The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome

Triglycerides (TG) may be involved in the pathogenesis of critical impairments. Objective: to study the relationship between the plasma concentration of TG, the outcome of the disease, and the markers of its severity in intensive care unit patients with early-stage acute respiratory distress syndrom...

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Main Authors: V. V. Kuzkov, E. V. Fot, A. A. Smetkin, S. A. Komarov, M. Yu. Kirov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2012-02-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/240
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author V. V. Kuzkov
E. V. Fot
A. A. Smetkin
S. A. Komarov
M. Yu. Kirov
author_facet V. V. Kuzkov
E. V. Fot
A. A. Smetkin
S. A. Komarov
M. Yu. Kirov
author_sort V. V. Kuzkov
collection DOAJ
description Triglycerides (TG) may be involved in the pathogenesis of critical impairments. Objective: to study the relationship between the plasma concentration of TG, the outcome of the disease, and the markers of its severity in intensive care unit patients with early-stage acute respiratory distress syndrome (ARDS). Subjects and methods. The prospective study included 18 patients with acute lung injury (ALI), who needed respiratory support. For further analysis, all the patients were divided into groups with TG < 1.00 mmol/l (TGlow; n=7) and >1.00 mmol/l (TGhigh; n=11). Results. A negative correlation was found between plasma TG concentration and oxygenation index (PaO2/FiO2). In the TG^jgh group, extravas-cular lung water index was significantly higher and cardiac index was lower than those in the TGlow group. Among the deceased patients, there was a 1.03 mmol/l reduction in TG concentration by day 4 of the study whereas in the survivors, TG concentration increased by an average of 0.15 mmol/l (p=0.02). Conclusion. In the patients with ALI, the plasma concentration of TG is related to oxygenation impairments and the degree of pulmonary edema, as well as with the outcome of the disease. Key words: triglycerides, acute lung injury, extravascular lung water index, pulmonary edema.
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spelling doaj.art-07b7372ea1a94d64afda664b7368c6b92023-03-13T09:32:51ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102012-02-018110.15360/1813-9779-2012-1-22240The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress SyndromeV. V. KuzkovE. V. FotA. A. SmetkinS. A. KomarovM. Yu. KirovTriglycerides (TG) may be involved in the pathogenesis of critical impairments. Objective: to study the relationship between the plasma concentration of TG, the outcome of the disease, and the markers of its severity in intensive care unit patients with early-stage acute respiratory distress syndrome (ARDS). Subjects and methods. The prospective study included 18 patients with acute lung injury (ALI), who needed respiratory support. For further analysis, all the patients were divided into groups with TG < 1.00 mmol/l (TGlow; n=7) and >1.00 mmol/l (TGhigh; n=11). Results. A negative correlation was found between plasma TG concentration and oxygenation index (PaO2/FiO2). In the TG^jgh group, extravas-cular lung water index was significantly higher and cardiac index was lower than those in the TGlow group. Among the deceased patients, there was a 1.03 mmol/l reduction in TG concentration by day 4 of the study whereas in the survivors, TG concentration increased by an average of 0.15 mmol/l (p=0.02). Conclusion. In the patients with ALI, the plasma concentration of TG is related to oxygenation impairments and the degree of pulmonary edema, as well as with the outcome of the disease. Key words: triglycerides, acute lung injury, extravascular lung water index, pulmonary edema.https://www.reanimatology.com/rmt/article/view/240
spellingShingle V. V. Kuzkov
E. V. Fot
A. A. Smetkin
S. A. Komarov
M. Yu. Kirov
The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome
Общая реаниматология
title The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome
title_full The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome
title_fullStr The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome
title_full_unstemmed The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome
title_short The Relationship between the Plasma Triglyceride Concentration and the Severity of Acute Respiratory Distress Syndrome
title_sort relationship between the plasma triglyceride concentration and the severity of acute respiratory distress syndrome
url https://www.reanimatology.com/rmt/article/view/240
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