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重组人生长激素对一名患有复杂心血管畸形和扩张型心肌病儿童无效。

Lack of effects of recombinant human growth hormone in a child with a complex cardiovascular malformation and dilated cardiomyopathy.

作者信息

Rosti L, Cerini E, Festa P, Miola A, Brunelli V, Frigiola A

机构信息

Cardiologia/Cardiochirurgia Pediatrica, Centro "E. Malan", Ospedale San Donato, San Donato Milanese, Milano, Italy.

出版信息

J Endocrinol Invest. 2000 Jan;23(1):28-30. doi: 10.1007/BF03343672.

DOI:10.1007/BF03343672
PMID:10698048
Abstract

Recent studies have suggested the beneficial effects of GH treatment in patients with dilated cardiomyopathy. We have treated with recombinant human growth hormone (rhGH) a 6-year-old female with a complex congenital heart defect (severe tricuspid hypoplasia and malposition of the great arteries), who developed a progressive dilated cardiomyopathy of unknown etiology. rhGH treatment (0,1 U/kg/day, for 3 months) did not improve cardiac function, nor clinical symptoms, although we have no clear explanations for this. However, a trial with rhGH may be offered to children with dilated cardiomyopathy and waiting for heart transplantation.

摘要

近期研究表明生长激素治疗对扩张型心肌病患者有益。我们用重组人生长激素(rhGH)治疗了一名6岁患有复杂先天性心脏缺陷(严重三尖瓣发育不全和大动脉位置异常)的女性患者,该患者出现了病因不明的进行性扩张型心肌病。rhGH治疗(0.1 U/kg/天,持续3个月)并未改善心脏功能和临床症状,尽管我们对此尚无明确解释。然而,对于等待心脏移植的扩张型心肌病患儿,可考虑进行rhGH试验性治疗。

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J Endocrinol Invest. 2000 Jan;23(1):28-30. doi: 10.1007/BF03343672.
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本文引用的文献

1
Randomised, double-blind, placebo-controlled trial of human recombinant growth hormone in patients with chronic heart failure due to dilated cardiomyopathy.重组人生长激素治疗扩张型心肌病所致慢性心力衰竭患者的随机、双盲、安慰剂对照试验
Lancet. 1998 Apr 25;351(9111):1233-7. doi: 10.1016/S0140-6736(97)11329-0.
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Is growth hormone good for the heart?生长激素对心脏有益吗?
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Cardiac autoantibodies in dilated cardiomyopathy: a pathogenetic role?扩张型心肌病中的心脏自身抗体:是否具有致病作用?
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Dilated cardiomyopathy: a genetic approach.扩张型心肌病:一种遗传学方法。
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Recombinant growth hormone: a new cardiovascular drug therapy.
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Dilated cardiomyopathy.扩张型心肌病
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Growth hormone in the treatment of dilated cardiomyopathy.
N Engl J Med. 1996 Aug 29;335(9):672; author reply 673-4.
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Growth hormone in the treatment of dilated cardiomyopathy.
N Engl J Med. 1996 Aug 29;335(9):672-3; author reply 673-4. doi: 10.1056/NEJM199608293350915.
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A preliminary study of growth hormone in the treatment of dilated cardiomyopathy.生长激素治疗扩张型心肌病的初步研究。
N Engl J Med. 1996 Mar 28;334(13):809-14. doi: 10.1056/NEJM199603283341301.
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Beneficial effects of growth hormone and insulin-like growth factor-1 in experimental heart failure in rats treated with chronic ACE inhibition.生长激素和胰岛素样生长因子-1在慢性ACE抑制治疗的大鼠实验性心力衰竭中的有益作用。
J Cardiovasc Pharmacol. 1995 Sep;26(3):420-5. doi: 10.1097/00005344-199509000-00012.