Serial determination of plasma catecholamines in myocardial infarction
Open accessAbstract
By the use of a precise and sensitive double-isotope derivative technic, plasma catecholamine concentration was measured at 2-hour intervals in 10 patients during the first 48 hours of myocardial infarction. Plasma catecholamine concentration was elevated in most patients, but to an extremely variable degree. In each patient, however, the values were rather stable during the study period. High levels of plasma catecholamines were correlated to the clinical state of the patients. Patients who received antiarrhythmic treatment on admission to the hospital had higher values than untreated patients. There was no temporal correlation between plasma catecholamine concentration and ventricular arrhythmias. In contrast to the plasma catecholamine level, the heterotopic ventricular activity declined spontaneously in the untreated patients within the study period. It is emphasized that the plasma catecholamine concentration in patients with acute myocardial infarction is considerably lower than the level necessary to produce arrhythmias in experimental myocardial infarction.
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These findings support the previous suggestion that the transient hypokalaemia observed during the acute phase of myocardial infarction may be the result of increased circulating catecholamines.
“These findings support our previous suggestion that the transient hypokalaemia observed during the acute phase of myocardial infarction may be the result of increased circulating catecholamines.4”
From Effect of intravenous adrenaline on electrocardiogram, blood pressure, and serum potassium. (1983) · cites this paper as [4]
The Abstract reports elevated plasma catecholamines in most patients during the first 48 hours of myocardial infarction. But the paper does not report transient hypokalaemia or suggest that catecholamines cause it; the Methods mention serum potassium only to note that it was normal in one patient. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn acute myocardial infarction, hypokalaemia cannot be attributed solely to diuretic therapy.
“We have found that in this circumstance hypokalaemia is transient, it resolves without potassium supplements, and it cannot be attributed solely to diuretic therapy.4”
From Effect of intravenous adrenaline on electrocardiogram, blood pressure, and serum potassium. (1983) · cites this paper as [4]
The Methods passage (page unavailable) says only that serum potassium was normal in one patient; it does not address hypokalaemia or its cause. A search for diuretic therapy, potassium supplementation, and transient hypokalaemia found no passage in our copy that supports the attributed claim. (LLM, conf=0.74)
Experimental — accuracy not yet measuredIn acute myocardial infarction, hypokalaemia resolves without potassium supplements.
“We have found that in this circumstance hypokalaemia is transient, it resolves without potassium supplements, and it cannot be attributed solely to diuretic therapy.4”
From Effect of intravenous adrenaline on electrocardiogram, blood pressure, and serum potassium. (1983) · cites this paper as [4]
The Methods passage mentions normal serum potassium in one patient, but does not describe hypokalaemia or its resolution. The paper discusses changes in ventricular arrhythmias, not potassium levels; searches for hypokalaemia, potassium supplements, and diuretic therapy found no passage supporting the attributed claim. (LLM, conf=0.76)
Experimental — accuracy not yet measuredIn acute myocardial infarction, hypokalaemia is transient.
“We have found that in this circumstance hypokalaemia is transient, it resolves without potassium supplements, and it cannot be attributed solely to diuretic therapy.4”
From Effect of intravenous adrenaline on electrocardiogram, blood pressure, and serum potassium. (1983) · cites this paper as [4]
The Methods passage (page not provided) mentions normal serum potassium in one patient, but does not describe hypokalaemia or its duration. The Discussion describes a spontaneous decline in ventricular arrhythmias, not potassium levels. Searches for hypokalaemia, potassium supplements, and diuretic therapy found no passage addressing the claim. (LLM, conf=0.76)
Experimental — accuracy not yet measuredIn acute myocardial infarction, hypokalaemia is not the result of haemodilution or increased urinary excretion of potassium.
“In addition, it is not the result either of haemodilution or of increased urinary excretion of potassium.”
From Effect of intravenous adrenaline on electrocardiogram, blood pressure, and serum potassium. (1983) · cites this paper as [4]
The Methods passage says electrolytes were measured, but the passages concerning urinary excretion discuss catecholamines, not potassium. A search for hypokalaemia, haemodilution, and urinary potassium excretion found no passage in our copy addressing whether those mechanisms explain hypokalaemia after myocardial infarction. Page numbers were not available. (LLM, conf=0.74)
Experimental — accuracy not yet measured
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Cited by
Sorted by citations
INITIAL METABOLIC AND HORMONAL RESPONSE TO ACUTE MYOCARDIAL INFARCTION
Vetter, N. J., Adams, W., Strange, R. C., & Oliver, M. F. (1974) · The Lancet · doi:10.1016/s0140-6736(74)92595-1 · Cited by 207 · see citing works
Effect of intravenous adrenaline on electrocardiogram, blood pressure, and serum potassium.
Struthers, A. D., Reid, J. L., Whitesmith, R., & Rodger, J. C. (1983) · Heart · doi:10.1136/hrt.49.1.90 · Cited by 135 · see citing works
- Authors
- VIDEBAEK, J., CHRISTENSEN, N. J., & STERNDORFF, B.
- Affiliations
- From the Department of Cardiology and the Second Clinic of Internal Medicine, Kommunehospitalet, Århus, Denmark.
- Aarhus Municipality (DK)
- Venue
- Circulation
- Published
- 1972-11
- Volume
- 46
- Issue
- 5
- Pages
- 846-855
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2054992237
- Cited by
- 108
- References
- 0
- Citations by year
- 2022: 1 · 2021: 1 · 2019: 2 · 2016: 1 · 2015: 1 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 8.16
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cardiac Ischemia and Reperfusion
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- plasma catecholamines, acute myocardial infarction, ventricular arrhythmias, antiarrhythmic therapy
- MeSH terms
- Acute Disease, Anti-Arrhythmia Agents, Blood Pressure, Epinephrine, Female, Heart Rate, Heart Ventricles, Humans, Male, Middle Aged, Myocardial Infarction, Norepinephrine, Tachycardia, Time Factors
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