Incidentalomas Adrenais Não-Funcionantes: A Busca Por Alterações Cardíacas Subclínicas
| العنوان: | Incidentalomas Adrenais Não-Funcionantes: A Busca Por Alterações Cardíacas Subclínicas |
|---|---|
| المؤلفون: | José Luiz Barros Pena |
| المصدر: | Arquivos Brasileiros de Cardiologia Arquivos Brasileiros de Cardiologia, Volume: 111, Issue: 5, Pages: 664-665, Published: NOV 2018 Arquivos Brasileiros de Cardiologia, Vol 111, Iss 5, Pp 664-665 |
| بيانات النشر: | Sociedade Brasileira de Cardiologia, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Síndrome Metabólica, Estudos de Coortes, Diagnostic Imaging, Adenoma, Adult, Male, lcsh:Diseases of the circulatory (Cardiovascular) system, medicine.medical_specialty, Hydrocortisone, Adrenal Gland Neoplasm, Adrenal Gland Neoplasms, MEDLINE, Ventricular Septum, Doppler echocardiography, Cohort Studies, Text mining, Adrenocorticotropic Hormone, Cardiac Conduction System Disease, Achados Incidentais, Internal medicine, Diagnóstico por Imagem, Medical imaging, Humans, Medicine, Subclinical infection, Metabolic Syndrome, Incidental Findings, Hidrocortisone, medicine.diagnostic_test, business.industry, Hidrocortisona, Middle Aged, Atrial Function, medicine.disease, Echocardiography, Doppler, Cross-Sectional Studies, lcsh:RC666-701, Echocardiography Doppler, Echocardiography, Ecocardiografia Doppler, Cardiology, Female, Hypertrophy, Left Ventricular, Short Editorial, Metabolic syndrome, Cardiology and Cardiovascular Medicine, business, Cohort study |
| الوصف: | Majority of the incidentally discovered adrenal masses, called adrenal incidentaloma (AI), are nonfunctioning adrenal adenomas. The appropriate management of AI is still a matter debate, so it is necessary to investigate their associated morbidity. However, data regarding morphological and functional cardiac alterations are limited in this group.In this study, we aimed to assess cardiac structural and functional characteristics and atrial conduction properties in patients with nonfunctioning AI.Thirty patients with nonfunctioning AI and 46 properly matched control subjects were included in the study. After hormonal and biochemical analysis, all participants underwent transthoracic echocardiography to obtain systolic and diastolic parameters of both ventricles, in addition to atrial conduction times by tissue Doppler echocardiography. Data were analyzed with Statistical Package for the Social Sciences (SPSS, Chicago, IL, United States) statistics, version 17.0 for Windows. P0.05 was considered statistically significant.Left ventricular (LV) mass index and LV myocardial performance index were significantly increased in AI group. Among atrial conduction times, both intra- and interatrial electromechanical delays were significantly prolonged in patients with nonfunctioning AI. Other laboratory and echocardiographic findings were similar between groups.Our study revealed that intra- and inter-atrial conduction times were prolonged, and LV mass index was increased in patients with nonfunctioning AI. These findings may be markers of subclinical cardiac involvement and tendency to cardiovascular complications. Close follow-up is necessary for individuals with nonfunctioning AI for their increased cardiovascular risk. |
| وصف الملف: | text/html |
| تدمد: | 0066-782X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f9901841d4bb596215a722e1d7cd617fTest https://doi.org/10.5935/abc.20180234Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....f9901841d4bb596215a722e1d7cd617f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 0066782X |
|---|