Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report

Background: Cardiopulmonary bypass in cardiac surgery produces systemic inflammatory response and catabolic state. Severe stress frequently causes abnormalities in thyroid hormones in the absence of primary thyroid disease, defined as sick euthyroid syndrome (SES).Materials and methods: Supplementat...

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Main Authors: Georgi J. Stoitsev, Veselin Gavrilov, Georgi Manchev, Boyan Markov, Valya Goranovska, Boris Tsankov, Vassil Gegouskov
Format: Article
Language:English
Published: Pensoft Publishers 2019-12-01
Series:Folia Medica
Subjects:
Online Access:https://foliamedica.bg/article/47962/download/pdf/
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author Georgi J. Stoitsev
Veselin Gavrilov
Georgi Manchev
Boyan Markov
Valya Goranovska
Boris Tsankov
Vassil Gegouskov
author_facet Georgi J. Stoitsev
Veselin Gavrilov
Georgi Manchev
Boyan Markov
Valya Goranovska
Boris Tsankov
Vassil Gegouskov
author_sort Georgi J. Stoitsev
collection DOAJ
description Background: Cardiopulmonary bypass in cardiac surgery produces systemic inflammatory response and catabolic state. Severe stress frequently causes abnormalities in thyroid hormones in the absence of primary thyroid disease, defined as sick euthyroid syndrome (SES).Materials and methods: Supplementation therapy with thyroid and anabolic hormones in combination with an adequate nutritional support has been used to improve outcome in critically ill patient after cardiac surgery.Results: Administration of thyroid and anabolic hormones significantly improved patient’s condition.Conclusions: Supplementation therapy with thyroid and anabolic hormones in combination with an adequate nutritional support could be used to improve hemodynamics, achieve transition to anabolic metabolism and enhance recovery, which could eventually help for a reduction in post-operative morbidity and mortality.
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spelling doaj.art-f20bebdb15f34980909874945159bc3e2022-12-22T03:06:05ZengPensoft PublishersFolia Medica0204-80431314-21432019-12-0161465065410.3897/folmed.61.e4796247962Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case ReportGeorgi J. Stoitsev0Veselin Gavrilov1Georgi Manchev2Boyan Markov3Valya Goranovska4Boris Tsankov5Vassil Gegouskov6St Anna University HospitalMedical University - SofiaSt Anna University HospitalSt Anna University HospitalSt Anna University HospitalMedical University - PlevenSt Anna University HospitalBackground: Cardiopulmonary bypass in cardiac surgery produces systemic inflammatory response and catabolic state. Severe stress frequently causes abnormalities in thyroid hormones in the absence of primary thyroid disease, defined as sick euthyroid syndrome (SES).Materials and methods: Supplementation therapy with thyroid and anabolic hormones in combination with an adequate nutritional support has been used to improve outcome in critically ill patient after cardiac surgery.Results: Administration of thyroid and anabolic hormones significantly improved patient’s condition.Conclusions: Supplementation therapy with thyroid and anabolic hormones in combination with an adequate nutritional support could be used to improve hemodynamics, achieve transition to anabolic metabolism and enhance recovery, which could eventually help for a reduction in post-operative morbidity and mortality.https://foliamedica.bg/article/47962/download/pdf/anabolic metabolismcardiac surgeryL-thyroxine
spellingShingle Georgi J. Stoitsev
Veselin Gavrilov
Georgi Manchev
Boyan Markov
Valya Goranovska
Boris Tsankov
Vassil Gegouskov
Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report
Folia Medica
anabolic metabolism
cardiac surgery
L-thyroxine
title Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report
title_full Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report
title_fullStr Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report
title_full_unstemmed Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report
title_short Therapy with L-thyroxine and Omnadren after Cardiac Surgery. A Case Report
title_sort therapy with l thyroxine and omnadren after cardiac surgery a case report
topic anabolic metabolism
cardiac surgery
L-thyroxine
url https://foliamedica.bg/article/47962/download/pdf/
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