1. Arteriojugular endothelin-1 gradients in aneurysmal subarachnoid haemorrhage
- Author
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Diana Day, Doris A. Chatfield, David K. Menon, Andrew J. Downie, Rhoda E. Kuc, and Anthony P. Davenport
- Subjects
Adult ,Male ,Time Factors ,Humans ,Vasospasm, Intracranial ,Medicine ,In patient ,cardiovascular diseases ,Aged ,Blood Specimen Collection ,Endothelin-1 ,business.industry ,Vasospasm ,Radioimmunoassay ,Arteries ,General Medicine ,Middle Aged ,Subarachnoid Hemorrhage ,medicine.disease ,Endothelin 1 ,nervous system diseases ,Anesthesia ,Jugular bulb ,cardiovascular system ,Endovascular interventions ,Female ,Subarachnoid haemorrhage ,Jugular Veins ,business ,Endothelin receptor - Abstract
Plasma endothelin (ET) is elevated in patients with vasospasm following subarachnoid haemorrhage (SAH). However, systemic levels provide no indication regarding local production in the brain, and late elevation may be a consequence rather than a cause of vasospasm. We measured arteriojugular (AJ) gradients of ET-1 in 17 patients over the first week after SAH, and related these to the subsequent development of vasospasm. Daily, paired arterial and jugular bulb blood samples were obtained up to seven days post SAH, and assayed for ET-1 using radioimmunoassay. Systemic levels and AJ gradients were compared in patients with and without vasospasm. Significant AJ gradients were observed for ET-1 (P
- Published
- 2002