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Plasma endothelin level changes during hemorrhagic shock

H Chang1, G J Wu, S M Wang

  • 1Department of Emergency Medicine, Shih Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, Republic of China.

The Journal of Trauma
|December 1, 1993
PubMed
Summary
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Plasma endothelin-1 levels increase during hemorrhagic shock, correlating with blood loss. This study analyzed endothelin-1 changes in dogs experiencing controlled hypotension to understand its role in shock.

Area of Science:

  • Physiology
  • Cardiovascular Research
  • Hemodynamics

Background:

  • Endothelin-1 is a potent vasoconstrictor.
  • Its role in hemorrhagic shock requires further elucidation.

Purpose of the Study:

  • To analyze changes in plasma endothelin-1 levels during hemorrhagic shock in a canine model.

Main Methods:

  • Thirty-two dogs were subjected to controlled hemorrhagic shock at varying mean arterial pressures (65, 50, 40 mm Hg).
  • Plasma endothelin-1 levels were measured in arterial and venous blood at multiple time points before and after shock induction.
  • Arterial/venous ratios were calculated.

Main Results:

  • Baseline arterial endothelin-1 was lower than venous levels.

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  • Plasma endothelin-1 concentrations increased significantly after shock onset.
  • Elevated endothelin-1 levels showed a linear correlation with the extent of blood loss from 2 hours post-shock onwards.
  • The arterial/venous ratio of endothelin-1 increased during oligemic periods compared to controls.
  • Conclusions:

    • Hemorrhagic shock induces a marked increase in plasma endothelin-1.
    • Endothelin-1 levels are directly related to the severity and duration of blood loss.
    • Increased endothelin-1 may play a role in the pathophysiology of hemorrhagic shock.