constant pump infusion of recombinant human GH. Blood samples for GH assay were taken every 20 minutesduring the first night of the study (From 10 PM to 6 AM). Moreover, blood samples for GH assay were also taken during exogenous GH infusion. Blood samples for IGF-1 assays were token at 8 AM of each of the 3 days of the study. Pulmonary artery pressure (PAP) and capillary wedge (PCWP) pressure, cardiac index, and arterial blood pressure were measured 30 minutes after right heart catheterization (baseline 1), at the end of the control period (baseline 2), and every 4 hours during GH infusion. A negative correlation has been found between mean nocturnal GH levels and baseline IGF-1 levels (r = -0.47 P =.124) and between mean nocturnal GH levels and both postinfusion absolute (r = -0.67, P <.05) and delta (postinfusion- preinfusion) (r = -0.58; P < 005) IGF-1 levels. No significant correlations have been Found between several parameters of liver function (albumin, bilirubin, and pseudocholinesterase) and mean nocturnal GH. However, baseline IGF-1 levels showed a negative significant correlation (r = -0.76, P <.01) with total bilirubin and a positive correlation (r = 0.72, P <.01) with pseudocholinesterase. Baseline IGF-1 levels showed a significant negative correlation with baseline mean PAP (r = -0.68, P <.05) and PCWP (r = -0.70, P <.05) and a positive correlation with baseline cardiac index (r = 0.71, P <.05). Baseline IGF-1 levels also showed a significant negative correlation with absolute mean PAP (r = -0.63, P <.05) and mean PCWP (r = -0.67 P <.05) after GH infusion. After GH infusion, IGF-1 levels also negatively correlated with post-GH infusion mean PAP (r = -0.50, P =.09) and mean PCWP (r = -0.66, P <.05). The positive correlation between either baseline or postinfusion IGF-1 and the postinfusion cardiac index Ir = 0.40 and 0.43, respectively) did not reach statistical significance. Conclusions GH has acute functional effects on the heart in patients with CHF, including both an increase in myocardial contractility and a decrease in vascular resistances, and among patients with CHF, those with low baseline IGF-1 are likely to have fewer beneficial effects from GH infusion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 11:33:15