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1Adrenomedullin in cirrhotic and non-cirrhotic portal hypertension显示文摘AIM:Adrenomedullin (ADM) is a potent vasodilator peptide.ADM and nitric oxide (NO) are produced in vascular endothelial cells. Increased ADM level has been linked to hyperdynamic circulation and arterial vasodilatation in cirrhotic portal hypertension (CPH). The role of ADM in non-cirrhotic portal hypertension (NCPH) is unknown, plasma ADM levels were studied in patients with NCPH, compensated and decompensated cirrhosis in order to determine its contribution to portal hypertension (PH) in these groups.METHODS: There were 4 groups of subjects. Group 1consisted of 27 patients (F/M: 12/15) with NCPH due to portal and/or splenic vein thrombosis (mean age: 41±12years), group 2 consisted of 14 patients (F/M: 6/8) with compensated (Child-Pugh A) cirrhosis (mean age: 46±4),group 3 consisted of 16 patients (F/M: 6/10) with decompensated (Child-Pugh C) cirrhosis (mean age: 47±12).Fourteen healthy subjects (F/M: 6/8) (mean age: 44±8) were used as controls in Group 4. ADM level was measured by ELISA. NO was determined as nitrite/nitrate level by chemoluminescence.RESULTS: Adl level in Group 11 (236±61.4 pg/mL) was significantly higher than that in group 2 (108.4±28.3 pg/mL)and group 4 (84.1±31.5 pg/mL) (both P<0.0001) but was lower than that in Group3 (324±93.7 pg/mL) (P=0.002). NO level in group 1 (27±1.4 μmol/L) was significantly higher than that in group 2 (19.8±2.8 μmol/L) and group 4 (16.9±1.6μmol/L) but was lower than that in Group 3 (39±3.6 μmol/L)(for all three P<0.0001). A strong correlation was observed between ADM and NO levels (r=0.827, P<0.0001).CONCLUSION: Adrenomedullin and NO levels were high in both non-cirrhotic and cirrhotic portal hypertension and were closely correlated, Adrenomedullin and NO levels increased proportionally with the severity of cirrhosis, and were significantly higher than those in patients with NCPH.Portal hypertension plays an important role in the increase of ADM and NO. Parenchymal damage in cirrhosis may contribute to the increase in these parameters.V Tahan E Avsar C Karaca E Uslu F Eren S Aydin H Uzun HO Hamzaoglu F Besisik C Kalayci A Okten N Tozun 2003World Journal of Gastroenterology2003,9,10:5
2The determinants of right ventricular function in patients with atrial septal defect显示文摘Gorgulu S Eren M Uslu N 2006Int J Cardiol2006,111,:1
3Longitudinal left ventricular systolic function is impaired in patients with coronary slow flow显示文摘Nurkalem Z Gorgulu S Uslu N 0,,:1
4Acute liver failure in children: 20-year experience显示文摘Baris Z Saltik TIN Uslu N 2012Turk J Gastroen terol2012,23,2:1
5Relationship between adipocytokines and cardiovascular risk factors in patients with type 2 diabetes mellitus显示文摘Uslu S Kebapci N Kara M 2012Exp Ther Med2012,4,1:1
6Longitudinal left ventricular systolic function is impaired in patients with coronary slow flow显示文摘Nurkalem Z Gorgulu S Uslu N 0,,01:1
7Longitudinal left ventrieular sys- tolic runetion is impaired in patients with corollary slow flow显示文摘Nurkalem Z Gorgulu S Uslu N 2009Int J Cardiovase Imaging2009,25,:1
8Resistance of Dasypyrum villosum to the cereal eyespot pathogens, Tapesia yallundae and Tapesia acuformis显示文摘USLU E MILLER T E REZANOOR N H 1998Euphytica1998,103,2:1
9Left ventricular diastolic function and endothelial function in patients with erectile dysfunction 显示文摘Uslu N Eren M Gorgulu S 2006Am J Cardiol2006,97,12:1
10Acute liver failure in children: 20-year experience 显示文摘Baris Z Saltik Temzel IN Uslu N 2012Turk J Gastroenterol2012,23,2:1
11Volume measurement by computed tomography in auxiliary heterotopic partial liver transplant recipients:follow-up results显示文摘Tarhan NC Uslu Tutar N Yolog ˇlu Z 2000Transplant Proc2000,32,3:1
12Predicting breast attenuation in patients undergoing myocardial perfusion scintigraphy:a digital x-ray study显示文摘Nurkalem Z Sahin S Uslu N 0,,:1
13查看详情显示文摘Makal U Uslu N Wynne K.J 0,,:1
14Resistance of Dasypyrum villosum to the cereal eyespot pathogens, Tapesia yaUundae and Tapesia acuformis 显示文摘Uslu E Miller T E Rezanoor N H 1998Euphytica1998,103,2:1
15Relation between aortic stiff-ness and left ventricular diastolic function in patients with hyperten-sion ,diabetes, or both显示文摘'Eren M Gorgulu S Uslu N 2004Heart2004,90,1:1
16Thyroid perox idase gene mutations causing congen ital hypothyroid ism in three Turkish families显示文摘Ozbek MN Uslu AB Onen li Mungan N 2009J Ped iatr Endocrinol Metab2009,22,11:1
17Longitudinal left ventricu-lar systolic function is impaired in patients with coronary slow flow显示文摘Nurkalem Z Gorgulu S Uslu N 0,,1:1
18Acne: prevalence, perceptions and effects on psychological health among adolescents in Aydin, Turkey显示文摘Uslu G Sendur N Uslu M 2008J Eur Acad Dermatol Venereol2008,22,4:1
19Double heterotopic pancreas and meckel 's diverticulum in a child:do they have a common origin? 显示文摘BAYSOY G BALAMTEKIN N USLU N 2010Turk J Pediatr2010,2,3:1
20Longitudinal left ventricular systolic function is impaired in patients with coronary slow flow显示文摘Nurkalem Z Gorgulu S Uslu N 2009Int J Cardiovasc Imaging2009,25,1:1
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