Plasma endothelin 1 and nitrate levels in Down s syndrome with complete atrioventricular septal defect associated pulmonary hypertension a comparison with non Down s syndrome children

dc.authorid113274en_US
dc.contributor.authorSungur, Metin
dc.contributor.authorÖcal, Burhan
dc.contributor.authorOğuz, Deniz
dc.contributor.authorKarademir, Selmin
dc.contributor.authorKarakurt, Cemşit
dc.contributor.authorŞenocak, Filiz
dc.date.accessioned2017-08-24T06:21:56Z
dc.date.available2017-08-24T06:21:56Z
dc.date.issued2009
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAbstract Children with Down’s syndrome (DS)-associated complete atrioventricular septal defect (AVSD) have rapid and aggressive development of pulmonary vascular disease when compared with non-Down’s syndrome (ND) children. We aimed to evaluate the role of plasma endothelin-1 (ET-1) and nitrate levels in DS children with complete AVSD-associated pulmonary hypertension (PH) and compare this to ND patients. The study included 20 patients (11 males, nine females) who had complete AVSD associated with PH. Comparisons were made between DS patients (n=12) aged 4 to 8 months (median 5 months) and ND patients (n=8) aged 4 to 12 months (median 7 months). Blood samples were drawn from the inferior vena cava, pulmonary artery, pulmonary vein, and aorta. The plasma ET-1 concentrations of the two groups were compared to the peripheral venous and arterial ET-1 levels, and pulmonary vein nitrate was compared to the peripheral arterial nitrate levels of ten healthy infants. The mean pulmonary artery (PA) pressure and pulmonary vascular resistance (Rp) were significantly higher in the DS group than ND patients, and the pulmonary blood flow (Qp) in ND patients was higher than DS patients. There were no differences between the two study groups in regard to plasma ET-1 and nitrate levels obtained from matched sampling sites. The plasma ET-1 and nitrate levels were significantly higher in both study groups compared to the control subjects. The plasma ET-1 and nitrate levels in DS patients with PH were not different when compared to those of ND patients.en_US
dc.identifier.citationSungur, M. Öcal, B. Oğuz, D. Karademir, S. Karakurt, C. Şenocak, F. (2009). Plasma endothelin 1 and nitrate levels in Down s syndrome with complete atrioventricular septal defect associated pulmonary hypertension a comparison with non Down s syndrome children. European Journal of Pediatrics. 168:593–597.en_US
dc.identifier.doi10.1007/s00431-008-0803-1en_US
dc.identifier.endpage597en_US
dc.identifier.issn0340-6199
dc.identifier.startpage593en_US
dc.identifier.urihttps://hdl.handle.net/11616/7701
dc.identifier.volume168en_US
dc.language.isoenen_US
dc.publisherEuropean Journal of Pediatricsen_US
dc.relation.ispartofEuropean Journal of Pediatricsen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDown’s syndromeen_US
dc.subjectEndothelin-1en_US
dc.subjectNitrateen_US
dc.subjectComplete atrioventricular septal defecten_US
dc.subjectPulmonary hypertensionen_US
dc.titlePlasma endothelin 1 and nitrate levels in Down s syndrome with complete atrioventricular septal defect associated pulmonary hypertension a comparison with non Down s syndrome childrenen_US
dc.typeArticleen_US

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