Effect of intravenous dopamine infusion on pituitary and thyroid function and on nephroprotection

Autor: Krzysztof Sciborski, Andrzej Mysiak, Małgorzata Kobusiak-Prokopowicz
Rok vydání: 2012
Předmět:
Zdroj: Scopus-Elsevier
Popis: IntroductIon Catecholamines, including dopamine, are used in cardiac intensive care. objectIves The aim of the study was to assess the effect of intravenous dopamine infusion on the function of pituitary gland in patients with acute cardiac failure. We analyzed changes in the serum lev‑ els of thyroid-stimulating hormone (TSH) and adrenocorticotropic hormone (ACTH), as well as potential nephroprotection. PAtIents And methods The study involved 29 patients with chronic decompensated heart failure (New York Heart Association class III/IV; mean age 77.4 ±13.3 years). Dopamine was administered intrave‑ nously in doses varying from 1 to 5 μg/kg/min. Measurements of TSH, free triiodothyronine (FT 3 ), free thyroxine (FT 4 ), and ACTH were taken directly before dopamine infusion, after 12 hours of continuous infusion, and 12 hours after the 72-hour infusion was completed. results Serum FT 3 levels were significantly higher before dopamine infusion than at 12 hours post infusion (5.12 ±1.16 vs. 4.27 ±0.89 pmol/l, P
Databáze: OpenAIRE