The Effects of Growth Hormone Therapy on Echocardiographic Parameters in Growth Hormone Deficient (GDH) Patients
Journal Title: Turkish Journal of Endocrinology and Metabolism - Year 1998, Vol 2, Issue 3
Abstract
Ideas about hormone replacement therapy in hypopituitarism have changed since the discovery of increased atheroscferotic process caused by growth hormone (GH) deficiency.The aim of this study is to see the effect of GH therapy on cardiac functions and metabolic parameters. 18 growth hormone deficient (GHD) patients were enrolled for this prospective study. Echocardiographic studies were performed and blood samples were obtained before and after 3 months of 0.25 U/kg/week GH therapy adjacent to conventional replacement therapy. No change was seen in serum total choiesterol, triglyceride, HDL-cholesterol, LDL cholesterol, apolipoprotein A1, apolipoprotein B, fasting and post-prandial plasma glucose values after the GH therapy. The only echographic parameter that changed significantly was the deceleration time (dec T) which by itself was not meaningful. This study demonstrates that GH therapy does not have any effect on cardiac functions or metabolic parameters which are risk factors for atherosclerosis. Longer treatment periods are planned for confirmation.
Authors and Affiliations
Füsun Hamulu, Fırat Bayraktar, Ahmet Özgen, Cahide Soydaş, Filiz Özerkan, Candeğer Yılmaz
Türk Diyabetik Hastalarda Yaşam Kalitesinin Değerlendirilmesi
Amaç: Tip 1 ve Tip 2 diabetes mellitus olan hastalarda, diyabetin yaşam kalitesi üzerine etkisinin araştırılması amaçlandı. Gereç ve Yöntem: Çalışmaya 1500 diyabetik (1150 Tip 2 diabetes mellitus, 350 Tip 1 diabetes me...
A Case of Metastatic Follicular Thyroid Carcinoma as a Cause of Thyrotoxicosis
A fifty-eight- year old woman with a history of subtotal thyroidectomy 20 years before was admitted to the hospital because of back ache. Chest computed tomography revealed a mass lesion destroying the ribs and multiple...
Prevalence of Silent Myocardial Ischemia in Patients with Type 2 Diabetes Mellitus and Related Factors
The aim of the study was to determine the prevalence of silent myocardial ischemia in type 2 diabetic patients without any clinical and/or laboratory findings of myocardial ischemia and to examine the related factors for...
Concurrent Metastatic Paraganglioma and Follicular Thyroid Carcinoma
Paragangliomas are rarely malignant tumors, and they most commonly accompany medullary thyroid tumors as a part of multiple endocrine neoplasia (MEN) syndro-mes. Rare cases of paraganglioma with papillary thyroid carcino...
Adolesanlarda Büyüme Hormonu Stimülasyon Testlerinin Tanısal Değerlerinin Karşılaştırılması
Amaç: Büyüme hormonu eksikliği tanısı büyüme hormonu stimülasyon testleri ile konulmakta olup bu amaçla birçok farmakolojik ajan kullanılmaktadır. Altın standart test olmadığından genellikle iki test uygulanmaktadır. Biz...