The Influence of Corticosteroids on Heart Rate Variablity in Acute Cervical Spinal Cord Injury.

Abstract:

:Heart rate variability (HRV) gives information on the sympathetic-parasympathetic autonomic balance. The aim of the study was to analyze sympathovagal balance after acute spinal cord injury (SCI), demonstrated by linear measures in time and frequency domain of HRV and to analyze the effect of corticosteroids on HRV parameters in SCI. The study included 40 tetraplegic patients with acute SCI and 40 healthy subjects as control group. In the SCI group, 29 patients received and 11 patients did not receive corticosteroid therapy. All patients underwent 24-hour Holter monitoring for evaluation of HRV. Cardiac autonomic balance was evaluated by analysis of HRV in time and frequency domain. Sympathovagal balance (LF/HF) was significantly reduced in the groups of acute SCI patients, both with and without corticosteroid therapy, as compared with controls. However, there was no statistically significant difference between the two SCI groups (1.74 (0524) with and 1.75 (0534) without corticosteroid therapy). This study showed the sympathovagal balance to be altered in the acute phase of cervical spinal cord trauma. Finally, there was no effect of corticosteroid therapy on HRV parameters in SCI patients.

journal_name

Acta Clin Croat

journal_title

Acta clinica Croatica

authors

Krstačić A,Krstačić G,Gamberger D

doi

10.20471/acc.2016.55.02.08

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

233-9

issue

2

eissn

0353-9466

issn

1333-9451

journal_volume

55

pub_type

杂志文章
  • Avoidance coping and lymphocyte count.

    abstract::Stress is the key psychological activator of the hypothalamic-pituitary-adrenal axis and therefore an important risk factor for diminished immunocompetence. The aim of the study was to assess the connection between the strategies of coping with stress and lymphocyte counts in soldiers. Coping strategies were evaluated...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Ozura A,Ihan A

    更新日期:2010-06-01 00:00:00

  • Uniportal Video-Assisted Thoracic Surgery for Pulmonary Hamartoma: Case Report.

    abstract::Pulmonary hamartoma is the most common benign tumor of the lung. It accounts for 77% of all benign lung tumors but less than 1% of all lung tumors. Malignant alteration is -extremely rare. Surgical removal is therapy of choice. Uniportal video-assisted thoracic surgery is an easy-to-learn variant of video-assisted tho...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2017.56.04.32

    authors: Djaković Ž,Janevski Z

    更新日期:2017-12-01 00:00:00

  • Presence of Intramyocardial Fat Tissue in the Right Atrium and Right Ventricle - Postmortem Human Analysis.

    abstract::Histologic and radiologic studies describe intramyocardial fat tissue as a normal finding or as part of cardiac pathology. The role of fat cells within the myocardium is not fully understood. The aim of this study was to assess fat tissue distribution in the myocardium of right atrium (RA) and right ventricle (RV) and...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2018.57.01.15

    authors: Selthofer-Relatić K,Belovari T,Bijelić N,Kibel A,Rajc J

    更新日期:2018-03-01 00:00:00

  • The prevalence of neurocranium injury in children in Brod-Posavina County.

    abstract::Head injuries are very common in children and are the most frequent cause of disability and death among children. This retrospective study included 350 children hospitalized for injury of neurocranium over a 5-year period at Dr Josip Bencević General Hospital in Slavonski Brod. Boys were more commonly injured (63.4%) ...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Mihić J,Rotim K,Marcikić M,Smiljanić D,Dikanović M,Jurjević M,Matić I

    更新日期:2012-12-01 00:00:00

  • PERIPHERAL NERVE INJURY IN SPORTS.

    abstract::- Peripheral nerve injuries in sports are rare. Peripheral nerve injuries in sports are caused by pressure, stretching, or bone fracture. Peripheral nerve injuries are more frequent on upper limbs, and the type of injury is determined by the type of sport. According to Seddon, we distinguish 3 levels of injury: 1) neu...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章,评审

    doi:10.20471/acc.2018.57.03.20

    authors: Radić B,Radić P,Duraković D

    更新日期:2018-09-01 00:00:00

  • Clinical aspects of posterior uveitis in ocular sarcoidosis.

    abstract::Two clinical forms of the "white spot" syndrome in patients with posterior uveitis in definitive and presumable ocular sarcoidosis were analyzed. Group 1 was characterized by periphlebitis and discrete white spots around the vein of the retina, so-called "candle-wax", whereas group 2 showed yellow-orange solitary nodu...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Jovanović SV,Jovanović ZD,Radotić FM,Srećković SB,Paunović SS,Stojanović JD

    更新日期:2012-06-01 00:00:00

  • Efficiency of radiofrequency assisted uvulopalatopharyngoplasty in the treatment of snoring.

    abstract::Snoring is an acoustic phenomenon, which is a consequence of vibrations of the soft tissue caused by partial obstruction of the upper breathing pathway while sleeping. It is estimated that 20% of men and 5% of women between 30 and 35 years of age snore and this rate increases to 50% of men and 30% of women over 60 yea...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Simunjak B,Slipac J,Krmpotić P,Dubravcić-Simunjak S

    更新日期:2011-09-01 00:00:00

  • Difficult airway management in a polytraumatized patient with osteogenesis imperfecta and multiple congenital spinal and thoracic deformities and severe kyphoscoliosis: case report.

    abstract::Airway management in a polytraumatized patient with severe spinal and thoracic deformities demands detailed investigation of anatomical characteristics of the head, neck and airways, as well as thoracic configuration, before attempting endotracheal intubation. This enables the physician to predict a difficult airway a...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Gvozdenović A,Novotny Z,Maldini B,Gavranović Z

    更新日期:2012-09-01 00:00:00

  • INADEQUACY OF VITAMIN K ANTAGONIST USE IN PATIENTS WITH ATRIAL FIBRILLATION - OVERVIEW OF EVERYDAY CLINICAL PRACTICE AT THE MERKUR UNIVERSITY HOSPITAL IN ZAGREB, CROATIA.

    abstract::Atrial fibrillation is the most common cardiac arrhythmia. It increases the risk of death and thromboembolic events. Vitamin K antagonists reduce these risks. Disadvantages of vitamin K antagonist therapy are narrow therapeutic range and interactions with drugs and food. In a single center prospective study, we enroll...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2019.58.04.22

    authors: Stipinović M,Letilović T,Počanić D,Aćamović Stipinović B,Kurtić E,Sertić Z,Jerkić H

    更新日期:2019-12-01 00:00:00

  • ROUTINELY AVAILABLE BIOMARKERS AS LONG-TERM PREDICTORS OF DEVELOPING SYSTOLIC DYSFUNCTION IN COMPLETELY REVASCULARIZED PATIENTS WITH ACUTE ST ELEVATION MYOCARDIAL INFARCTION.

    abstract::The aim of this study was to assess the efficacy of high-sensitivity C-reactive protein (hsCRP), cardiac troponin T (cTnT) and creatine kinase (CK) as long-term predictors of reduced systolic function in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary int...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2019.58.01.12

    authors: Zeljković I,Manola Š,Radeljić V,Delić Brkljačić D,Babacanli A,Pavlović N

    更新日期:2019-03-01 00:00:00

  • Nebivolol Induced Hyperkalemia: Case Report

    abstract::In this article, we document a conclusive case of nebivolol-induced hyperkalemia for the first time in the known medical literature. Hyperkalemia is associated with serious conditions such as cardiac arrhythmias and sudden cardiac death. Nebivolol was not known to cause hyperkalemia, and this event is not listed in it...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2016.55.04.20

    authors: Altabas K,Altabas V,Gulin T

    更新日期:2016-12-01 00:00:00

  • Parenchymal post-irradiation angiosarcoma: a case report.

    abstract::Secondary angiosarcoma is an aggressive tumor that can develop in breast cancer patients treated with conserving therapy and radiotherapy. The symptoms can be misleading, whereas mammography and fine-needle aspiration (FNA) are typically negative in early stage of the disease. A high grade of clinical suspicion is ver...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Soldić Z,Salopek D,Jazvić M,Radić J,Marić-Brozić J,Tomas D,Kirac P,Bolanca A,Kusić Z

    更新日期:2009-09-01 00:00:00

  • Peripheral facial weakness (Bell's palsy).

    abstract::Peripheral facial weakness is a facial nerve damage that results in muscle weakness on one side of the face. It may be idiopathic (Bell's palsy) or may have a detectable cause. Almost 80% of peripheral facial weakness cases are primary and the rest of them are secondary. The most frequent causes of secondary periphera...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章,评审

    doi:

    authors: Basić-Kes V,Dobrota VD,Cesarik M,Matovina LZ,Madzar Z,Zavoreo I,Demarin V

    更新日期:2013-06-01 00:00:00

  • Treatment of Periprosthetic Femoral Fractures after Total Hip Arthroplasty Vancouver Type B.

    abstract::The rate of periprosthetic femoral fractures following total hip replacement has been growing steadily in the last 20 years and ranges from 0.1% to 2.1%. These fractures are mostly related to older patients with the presence of chronic diseases and frequently poor bone quality. The treatment is surgically very complex...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2017.56.03.21

    authors: Bulatović N,Kezunović M,Vučetić Č,Abdić N,Benčić I,Čengić T

    更新日期:2017-09-01 00:00:00

  • Management of gallstone ileus with stone impacted in the ascending part of duodenum.

    abstract::Gallstone ileus with impaction of gallstone in distal duodenum is an extremely rare complication of cholecystolithiasis. Gallstone ileus in itself accounts for less than 1% of these complications with 800 cases described so far. However, there are less than 15 cases described with the impaction of gallstone in distal ...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Kirac I,Nikolić M,Kulis T,Kovacević D,Lovrencić-Prpić G,Kirac P

    更新日期:2010-09-01 00:00:00

  • Influence of Gap Shape on Biomechanical Properties of Extra-Articular Distal Humeral Fracture - A Finite Element Study

    abstract::The aim of the study was to assess the influence of gap shape on biomechanical results in extra-articular distal humeral fracture: with contact on the posterior part (by anterior gap) and contact on ulnar column (by radial gap). The goal was to examine if and to what extent did displacements decrease in comparison wit...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2016.55.03.05

    authors: Sabalić S,Maričić H,Tomičević Z,Kodvanj J

    更新日期:2016-09-01 00:00:00

  • EPIDURAL ANALGESIA IN MULTIPY INJURED PATIENTS WITH SEVERE CHEST TRAUMA: TWO CASE REPORTS AND LITERATURE REVIEW.

    abstract::Multiply injured patients with severe chest trauma have different combinations of associated extra thoracic injuries making their treatment complex. Severe pain is a prominent symptom in a vast majority of severe chest injuries and causes deterioration of respiratory function. Epidural analgesia provides efficient pai...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章,评审

    doi:10.20471/acc.2019.58.s1.18

    authors: Sulen N,Šimurina T,Karuc E,Tolić A

    更新日期:2019-06-01 00:00:00

  • Differential diagnosis and clinical relevance of pneumobilia or portal vein gas on abdominal x-ray.

    abstract::The purpose of the article is to present the differential diagnostic criteria between pneumobilia (air in the biliary system) and portal vein gas on abdominal x-ray. Differential diagnosis is essential because of its influence on patient management. Two patients are presented, one with pneumobilia and the other with p...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Rajković Z,Papes D,Altarac S,Arslani N

    更新日期:2013-09-01 00:00:00

  • Anxiety During Pregnancy and Postpartum: Course, Predictors and Comorbidity with Postpartum Depression.

    abstract::Previous findings on peripartum anxiety are inconsistent in respect to the prevalence and course of peripartum anxiety with comorbidity of depression. Our aim was threefold: (1) to examine the course of elevated anxiety during pregnancy, immediately after childbirth, and six weeks postpartum; (2) to establish comorbid...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2017.56.04.05

    authors: Nakić Radoš S,Tadinac M,Herman R

    更新日期:2018-03-01 00:00:00

  • Thyroid cancer incidence and mortality trends in Croatia 1988-2010.

    abstract::The aim of our study was to describe and interpret national trends in thyroid cancer in Croatian men and women during the 1988-2010 period, to better understand the incidence and mortality trends in comparison with other populations, and to determine the proportion of certain histologic subtypes of thyroid cancer and ...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Vučemilo L,Znaor T,Kuliš T,Šekerija M,Znaor A

    更新日期:2015-03-01 00:00:00

  • Hyperferritinemia in a kidney transplant recipient.

    abstract::The principal iron storage protein is ferritin, which is primarily present in cytoplasm. The most common cause of hyperferritinemia is iron overload, which is either primary or secondary. Hyperferritinemia is commonly found in patients with chronic kidney disease regardless of their hemoglobin level and is often consi...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Furić-Cunko V,Basić-Jukić N,Jurić I,Kes P

    更新日期:2011-06-01 00:00:00

  • The most common deviations in the development of hand motoricity in children from birth to one year of age.

    abstract::The early child development, from birth until the age of one year is, amongst other changes, characterized by intense motor learning. During that period, the voluntary learning patterns evolve from reflexive patterns to coordinated voluntary patterns. All of the child's voluntary movements present active forms in whic...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Matijević V,Secić A,Zivković TK,Borosak J,Kolak Z,Dimić Z

    更新日期:2013-09-01 00:00:00

  • EARLY VERSUS LATE PERCUTANEOUS TRACHEOTOMY IN CRITICALLY ILL PATIENTS: A RETROSPECTIVE SINGLE CENTER OBSERVATIONAL STUDY.

    abstract::Despite decades of experience in tracheotomy, there still exists a controversy over its ideal timing. The aim of our study was to compare the impact of early and late percutaneous tracheotomy in terms of their ability to reduce mechanical ventilation duration and length of stay in Intensive Care Unit, as well as the f...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Turković TM,Lukić A,Perić M

    更新日期:2016-03-01 00:00:00

  • Complete neurological recovery after surgery for mesencephalic cavernoma: case report.

    abstract::Cavernous malformations are classified as a group of vascular malformations of the central nervous system. Conservative treatment of brainstem cavernomas is accompanied with poor outcome. Surgery ofbrainstem cavernomas still poses a challenge due to the high risk of neurological damage and respectable morbidity. We re...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Rotim K,Sajko T,Škoro I,Zmajević-Schönwald M,Borić M

    更新日期:2014-12-01 00:00:00

  • Postoperative Pain Management after Carpal Tunnel Syndrome Surgical Treatment: Comparing Practice with Guidelines.

    abstract::The management of postoperative pain after carpal tunnel syndrome surgical treatment at a tertiary hospital was analyzed and compared with the guidelines for perioperative pain management. This retrospective study included 579 patients operated on for carpal tunnel syndrome at the Split University Hospital Center in S...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:10.20471/acc.2017.56.03.11

    authors: Utrobičić I,Utrobičić F,Prološčić I,Utrobičić T,Jerić M,Jeličić Kadić A,Puljak L

    更新日期:2017-09-01 00:00:00

  • The first seven years of implantation of permanent cardiac pacemakers in a small urban community in central Croatia.

    abstract::The aim of the study was to assess the situation with implantation of cardiac pacemakers and to critically evaluate the possibility of this method of treatment. The study was conducted from 2001 to 2007. Data on a total of 211 operations were included in the study. There were 121 (57.3%) male patients, mean age 69.7 y...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Horvat D

    更新日期:2008-12-01 00:00:00

  • SUCCESSFUL TREATMENT OF ACUTE DISSEMINATED ENCEPHALOMYELITIS (ADEM) BY PROMPT USAGE OF IMMUNOGLOBULINS - CASE REPORT AND REVIEW OF THE LITERATURE.

    abstract::Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system that usually affects children and young adults. It most commonly has a monophasic course, although relapses are reported. Clinical presentation of the disease includes encephalopathy and multifocal neurol...

    journal_title:Acta clinica Croatica

    pub_type:

    doi:10.20471/acc.2019.58.01.22

    authors: Repić-Buličić A,Filipović-Grčić P,Jadrijević E,Jurinović P,Titlić M

    更新日期:2019-03-01 00:00:00

  • The role of nm23 gene in colorectal carcinogenesis.

    abstract::The aim of this study was to investigate the correlation of immunohistochemical expression of nm23 gene in colorectal cancer cells with tumor stage according to Dukes, tumor differentiation, occurrence of distant metastases and patient survival. This retrospective study included 100 colorectal cancer patients who unde...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Tripković A,Tripković I,Tomić S,Kovacić A,Grandić L,Capkun V

    更新日期:2012-03-01 00:00:00

  • THE INCIDENCE OF JACKAL BITES AND INJURIES IN THE ZAGREB ANTI RABIES CLINIC DURING THE 1995-2014 PERIOD.

    abstract::Rabies is a zoonotic disease (a disease transmitted to humans from animals) that is caused by a virus. The disease affects domestic and wild animals, and is spread to people through close contact with infectious material, usually saliva, via bites or scratches. Rabies is present on all continents with the exception of...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章,评审

    doi:10.20471/acc.2016.55.01.20

    authors: Vodopija R,Racz A,Pahor Đ

    更新日期:2016-03-01 00:00:00

  • Surface changes of enamel and dentin after two different bleaching procedures.

    abstract::Bleaching agents have effect on chemical/physical and morphological structure of enamel and dentin that must be taken into account when this therapy is used. The aim of this in vitro study was to evaluate the effects of two bleaching agents containing a high concentration of hydrogen peroxide for professional use on h...

    journal_title:Acta clinica Croatica

    pub_type: 杂志文章

    doi:

    authors: Klarić E,Marcius M,Ristić M,Sever I,Prskalo K,Tarle Z

    更新日期:2013-12-01 00:00:00