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Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test
The mechanisms by which hypoglycemia increases cardiovascular mortality remain unclear. The aim of the study is to investigate changes in serum electrolytes, norepinephrine concentrations, electrocardiography, and baroreflex sensitivity (BRS) and associations between corrected QT (QTc) intervals and...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076964/ https://www.ncbi.nlm.nih.gov/pubmed/30105256 http://dx.doi.org/10.1155/2018/8692078 |
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author | Kim, Sungsu Kwak, Choong Hwan Jung, Jaehoon Baek, Jong Ha Jung, Jung Hwa Park, Ki-Jong Kim, Kyongyoung Kim, Soo Kyoung Kang, Dawon Hahm, Jong Ryeal |
author_facet | Kim, Sungsu Kwak, Choong Hwan Jung, Jaehoon Baek, Jong Ha Jung, Jung Hwa Park, Ki-Jong Kim, Kyongyoung Kim, Soo Kyoung Kang, Dawon Hahm, Jong Ryeal |
author_sort | Kim, Sungsu |
collection | PubMed |
description | The mechanisms by which hypoglycemia increases cardiovascular mortality remain unclear. The aim of the study is to investigate changes in serum electrolytes, norepinephrine concentrations, electrocardiography, and baroreflex sensitivity (BRS) and associations between corrected QT (QTc) intervals and the changes in serum electrolytes during combined pituitary stimulation test (CPST). We recruited the subjects who were admitted to the Gyeongsang National University Hospital to undergo CPST between September 2013 and December 2014. Participants were 12 patients suspected of having hypopituitarism. Among 12 patients, cardiac arrhythmia in two patients occurred during hypoglycemia. There were significant differences in serum levels of potassium (P < 0.001), sodium (P = 0.003), chloride (P = 0.002), and calcium (P = 0.017) at baseline, hypoglycemia, and 30 and 120 minutes after hypoglycemia. Also, there was a significant increase in heart rate (P = 0.004), corrected QT (QTc) interval (P = 0.008), QRS duration (P = 0.021), and BRS (P = 0.005) at hypoglycemia, compared to other time points during CPST. There was a positive association between QTc intervals and serum sodium levels (P < 0.001) in 10 patients who did not develop arrhythmia during CPST. This study showed that there were significant changes in serum levels of potassium, sodium, chloride, and calcium, as well as heart rate, QTc interval, QRSd, and BRS during CPST. It was revealed that QTc intervals had a significant association with concentrations of sodium. |
format | Online Article Text |
id | pubmed-6076964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-60769642018-08-13 Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test Kim, Sungsu Kwak, Choong Hwan Jung, Jaehoon Baek, Jong Ha Jung, Jung Hwa Park, Ki-Jong Kim, Kyongyoung Kim, Soo Kyoung Kang, Dawon Hahm, Jong Ryeal Biomed Res Int Research Article The mechanisms by which hypoglycemia increases cardiovascular mortality remain unclear. The aim of the study is to investigate changes in serum electrolytes, norepinephrine concentrations, electrocardiography, and baroreflex sensitivity (BRS) and associations between corrected QT (QTc) intervals and the changes in serum electrolytes during combined pituitary stimulation test (CPST). We recruited the subjects who were admitted to the Gyeongsang National University Hospital to undergo CPST between September 2013 and December 2014. Participants were 12 patients suspected of having hypopituitarism. Among 12 patients, cardiac arrhythmia in two patients occurred during hypoglycemia. There were significant differences in serum levels of potassium (P < 0.001), sodium (P = 0.003), chloride (P = 0.002), and calcium (P = 0.017) at baseline, hypoglycemia, and 30 and 120 minutes after hypoglycemia. Also, there was a significant increase in heart rate (P = 0.004), corrected QT (QTc) interval (P = 0.008), QRS duration (P = 0.021), and BRS (P = 0.005) at hypoglycemia, compared to other time points during CPST. There was a positive association between QTc intervals and serum sodium levels (P < 0.001) in 10 patients who did not develop arrhythmia during CPST. This study showed that there were significant changes in serum levels of potassium, sodium, chloride, and calcium, as well as heart rate, QTc interval, QRSd, and BRS during CPST. It was revealed that QTc intervals had a significant association with concentrations of sodium. Hindawi 2018-05-09 /pmc/articles/PMC6076964/ /pubmed/30105256 http://dx.doi.org/10.1155/2018/8692078 Text en Copyright © 2018 Sungsu Kim et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kim, Sungsu Kwak, Choong Hwan Jung, Jaehoon Baek, Jong Ha Jung, Jung Hwa Park, Ki-Jong Kim, Kyongyoung Kim, Soo Kyoung Kang, Dawon Hahm, Jong Ryeal Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test |
title | Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test |
title_full | Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test |
title_fullStr | Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test |
title_full_unstemmed | Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test |
title_short | Changes in Serum Electrolytes, ECG, and Baroreflex Sensitivity during Combined Pituitary Stimulation Test |
title_sort | changes in serum electrolytes, ecg, and baroreflex sensitivity during combined pituitary stimulation test |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076964/ https://www.ncbi.nlm.nih.gov/pubmed/30105256 http://dx.doi.org/10.1155/2018/8692078 |
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