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March 1, 1981StrokeOpen Access

Plasma norepinephrine in stroke.

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Why the study?

Are plasma catecholamine levels elevated in patients with cerebral infarction or transient ischemic attacks compared to non-stroke controls?

Population

125 patients, including 74 with cerebral infarction, 18 with transient ischemic attacks, and 33 non-stroke…

Design

Case-control

Key result

Cerebral infarction was associated with significantly higher mean plasma norepinephrine levels compared to non-stroke controls (433.2 vs 281.1 pg/ml, p<0.01).

Authors

MMM. G. MyersJNJohn W. NorrisVHV C Hachniski

Discussion

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Overview

Elevated norepinephrine supports sympathetic activation in cerebral infarction; hypothesis-generating for cardiac complications and requires prospective validation.

Study Design

Type

Observational (n=125)

Structured PICO

Are plasma catecholamine levels elevated in patients with cerebral infarction or transient ischemic attacks compared to non-stroke controls?

P
Population
125 participants comprising 74 patients with cerebral infarction, 18 with transient ischemic attacks, and 33 non-stroke controls.
C
Comparator
Non-stroke controls
O
Outcome
Plasma norepinephrine, epinephrine, and dopamine levelssurrogate

Main Result

Absolute Event Rate: 433.2% vs 281.1%

p-value: p=<0.01

Elevated plasma catecholamines in stroke patients suggest increased peripheral sympathetic activity, which may contribute to stroke-related cardiac abnormalities.

Cite This Study

Myers et al. (1981) conducted an observational in Cerebral infarction and transient ischemic attacks (n=125). Cerebral infarction vs. Non-stroke controls was evaluated on Mean plasma norepinephrine (pg/ml) (p=<0.01). Cerebral infarction was associated with significantly higher mean plasma norepinephrine levels compared to non-stroke controls (433.2 vs 281.1 pg/ml, p<0.01).

synapsesocial.com/papers/6a201007d4e6d3589704df2chttps://doi.org/10.1161/01.str.12.2.200
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Electrocardiographic Observations and Urinary Excretion of Catecholamines in Cerebrovascular Accidents1964 · 36 citations
  2. 2Plasma Norepinephrine Levels in Essential Hypertension1973 · 284 citations
  3. 3Sympathetic nervous system activity in patients with subarachnoid hemorrhage.1978 · 102 citations
  4. 4Prognostic value of the stress response following stroke1977 · 166 citations
  5. 5CATECHOLAMINE CONCENTRATIONS IN CSF AND PLASMA OF PATIENTS WITH CEREBRAL INFARCTION AND HÆMORRHAGE1973 · 177 citations