triiodothyronine--reverse and Cerebrovascular-Disorders

The levels of thyroid hormones were determined by RIA in 65 cases in with stroke, in which 42 cases showed low T3 levels (64.6%). The rates of abnormal T3 and rT3 were much higher in hemorrhage group (72.5%) than those in infarction group (52%). T3 and rT3 abnormalities were apparent in the acute stage compared to those in the chronic stage (P less than 0.01), and closely correlated with size of lesions, that is, size of lesions had negative correlation with T3 and T3/rT3 but positive correlation with rT3 when the volume of hemorrhage was more than 30 ml or the area of infarction more than 20 cm2. Determination of T3 and rT3 levels in patients with stroke may be helpful in assessing the severity and prognosing.

Topics: Adolescent; Adult; Aged; Brain; Cerebrovascular Disorders; Euthyroid Sick Syndromes; Female; Humans; Male; Middle Aged; Prognosis; Thyroxine; Triiodothyronine; Triiodothyronine, Reverse

Serum thyroid hormones were measured in 62 cases of acute cerebrovascular apoplexy. Compared with the control group, T3, FT3 were markedly lowered and rT3, T4 and TSH were significantly increased with lowered T3/rT3 ratio. The patients were divided into two groups, according to whether there was hemorrhage in their CSF. Changes of serum thyroid hormones in cerebral haemorrhage were more remarkable than those observed in cerebral thrombosis. 16 cases with increased T4, FT4 were diagnosed as euthyroid hyperthyroxinemia. It was found that the amount of thyroid hormone changes appeared to be in proportion to the severity of acute cerebrovascular apoplexy. The determination of serum thyroid hormones would be useful in evaluating the severity of the strokes and in studying the thyroid function in acute cerebrovascular apoplexy.

Topics: Adult; Aged; Aged, 80 and over; Cerebrovascular Disorders; Female; Humans; Hyperthyroxinemia; Male; Middle Aged; Thyroxine; Triiodothyronine; Triiodothyronine, Reverse

Thyroid hormones are displaced from their binding proteins in serum during nonthyroidal somatic illness, and FFA have been claimed to contribute. It seems mandatory to evaluate this effect using techniques for the measurements of serum free thyroid hormones in which serum remains undiluted. We measured the effect of 7 common human FFA on the free fraction of T4, T3 and rT3 in serum from healthy subjects using an ultrafiltration technique by which serum is diluted only minimally. In addition we measured the effect of oleic acid on the free fractions of the iodothyronines in pooled serum from healthy subjects and in pooled serum from patients with nonthyroidal illness. All FFA tested were able to displace both T4, T3 and rT3, but to a varying degree, arachidonic and linoleic acid being the most potent ones. A 20% increase in the free fractions of T4, T3 and rT3, respectively, was obtained by adding between 1.7-3.3 mmol/l, 1.3-4.6 mmol/l and 1.0-2.4 mmol/l of the different FFA. A serum pool obtained from patients with nonthyroidal somatic illness was more sensitive to oleic acid than a serum pool obtained from healthy subjects, since 2-3 times less oleic acid was necessary to induce a 20% increase in the free fractions of thyroid hormones. It is concluded that FFA are able to displace both T4, T3 and rT3 from their serum binding proteins in healthy subjects as well as in patients with nonthyroidal illness. However, serum from patients with nonthyroidal illness was more sensitive to the displacing activity of oleic acid than serum from healthy subjects.(ABSTRACT TRUNCATED AT 250 WORDS)

Topics: Cerebrovascular Disorders; Fatty Acids, Nonesterified; Hepatic Encephalopathy; Humans; Kidney Failure, Chronic; Neoplasms; Respiratory Insufficiency; Thyroxine; Triiodothyronine; Triiodothyronine, Reverse; Ultrafiltration