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Title of Journal: Pituitary

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Abbravation: Pituitary

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Springer US

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DOI

10.1007/978-3-642-35795-4_30

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1573-7403

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Low frequency of cardniac arrhythmias and lack of

Authors: Leila Warszawski Leandro Kasuki Rodrigo Sá Cintia Marques dos Santos Silva Isabela Volschan Ilan Gottlieb Roberto Coury Pedrosa Mônica R Gadelha
Publish Date: 2016/09/03
Volume: 19, Issue: 6, Pages: 582-589
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Abstract

The incidence of arrhythmias may be increased in acromegaly but the pathophysiologic mechanisms involved are still unclear and it has never been correlated with structural heart changes analyzed by the goldstandard method cardiac magnetic resonance CMRThirtysix patients were studied at baseline and 28 were reevaluated after 1 year of SA treatment There were 13 females and median age was 48 years 20–73 years Nine patients 32  were controlled after treatment No sustained arrhythmias were reported in the 24h Holter No arrhythmiarelated symptoms were observed Only two patients presented left ventricular hypertrophy and three patients presented fibrosis at baseline There was no correlation of the left ventricular mass with the number of episodes of arrhythmias and they were not more prevalent in the patients presenting cardiac fibrosisWe found no sustained arrhythmias and a lack of arrhythmiarelated symptoms at baseline and after 1 year of SA treatment in a contemporary cohort of acromegaly patients that also present a low frequency of structural heart changes indicating that these patients may have a lower frequency of heart disease than previously reported


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  1. IGF-I assays: current assay methodologies and their limitations
  2. Erratum to: An endoscopic modification of the simultaneous ‘above and below’ approach to large pituitary adenomas
  3. Somatostatin receptor ligands in the treatment of acromegaly
  4. Incidence of Cushing’s syndrome and Cushing’s disease in commercially-insured patients <65 years old in the United States
  5. Primary hypothyroidism presenting as pseudoacromegaly
  6. Sellar meningiomas: an endocrinologic perspective
  7. Pituitary tumor apoplexy in patients with Cushing’s disease: endocrinologic and visual outcomes after transsphenoidal surgery
  8. A comparison of cabergoline and bromocriptine on the risk of valvular heart disease in patients with prolactinomas
  9. Sellar and clival plasmacytomas: case series of 5 patients with systematic review of 65 published cases
  10. Analysis of GNAS mutations in 60 growth hormone secreting pituitary tumors: correlation with clinical and pathological characteristics and surgical outcome based on highly sensitive GH and IGF-I criteria for remission
  11. Sellar plasmacytomas: a concise review
  12. Increased clinical symptoms of acromegalic arthropathy in patients with long-term disease control: a prospective follow-up study
  13. Two cases of Kallmann syndrome associated with empty sella
  14. Multiple head and neck tumors following treatment for craniopharyngioma
  15. Modulation of VEGF/Flk-1 receptor expression in the rat pituitary GH3 cell line by growth factors
  16. Acromegalic gigantism, physicians and body snatching. Past or present?
  17. Effectiveness of self- or partner-administration of an extended-release aqueous-gel formulation of lanreotide in lanreotide-naïve patients with acromegaly
  18. Adipsic diabetes insipidus in adult patients
  19. Pituitary gland and β-catenin signaling: from ontogeny to oncogenesis
  20. Differential diagnosis of ACTH-dependent hypercortisolism: imaging versus laboratory
  21. A novel variation in the AVP gene resulting in familial neurohypophyseal diabetes insipidus in a large Italian kindred

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