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10.1097/MAJ.0b013e3181e5945b http://scihub22266oqcxt.onion/10.1097/MAJ.0b013e3181e5945b 20610973!ä!20610973 Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=20610973&cmd=llinks): Failed to open stream: HTTP request failed! 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A dyshomeostasis of electrolytes and trace elements in acute stressor states: impact on the heart |pdf=|usr=}}{{20610973}} gab.com Text A dyshomeostasis of electrolytes and trace elements in acute stressor states: impact on the heart JO: Am J Med Sci http://www.kidney.de/pget.php?&tw=1&pmid=20610973 #FOAvip Acute stressor states are associated with a homeostatic activation of the hypothalamic-pituitary-adrenal axis. A hyperadrenergic state follows and leads to a dyshomeostasis of several intra- and extracellular cations, including K, Mg, and Ca. Prolongation of myocardial repolarization and corrected QT interval (QTc) of the ECG are useful biomarkers of hypokalemia and/or hypomagnesemia and should be monitored to address the adequacy of cation replacement. A dyshomeostasis of several trace elements, including Zn and Se, are also found in critically-ill patients to compromise metalloenzyme-based antioxidant defenses. Collectively, dyshomeostasis of these electrolytes and trace elements have deleterious consequences on the myocardium: atrial and ventricular arrhythmias; induction of oxidative stress with reduced antioxidant defenses; and adverse myocardial remodeling, including cardiomyocytes lost to necrosis and replaced by fibrous tissue. To minimize such consequences during hyperadrenergic states, systematic surveillance of electrolytes and trace elements, together with QTc, are warranted. Plasma K and Mg should be maintained at > or =4.0 mEq/L and > or =2.0 mg/dL, respectively (the 4 and 2 rule). Twit Text FOAVip A dyshomeostasis of electrolytes and trace elements in acute stressor states: impact on the heart ????Am J Med Sci http://www.kidney.de/pget.php?&tw=1&pmid=20610973 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=20610973 #FOAvip English Wikipedia <ref>{{Cite pmid|20610973}}</ref> A dyshomeostasis of electrolytes and trace elements in acute stressor states: impact on the heart #MMPMID20610973 Whitted AD; Stanifer JW; Dube P; Borkowski BJ; Yusuf J; Komolafe BO; Davis RC Jr; Soberman JE; Weber KT Am J Med Sci 2010[Jul]; 340 (1): 48-53 PMID20610973show ga Acute stressor states are associated with a homeostatic activation of the hypothalamic-pituitary-adrenal axis. A hyperadrenergic state follows and leads to a dyshomeostasis of several intra- and extracellular cations, including K, Mg, and Ca. Prolongation of myocardial repolarization and corrected QT interval (QTc) of the ECG are useful biomarkers of hypokalemia and/or hypomagnesemia and should be monitored to address the adequacy of cation replacement. A dyshomeostasis of several trace elements, including Zn and Se, are also found in critically-ill patients to compromise metalloenzyme-based antioxidant defenses. Collectively, dyshomeostasis of these electrolytes and trace elements have deleterious consequences on the myocardium: atrial and ventricular arrhythmias; induction of oxidative stress with reduced antioxidant defenses; and adverse myocardial remodeling, including cardiomyocytes lost to necrosis and replaced by fibrous tissue. To minimize such consequences during hyperadrenergic states, systematic surveillance of electrolytes and trace elements, together with QTc, are warranted. Plasma K and Mg should be maintained at > or =4.0 mEq/L and > or =2.0 mg/dL, respectively (the 4 and 2 rule). |*Homeostasis[MESH] |Biomarkers[MESH] |Electrolytes/*blood[MESH] |Heart Diseases/*blood[MESH] |Humans[MESH] |Hypocalcemia/etiology[MESH] |Hypokalemia/drug therapy/etiology[MESH] |Magnesium/blood[MESH] |Selenium/blood[MESH] |Stress, Physiological/*physiology[MESH] |Trace Elements/*blood[MESH]A dyshomeostasis of electrolytes and trace elements in acute stressor (epmc).pdf DeepDyve Pubget Overpricing