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Prognostic Value of the Stress Response Following Stroke
Abstract
The systemic metabolic response following intracranial vascular damage was measured in 65 consecutively seen patients (56 with cerebral infarction and nine with subarachnoid hemorrhage). Significantly (P less than .01) greater mortality and eventual disability occurred in patients excreting more than 200 microgram of urinary norepinephrine and epinephrine daily early in their acute illness. These patients also had significantly (P less than .001) elevated plasma cortisol levels; this measurement may prove useful in predicting prognosis after stroke. Cardiac abnormalities resulting from the elevated catecholamine levels may contribute to the excess mortality in those patients with an intense stress response.
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Citations
Cited by
Glucocorticoids Potentiate Ischemic Injury to Neurons: Therapeutic Implications
Sapolsky, R. M., & Pulsinelli, W. A. (1985) · Science · doi:10.1126/science.4035356 · Cited by 676
Pulsinelli, W. A., Levy, D. E., Sigsbee, B., Scherer, P., & Plum, F. (1983) · The American Journal of Medicine · doi:10.1016/0002-9343(83)91007-0 · Cited by 623
Acute blood glucose level and outcome from ischemic stroke
Bruno, A., Biller, J., Adams, H. P., Clarke, W. R., Woolson, R. F., Williams, L. S., & Hansen, M. D. (1999) · Neurology · doi:10.1212/wnl.52.2.280 · Cited by 451
Hyperglycemia in acute ischemic stroke: pathophysiology and clinical management
Kruyt, N. D., Biessels, G. J., DeVries, J. H., & Roos, Y. B. (2010) · Nature Reviews Neurology · doi:10.1038/nrneurol.2009.231 · Cited by 386
2006 Curt P. Richter award winner
DeVries, A. C., Craft, T. K. S., Glasper, E. R., Neigh, G. N., & Alexander, J. K. (2007) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2007.04.007 · Cited by 153
Metadata
- Authors
- Feibel, J. H.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1977-09-26
- Volume
- 238
- Issue
- 13
- Pages
- 1374
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4251857233
- Cited by
- 192
- References
- 0
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
