Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion

Background: Transjugular intrahepatic portosystemic shunts (TIPS) have become a widely accepted tool in the treatment of patients with symptomatic portal hypertension. The aim of our study was to assess glycogen phosphorylase BB (GPBB) concentration in relation to echocardiographic and haemodynamic...

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Main Authors: Martina Vasatova, Radek Pudil, Tomas Buchler, Iva Karesova, Vaclav Safka, Tomas Fejfar, Petr Hulek
Format: Article
Language:English
Published: Palacký University Olomouc, Faculty of Medicine and Dentistry 2015-09-01
Series:Biomedical Papers
Subjects:
Online Access:https://biomed.papers.upol.cz/artkey/bio-201503-0017_Glycogen_phosphorylase_BB_levels_are_associated_with_haemodynamic_parameters_in_cirrhotic_patients_undergoing_t.php
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author Martina Vasatova
Radek Pudil
Tomas Buchler
Iva Karesova
Vaclav Safka
Tomas Fejfar
Petr Hulek
author_facet Martina Vasatova
Radek Pudil
Tomas Buchler
Iva Karesova
Vaclav Safka
Tomas Fejfar
Petr Hulek
author_sort Martina Vasatova
collection DOAJ
description Background: Transjugular intrahepatic portosystemic shunts (TIPS) have become a widely accepted tool in the treatment of patients with symptomatic portal hypertension. The aim of our study was to assess glycogen phosphorylase BB (GPBB) concentration in relation to echocardiographic and haemodynamic parameters in patients before and after TIPS insertion. Methods: The study population consisted of 55 patients (38 men and 17 women, age 55.6±8.9 years, range 37-74 years) with liver cirrhosis treated with transjugular portosystemic shunting. GPBB, echocardiographic, and haemodynamic parameters were measured before TIPS insertion and 24 h after the procedure. GPBB concentrations were assessed using the Cardiac Array for Evidence Investigator protein biochip. Correlation between parameters was assessed using the Spearman's coefficient. Results: Serum post-procedural GPBB concentrations were increased in comparison with baseline (5.58 vs. 2.67 μg/L, P<0.001). GPBB concentration after TIPS significantly correlated with baseline systemic vascular resistence (r=0.330; P=0.017) and cardiac index (r=0.313; P=0.025). Conclusion: GPBB concentration measurement may be a useful tool for monitoring myocardial ischemia during a TIPS procedure.
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spelling doaj.art-2425357abf224afa823b3fcadbbac14c2022-12-22T02:38:52ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212015-09-01159343744110.5507/bp.2014.020bio-201503-0017Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertionMartina Vasatova0Radek Pudil1Tomas Buchler2Iva Karesova3Vaclav Safka4Tomas Fejfar5Petr Hulek6Institute of Clinical Biochemistry and Diagnostics, University Hospital in Hradec Kralove, Czech Republic1st Department of Internal Medicine - Cardioangiology, University Hospital in Hradec Kralove and Faculty of Medicine in Hradec Kralove, Charles University in PragueDepartment of Oncology, 1st Faculty of Medicine, Charles University in Prague and Thomayer University Hospital, PragueInstitute of Clinical Biochemistry and Diagnostics, University Hospital in Hradec Kralove, Czech Republic2nd Department of Internal Medicine-Gastroenterology, University Hospital in Hradec Kralove and Faculty of Medicine in Hradec Kralove, Charles University in Prague2nd Department of Internal Medicine-Gastroenterology, University Hospital in Hradec Kralove and Faculty of Medicine in Hradec Kralove, Charles University in Prague2nd Department of Internal Medicine-Gastroenterology, University Hospital in Hradec Kralove and Faculty of Medicine in Hradec Kralove, Charles University in PragueBackground: Transjugular intrahepatic portosystemic shunts (TIPS) have become a widely accepted tool in the treatment of patients with symptomatic portal hypertension. The aim of our study was to assess glycogen phosphorylase BB (GPBB) concentration in relation to echocardiographic and haemodynamic parameters in patients before and after TIPS insertion. Methods: The study population consisted of 55 patients (38 men and 17 women, age 55.6±8.9 years, range 37-74 years) with liver cirrhosis treated with transjugular portosystemic shunting. GPBB, echocardiographic, and haemodynamic parameters were measured before TIPS insertion and 24 h after the procedure. GPBB concentrations were assessed using the Cardiac Array for Evidence Investigator protein biochip. Correlation between parameters was assessed using the Spearman's coefficient. Results: Serum post-procedural GPBB concentrations were increased in comparison with baseline (5.58 vs. 2.67 μg/L, P<0.001). GPBB concentration after TIPS significantly correlated with baseline systemic vascular resistence (r=0.330; P=0.017) and cardiac index (r=0.313; P=0.025). Conclusion: GPBB concentration measurement may be a useful tool for monitoring myocardial ischemia during a TIPS procedure.https://biomed.papers.upol.cz/artkey/bio-201503-0017_Glycogen_phosphorylase_BB_levels_are_associated_with_haemodynamic_parameters_in_cirrhotic_patients_undergoing_t.phpglycogen phosphorylase bbcardiac markercirrhosisbiochipportal hypertensiontips
spellingShingle Martina Vasatova
Radek Pudil
Tomas Buchler
Iva Karesova
Vaclav Safka
Tomas Fejfar
Petr Hulek
Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
Biomedical Papers
glycogen phosphorylase bb
cardiac marker
cirrhosis
biochip
portal hypertension
tips
title Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
title_full Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
title_fullStr Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
title_full_unstemmed Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
title_short Glycogen phosphorylase BB levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
title_sort glycogen phosphorylase bb levels are associated with haemodynamic parameters in cirrhotic patients undergoing transjugular intrahepatic portosystemic shunt insertion
topic glycogen phosphorylase bb
cardiac marker
cirrhosis
biochip
portal hypertension
tips
url https://biomed.papers.upol.cz/artkey/bio-201503-0017_Glycogen_phosphorylase_BB_levels_are_associated_with_haemodynamic_parameters_in_cirrhotic_patients_undergoing_t.php
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AT radekpudil glycogenphosphorylasebblevelsareassociatedwithhaemodynamicparametersincirrhoticpatientsundergoingtransjugularintrahepaticportosystemicshuntinsertion
AT tomasbuchler glycogenphosphorylasebblevelsareassociatedwithhaemodynamicparametersincirrhoticpatientsundergoingtransjugularintrahepaticportosystemicshuntinsertion
AT ivakaresova glycogenphosphorylasebblevelsareassociatedwithhaemodynamicparametersincirrhoticpatientsundergoingtransjugularintrahepaticportosystemicshuntinsertion
AT vaclavsafka glycogenphosphorylasebblevelsareassociatedwithhaemodynamicparametersincirrhoticpatientsundergoingtransjugularintrahepaticportosystemicshuntinsertion
AT tomasfejfar glycogenphosphorylasebblevelsareassociatedwithhaemodynamicparametersincirrhoticpatientsundergoingtransjugularintrahepaticportosystemicshuntinsertion
AT petrhulek glycogenphosphorylasebblevelsareassociatedwithhaemodynamicparametersincirrhoticpatientsundergoingtransjugularintrahepaticportosystemicshuntinsertion