Factor Information
Data ID 3681
Factor nitric oxide (NO)
Description ADM and ET-1 levels in moderate or severe-PH groups were increased as compared with those in mild-PH group (both P<0.01), but NO level significantly declined (P <0.05).
Biomarker NA
Classification E2 (physiological factor - biochemical index)
Association
Application prognosis
Objective The changes of ADM, ET-l and NO levels before and after operation in CHD associated with PH were observed in Order to investigate their role in CHD with PH and their clinical significance.
p Value <0.05
Conclusion It was concluded that during the progression of PH in the cases of CHD, plasma ADM, ET-1 and NO might play an important role in the development of PH. The increased ADM may represent a compensatory mechanism. It can interact with NO and ET-1 to regulate pulmonary circulation in the pathophysiology of PH with CHD. ADM may be involved in the defence mechanism against further increase of pulmonary arterial pressure. ADM could be used as a reliable indicator of the severity of CHD associated PH.
Risk Factor unknown
CHD Type
ID 390
CHD Type isolated CHD
CHD Subtype VSD/ASD/PDA
Reference
PMID 14526432
Year 2003
Title Role of adrenomedullin in congenital heart disease associated with pulmonary hypertension.
Sample
Population Children
Source Plasma
Region Wuhan, China
Method radioimmunoassay and colorimetry methods.
Race Asian
Disease History pulmonary hypertension
Treatment History N/A
Group Moderate or severe-PH(pulmonary artery systolic pressure, PASP> 50 mmHg)(Treatment) Non-PH (pulmonary artery systolic pressure, PASP <30 mmHg)(Control)
Number 12 11
Age N/A N/A
Gender (Male: Female) N/A N/A
Marker Level 55.04±17.02 mmol/L 68.68±12.32 mmol/L