Abstract:
INTRODUCTION:Patients with classical congenital adrenal hyperplasia (CAH) have increased cardiovascular risk, but the vascular and cardiac function during longitudinal corticoids replacement therapy is not known thoroughly. MATERIAL AND METHODS:Cross-sectional study of 19 Caucasian adults with CAH (age 23.7 ± 3.8 years; twelve males) compared to 20 healthy volunteers matched for origin, sex, age, and body mass index (BMI). All of the participants were assessed for flow mediated dilatation of the brachial artery (FMD), intima-media thickness of the common carotid artery (cIMT) and common femoral artery (fIMT), standard echocardiography, and global longitudinal left ventricular function using two-dimensional speckle-tracking echocardiography (LSTE). RESULTS:The patients with CAH, compared with controls, had decreased FMD (9.4 ± 3.9 vs. 19.8 ± 5.2; p < 0.01), and the difference was still significant after correction for potential confounders. cIMT and fIMT were higher in the CAH group at baseline (for cIMT 0.47 ± 0.4 mm vs. 0.40 ± 0.03 mm; p < 0.01, for fIMT 0.47 ± 0.05 mm vs. 0.41 ± 0.04 mm; p < 0.01) but not after correction for potential confounders. The CAH subjects, compared with controls, had normal or similar left ventricular (LV) ejection fraction and LV mass index. The mean absolute value of LSTE differed in the CAH patients compared with controls (-20.5% ± 1.2 vs. -22.5% ± 1.7; p < 0.01), but it was still within the normal range. CONCLUSIONS:Young adults with CAH and glucocorticoid long-lasting treatment had impaired FMD, an insignificant increase of IMT, and subclinical changes in LV diastolic function in echocardiography.
journal_name
Endokrynol Poljournal_title
Endokrynologia Polskaauthors
Wierzbicka-Chmiel J,Chmiel A,Rychlik S,Ogrodowczyk-Bobik M,Marek B,Kajdaniuk Ddoi
10.5603/EP.a2017.0046subject
Has Abstractpub_date
2017-01-01 00:00:00pages
505-511issue
5eissn
0423-104Xissn
2299-8306pii
VM/OJS/J/49656journal_volume
68pub_type
杂志文章abstract::Neuroendocrine neoplasms of the large intestine account for 20% of all neuroendocrine neoplasms (NENs) and are most commonly found in the rectum. The rate of detection of colorectal NENs is increasing, and this tendency will continue due to the widespread use of colonoscopy as a screening tool and the removal of all d...
journal_title:Endokrynologia Polska
pub_type: 共识发展会议,杂志文章,实务指引
doi:10.5603/EP.2013.0032
更新日期:2013-01-01 00:00:00
abstract::The genetic risk of differentiated thyroid cancer (DTC) probably consists of multiple low-penetrance, single-nucleotide polymorphisms (SNP). Such markers are difficult to uncover by linkage analysis but can be revealed by association studies. Genome-wide association studies (GWASs) have uncovered 31 SNPs associated wi...
journal_title:Endokrynologia Polska
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journal_title:Endokrynologia Polska
pub_type: 杂志文章,评审
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journal_title:Endokrynologia Polska
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journal_title:Endokrynologia Polska
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
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journal_title:Endokrynologia Polska
pub_type: 杂志文章,评审
doi:
更新日期:2005-11-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:10.5603/EP.2016.0002
更新日期:2016-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
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journal_title:Endokrynologia Polska
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doi:10.5603/EP.a2018.0040
更新日期:2018-01-01 00:00:00
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journal_title:Endokrynologia Polska
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journal_title:Endokrynologia Polska
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journal_title:Endokrynologia Polska
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journal_title:Endokrynologia Polska
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更新日期:2011-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
doi:10.5603/EP.2014.0027
更新日期:2014-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章,评审
doi:
更新日期:2005-05-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章,评审
doi:
更新日期:2007-03-01 00:00:00
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journal_title:Endokrynologia Polska
pub_type: 杂志文章
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更新日期:2009-05-01 00:00:00