Nitroprusside, Thyroid Hormones
Conditions
Keywords
sodium nitroprusside, thyroid hormones, thoracic surgery
Brief summary
Whether use of SNP during cardiac surgery has any effect on thyroid function has not yet been investigated in humans. The aim of this study was to investigate the effects of SNP administration during the rewarming period of cardiac operations on circulating levels of thyroid hormones.
Interventions
sodium nitroprusside infusion at 1 microgram/kg/min dose during rewarming period of cardiac operations
placebo
Sponsors
Study design
Eligibility
Inclusion criteria
Patients without history of: * thyroidal disease * hypertension * pulmonary disease * peripheral vascular disease * stroke * recent myocardial infarction within the week prior to operation * unstable angina pectoris * liver or kidney dysfunction * morbid obesity * cachexia * sulfonylurea intake
Exclusion criteria
* Patients who needed positive inotropic pharmacologic support during or after the operation * Patients who developed atrial fibrillation in the post operative period requiring amiodarone therapy * In addition, patients receiving any medication known to interfere with any step of thyroid hormone metabolism such as * amiodarone * propranolol * furosemide * non-steroidal anti-inflammatory agents * steroids * estrogens * antacids * diphenylhydantoin * spironolactone
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| free T3 | on admission, prior to operation, at the beginning of CPB, following CPB, at first, third and fifth postoperative days |
Secondary
| Measure | Time frame |
|---|---|
| total T3 | on admission, prior to operation, at the beginning of CPB, following CPB, on the first, third and fifth postoperative days |
Countries
Turkey (Türkiye)