Regulation of beta 2-adrenergic receptors on mononuclear leukocytes in patients with acute ischemic heart disease.

Abstract:

OBJECTIVE:To investigate relationships between acute adrenergic stress, plasma catecholamine concentrations, and beta 2-adrenergic receptors. DESIGN:Prospective, descriptive study. SETTING:Emergency medical service at a university hospital. PATIENTS:Twenty-seven patients with out-of-hospital cardiac arrest (n = 11), myocardial infarction (n = 6), and angina pectoris (n = 10), and 12 control subjects. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Mononuclear leukocyte beta 2-adrenergic receptor density and affinity were measured in patients 15 mins after successful cardiopulmonary resuscitation and after the diagnosis of myocardial infarction or angina pectoris, respectively, and were measured as well in control subjects. Plasma concentrations of catecholamines, glucose, and lactate were simultaneously measured with heart rate and blood pressure. After cardiac arrest, the density of beta 2-adrenergic receptors (1858 +/- 188 sites/cell [p < .01]), plasma epinephrine concentration (31,990 +/- 14,526 pg/mL [174.6 +/- 79.3 nmol/L] [p < .01]), heart rate (100 +/- 6 beats/min [p < .01]), glucose concentration (14.9 +/- 0.8 mmol/L [p < .01]), and lactate concentration (10.9 +/- 0.6 mmol/L [p < .01]) were increased in patients compared with those values in healthy controls. CONCLUSION:Acute maximal stress, such as after cardiac arrest, is associated with an increase in the density of beta 2-adrenergic receptors on mononuclear leukocytes derived from patients after successful cardiopulmonary resuscitation.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Prengel AW,Lindner KH,Anhäupl T,Trunk E,Georgieff M,Lurie KG

doi

10.1097/00003246-199704000-00015

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

646-51

issue

4

eissn

0090-3493

issn

1530-0293

journal_volume

25

pub_type

杂志文章
  • Mild or moderate hypothermia, but not increased oxygen breathing, increases long-term survival after uncontrolled hemorrhagic shock in rats.

    abstract:OBJECTIVE:To test the hypotheses that, for uncontrolled hemorrhagic shock (UHS) in rats, mild hypothermia, compared with normothermia, would increase long-term survival as well as moderate hypothermia, oxygen breathing would increase survival further, and hypothermia and oxygen would mitigate visceral ischemia (dysoxia...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200007000-00047

    authors: Takasu A,Stezoski SW,Stezoski J,Safar P,Tisherman SA

    更新日期:2000-07-01 00:00:00

  • Epidemiology, management, and outcome of severe acute renal failure of critical illness in Australia.

    abstract:OBJECTIVE:To study the epidemiology, style of management, and outcome of intensive care patients with acute renal failure requiring replacement therapy in Australia. DESIGN:Prospective epidemiologic study. SETTING:Australian adult intensive care units providing acute renal replacement therapy. PATIENTS:Adult intensi...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200110000-00010

    authors: Silvester W,Bellomo R,Cole L

    更新日期:2001-10-01 00:00:00

  • Mechanical ventilators optimized for pediatric use decrease work of breathing and oxygen consumption during pressure-support ventilation.

    abstract:OBJECTIVES:a) To investigate whether the patient work of breathing needed to trigger inspiration is affected by the type of ventilator delivering pressure-support ventilation for mechanically ventilated pediatric patients. b) To determine whether changes in oxygen consumption (VO2) trend with changes in work of breathi...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: el-Khatib MF,Chatburn RL,Potts DL,Blumer JL,Smith PG

    更新日期:1994-12-01 00:00:00

  • Cardiorespiratory function before and after chest physiotherapy in mechanically ventilated patients with post-traumatic respiratory failure.

    abstract::Chest physiotherapy (CPT) is used frequently in the ICU, but there is little available information that quantitates its effect on cardiac or respiratory function. Nineteen mechanically ventilated patients with post-traumatic respiratory failure were studied before, immediately after, and 2 h after CPT was used to mana...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198506000-00009

    authors: Mackenzie CF,Shin B

    更新日期:1985-06-01 00:00:00

  • Evidence based critical care medicine; what is it and what can it do for us? Evidence Based Medicine in Critical Care Group.

    abstract:OBJECTIVE:To describe the philosophy and approach to patient care called evidence based medicine, and to highlight how it can enhance the practice of intensive care. DATA SOURCES:We searched MEDLINE, reference lists, and our personal files to identify relevant literature. STUDY SELECTION:Articles on intensive care pr...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/00003246-199602000-00025

    authors: Cook DJ,Sibbald WJ,Vincent JL,Cerra FB

    更新日期:1996-02-01 00:00:00

  • Xanthine oxidase activity and free radical generation in patients with sepsis syndrome.

    abstract:OBJECTIVE:To determine xanthine oxidase activity, free radical concentrations, and lipid peroxidation in patients with sepsis syndrome compared with noninfected critically ill patients. DESIGN:A prospective observational study. SETTING:A nine-bed intensive care unit in a university teaching hospital trust. PATIENTS:...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199610000-00008

    authors: Galley HF,Davies MJ,Webster NR

    更新日期:1996-10-01 00:00:00

  • Protecting healthcare workers from pandemic influenza: N95 or surgical masks?

    abstract:OBJECTIVE:The successful management of an influenza pandemic will be reliant on the expertise of healthcare workers at high risk for occupationally acquired influenza. Recommended infection control measures for healthcare workers include surgical masks to protect against droplet-spread respiratory transmissible infecti...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/ccm.0b013e3181b9e8b3

    authors: Gralton J,McLaws ML

    更新日期:2010-02-01 00:00:00

  • Resistance to sodium nitroprusside in hypertensive patients.

    abstract::Eleven patients in hypertensive crisis were treated with iv sodium nitroprusside (SNP). In all cases, rapid clinical improvement was obtained. Nevertheless, 9 patients developed progressive resistance to the hypotensive effect of the drug. For the first 2 h, the mean infusion rate was 1.68 +/- 0.64 micrograms/kg . min...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198205000-00002

    authors: Rouby JJ,Gory G,Bourrelli B,Glaser P,Viars P

    更新日期:1982-05-01 00:00:00

  • Reactive hemophagocytic syndrome presenting as a component of multiple organ dysfunction syndrome.

    abstract:OBJECTIVE:To report two cases of severe reactive hemophagocytic syndrome (RHS), to discuss their impact, and to present evidence that RHS may be a constitutive part of multiple organ dysfunction syndrome (MODS). DESIGN:Case-report. SETTING:Pediatric intensive care unit (PICU). PATIENTS:Two patients with RHS and MODS...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200009000-00038

    authors: Gauvin F,Toledano B,Champagne J,Lacroix J

    更新日期:2000-09-01 00:00:00

  • Increased serum nitrite and nitrate concentrations in children with the sepsis syndrome.

    abstract:OBJECTIVES:To measure total serum nitrite and nitrate concentrations in children with the sepsis syndrome as an indicator of endogenous nitric oxide production. To determine if there is an association between total serum nitrite and nitrate concentrations and vascular responsiveness to norepinephrine. DESIGN:A prospec...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-199505000-00010

    authors: Wong HR,Carcillo JA,Burckart G,Shah N,Janosky JE

    更新日期:1995-05-01 00:00:00

  • Prone position delays the progression of ventilator-induced lung injury in rats: does lung strain distribution play a role?

    abstract:OBJECTIVE:To investigate if prone position delays the progression of experimental ventilator-induced lung injury, possibly due to a more homogeneous distribution of strain within lung parenchyma. DESIGN:Prospective, randomized, controlled trial. SETTING:Animal laboratory of a university hospital. SUBJECTS:Thirty-fiv...

    journal_title:Critical care medicine

    pub_type: 评论,杂志文章

    doi:10.1097/01.ccm.0000150660.45376.7c

    authors: Valenza F,Guglielmi M,Maffioletti M,Tedesco C,Maccagni P,Fossali T,Aletti G,Porro GA,Irace M,Carlesso E,Carboni N,Lazzerini M,Gattinoni L

    更新日期:2005-02-01 00:00:00

  • The efficacy of loop diuretics in acute renal failure: assessment using Bayesian evidence synthesis techniques.

    abstract:OBJECTIVE:To quantify the therapeutic efficacy of loop diuretics in acute renal failure using Bayesian evidence synthesis, because despite widespread use, the role of diuretics is controversial. DATA SOURCE:Randomized controlled trials or nonrandomized studies, 1966 to January 2007, identified from MEDLINE and EMBASE ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.ccm.0000284503.88148.6f

    authors: Sampath S,Moran JL,Graham PL,Rockliff S,Bersten AD,Abrams KR

    更新日期:2007-11-01 00:00:00

  • Nitrogen balance, protein loss, and the open abdomen.

    abstract:OBJECTIVE:Goal-directed nutritional support is essential to improving morbidity and mortality. Open abdominal decompression is similarly crucial to the successful treatment of intra-abdominal hypertension and abdominal compartment syndrome. The open abdomen, however, places the patient at risk for potentially significa...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000250390.49380.94

    authors: Cheatham ML,Safcsak K,Brzezinski SJ,Lube MW

    更新日期:2007-01-01 00:00:00

  • International study on microcirculatory shock occurrence in acutely ill patients.

    abstract:OBJECTIVES:Microcirculatory alterations are associated with adverse outcome in subsets of critically ill patients. The prevalence and significance of microcirculatory alterations in the general ICU population are unknown. We studied the prevalence of microcirculatory alterations in a heterogeneous ICU population and it...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000000553

    authors: Vellinga NA,Boerma EC,Koopmans M,Donati A,Dubin A,Shapiro NI,Pearse RM,Machado FR,Fries M,Akarsu-Ayazoglu T,Pranskunas A,Hollenberg S,Balestra G,van Iterson M,van der Voort PH,Sadaka F,Minto G,Aypar U,Hurtado FJ,Mar

    更新日期:2015-01-01 00:00:00

  • Reversible increase in maximal cortisol secretion rate in septic shock.

    abstract:OBJECTIVE:Cortisol clearance is reduced in sepsis and may contribute to the development of impaired adrenocortical function that is thought to contribute to the pathophysiology of critical illness-related corticosteroid insufficiency. We sought to assess adrenocortical function using computer-assisted numerical modelin...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000000721

    authors: Dorin RI,Qualls CR,Torpy DJ,Schrader RM,Urban FK 3rd

    更新日期:2015-03-01 00:00:00

  • Inotropic Effects of Experimental Hyperthermia and Hypothermia on Left Ventricular Function in Pigs-Comparison With Dobutamine.

    abstract:OBJECTIVES:The results from the recent Targeted Temperature Management trial raised the question whether cooling or merely the avoidance of fever mediates better neurologic outcome in resuscitated patients. As temperature per se is a major determinant of cardiac function, we characterized the effects of hyperthermia (4...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001358

    authors: Alogna A,Manninger M,Schwarzl M,Zirngast B,Steendijk P,Verderber J,Zweiker D,Maechler H,Pieske BM,Post H

    更新日期:2016-03-01 00:00:00

  • Early combination antibiotic therapy yields improved survival compared with monotherapy in septic shock: a propensity-matched analysis.

    abstract:BACKGROUND:Septic shock represents the major cause of infection-associated mortality in the intensive care unit. The possibility that combination antibiotic therapy of bacterial septic shock improves outcome is controversial. Current guidelines do not recommend combination therapy except for the express purpose of broa...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审

    doi:10.1097/CCM.0b013e3181eb3ccd

    authors: Kumar A,Zarychanski R,Light B,Parrillo J,Maki D,Simon D,Laporta D,Lapinsky S,Ellis P,Mirzanejad Y,Martinka G,Keenan S,Wood G,Arabi Y,Feinstein D,Kumar A,Dodek P,Kravetsky L,Doucette S,Cooperative Antimicrobial Thera

    更新日期:2010-09-01 00:00:00

  • Resuscitation with 7.5% NaCl in 6% dextran-70 during hemorrhagic shock in swine: effects on organ blood flow.

    abstract::We previously reported that small volume infusions of 7.5% NaCl in 6% dextran-70 (HSD) are superior to equal volumes of normal saline (NS) or 7.5% NaCl in the ability to resuscitate animals from an otherwise lethal hemorrhage. In the present experiment, we evaluated organ blood flow in unanesthetized swine bled 46 ml/...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-198712000-00009

    authors: Maningas PA

    更新日期:1987-12-01 00:00:00

  • Survival and functional outcome in pediatric traumatic brain injury: a retrospective review and analysis of predictive factors.

    abstract:OBJECTIVE:The aim of this study was to evaluate the relationship of patient care variables to survival and functional outcome in the pediatric population with traumatic brain injury. DESIGN:Retrospective chart review. SETTING:A 16-bed pediatric critical care unit in an academic community children's hospital. PATIENT...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200207000-00038

    authors: Hackbarth RM,Rzeszutko KM,Sturm G,Donders J,Kuldanek AS,Sanfilippo DJ

    更新日期:2002-07-01 00:00:00

  • Corticosteroid Therapy Benefits Septic Mice With Adrenal Insufficiency But Harms Septic Mice Without Adrenal Insufficiency.

    abstract:OBJECTIVES:Corticosteroid therapy is frequently used in septic patients given the rationale that there is an increased demand for corticosteroid in sepsis, and up to 60% of severe septic patients experience adrenal insufficiency. However, the efficacy of corticosteroid therapy and whether the therapy should be based on...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000001264

    authors: Ai J,Guo L,Zheng Z,Wang SX,Huang B,Li XA

    更新日期:2015-11-01 00:00:00

  • Mild hypothermia attenuates circulatory and pulmonary dysfunction during experimental endotoxemia.

    abstract:OBJECTIVE:We tested whether mild hypothermia impacts on circulatory and respiratory dysfunction during experimental endotoxemia. DESIGN:Randomized controlled prospective experimental study. SETTING:Large animal facility, Medical University of Graz, Austria. SUBJECTS:Thirteen anesthetized and mechanically ventilated ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31829791da

    authors: Schwarzl M,Seiler S,Wallner M,von Lewinski D,Huber S,Maechler H,Steendijk P,Zelzer S,Truschnig-Wilders M,Obermayer-Pietsch B,Lueger A,Pieske BM,Post H

    更新日期:2013-12-01 00:00:00

  • Anemia and hematoma volume in acute intracerebral hemorrhage.

    abstract:OBJECTIVE:Anemia increases risk of bleeding complications in the critically ill. In primary intracerebral hemorrhage (ICH), the most fatal type of stroke, outcome is largely dependent on the volume of hemorrhage into the brain. We investigated the relationship between anemia and clinical course of acute ICH. METHODS:S...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31819ced3a

    authors: Kumar MA,Rost NS,Snider RW,Chanderraj R,Greenberg SM,Smith EE,Rosand J

    更新日期:2009-04-01 00:00:00

  • Early cerebral perfusion pressure augmentation with phenylephrine after traumatic brain injury may be neuroprotective in a pediatric swine model.

    abstract:OBJECTIVE:Cerebral perfusion pressure<40 mm Hg following pediatric traumatic brain injury has been associated with increased mortality independent of age, and current guidelines recommend maintaining cerebral perfusion pressure between 40 mm Hg-60 mm Hg. Although adult traumatic brain injury studies have observed an in...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0b013e31825333e6

    authors: Friess SH,Smith C,Kilbaugh TJ,Frangos SG,Ralston J,Helfaer MA,Margulies SS

    更新日期:2012-08-01 00:00:00

  • Association of low serum 25-hydroxyvitamin D levels and mortality in the critically ill.

    abstract:OBJECTIVE:We hypothesized that deficiency in 25-hydroxyvitamin D before hospital admission would be associated with all-cause mortality in the critically ill. DESIGN:Multicenter observational study of patients treated in medical and surgical intensive care units. SETTING:A total of 209 medical and surgical intensive ...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e318206ccdf

    authors: Braun A,Chang D,Mahadevappa K,Gibbons FK,Liu Y,Giovannucci E,Christopher KB

    更新日期:2011-04-01 00:00:00

  • Staged Implementation of Awakening and Breathing, Coordination, Delirium Monitoring and Management, and Early Mobilization Bundle Improves Patient Outcomes and Reduces Hospital Costs.

    abstract:OBJECTIVES:To measure the impact of staged implementation of full versus partial ABCDE bundle on mechanical ventilation duration, ICU and hospital lengths of stay, and cost. DESIGN:Prospective cohort study. SETTING:Two medical ICUs within Montefiore Healthcare Center (Bronx, NY). PATIENTS:One thousand eight hundred ...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000003765

    authors: Hsieh SJ,Otusanya O,Gershengorn HB,Hope AA,Dayton C,Levi D,Garcia M,Prince D,Mills M,Fein D,Colman S,Gong MN

    更新日期:2019-07-01 00:00:00

  • Physicians' decision-making roles for an acutely unstable critically and terminally ill patient.

    abstract:OBJECTIVES:There is substantial variation in use of life sustaining technologies in patients near the end of life but little is known about variation in physicians' initial ICU admission and intubation decision making processes. Our objective is to describe variation in hospital-based physicians' communication behavior...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/CCM.0b013e318287f0dd

    authors: Uy J,White DB,Mohan D,Arnold RM,Barnato AE

    更新日期:2013-06-01 00:00:00

  • Nosocomial endocarditis in the intensive care unit: an analysis of 22 cases.

    abstract:OBJECTIVES:To review the intensive care unit experience of patients with admitted or acquired nosocomial endocarditis (NE) defined according to the Duke criteria. DESIGN:Prospective, cohort study. SETTING:University teaching hospital. PATIENTS:We reviewed the records of 22 patients documented with NE during a 6-yr p...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/00003246-200002000-00015

    authors: Gouëllo JP,Asfar P,Brenet O,Kouatchet A,Berthelot G,Alquier P

    更新日期:2000-02-01 00:00:00

  • Trajectory of Mortality and Health-Related Quality of Life Morbidity Following Community-Acquired Pediatric Septic Shock.

    abstract:OBJECTIVES:In-hospital pediatric sepsis mortality has decreased substantially, but long-term mortality and morbidity among children initially surviving sepsis, is unknown. Accordingly, the Life After Pediatric Sepsis Evaluation investigation was conducted to describe the trajectory of mortality and health-related quali...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004123

    authors: Zimmerman JJ,Banks R,Berg RA,Zuppa A,Newth CJ,Wessel D,Pollack MM,Meert KL,Hall MW,Quasney M,Sapru A,Carcillo JA,McQuillen PS,Mourani PM,Wong H,Chima RS,Holubkov R,Coleman W,Sorenson S,Varni JW,McGalliard J,Haal

    更新日期:2020-03-01 00:00:00

  • Frequency and Implications of Complications in the ICU After Status Epilepticus: No Calm After the Storm.

    abstract:OBJECTIVES:To investigate the frequency, types, and implications of complications during intensive care in patients after status epilepticus has been successfully terminated. DESIGN:Retrospective study. SETTING:ICUs at a Swiss tertiary academic medical care center. PATIENTS:Data were collected from the digital patie...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/CCM.0000000000004642

    authors: Baumann SM,Semmlack S,De Marchis GM,Hunziker S,Rüegg S,Marsch S,Sutter R

    更新日期:2020-12-01 00:00:00

  • Experience with percutaneous venoarterial cardiopulmonary bypass for emergency circulatory support.

    abstract:OBJECTIVE:Mechanical circulatory support can maintain vital organ perfusion in patients with cardiac failure unresponsive to standard pharmacologic treatment. The purpose of the current study was to report complication and survival rates in patients supported with emergency percutaneous venoarterial cardiopulmonary byp...

    journal_title:Critical care medicine

    pub_type: 杂志文章

    doi:10.1097/01.CCM.0000053522.55711.E3

    authors: Schwarz B,Mair P,Margreiter J,Pomaroli A,Hoermann C,Bonatti J,Lindner KH

    更新日期:2003-03-01 00:00:00