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Elevated plasma adrenomedullin level in hyperthyroidism

M Taniyama1, K Kitamura, Y Ban

  • 1Third Department of Internal Medicine, Showa University, Tokyo, Japan.

European Journal of Clinical Investigation
|June 1, 1996
PubMed
Summary
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Elevated adrenomedullin levels were found in patients with Graves' disease, a form of hyperthyroidism. This peptide may explain the observed blood vessel dilation and lower blood pressure in thyrotoxicosis.

Area of Science:

  • Endocrinology
  • Cardiovascular Physiology

Background:

  • Adrenomedullin is a peptide with potent vasodilatory properties.
  • Thyrotoxicosis is associated with significant hemodynamic alterations, including decreased peripheral vascular resistance.

Purpose of the Study:

  • To investigate the role of adrenomedullin in the hemodynamic changes characteristic of thyrotoxicosis.
  • To measure plasma adrenomedullin concentrations in patients with Graves' disease.

Main Methods:

  • Plasma adrenomedullin levels were quantified in hyperthyroid patients and euthyroid controls.
  • Correlation analysis was performed between adrenomedullin levels and thyroid hormone concentrations.

Main Results:

  • Plasma adrenomedullin concentrations were significantly higher in hyperthyroid patients (14.7 ± 5.7 pmol/L) compared to controls (5.6 ± 1.3 pmol/L).

Related Experiment Videos

  • A trend towards a correlation was observed between plasma adrenomedullin and free thyroid hormones.
  • Lower mean blood pressure was noted in patients with elevated adrenomedullin.
  • Conclusions:

    • Elevated plasma adrenomedullin may contribute to the vasodilatation observed in thyrotoxicosis.
    • Adrenomedullin is implicated as a potential mediator of hemodynamic changes in hyperthyroidism.