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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1982-4-22
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pubmed:abstractText |
To clarify the role of the serum urate level and its change as a potential marker for severe tissue hypoxia, we have measured serum urate levels and urine uric acid excretion in 16 patients with acute cardiovascular disease. The six patients who died had a baseline mean serum urate level of 11.1 mg/lg (range, 6.6 to 15.5 mg/dl) and reached a peak mean value of 20.7 mg/dl (range, 13.6 to 33.0 mg/dl). Five of these patients had findings to suggest increased production of uric acid, in addition to decreased excretion of uric acid from impaired renal function. The 10 survivors had a baseline mean serum urate level of 6.8 mg/dl (range, 1.3 to 14.0 mg/dl) and a maximal mean peak value of 7.1 mg/dl (range, 2.9 to 14.0 mg/dl). There was no consistent evidence for increased production or decreased excretion of uric acid. Patients who died had a lower systolic blood pressure, arterial pH and plasma bicarbonate level and a higher heart rate and serum creatinine level compared with the patients ho survived. The observations suggest that marked hyperuricemia at the height of an illness may predict a fatal outcome. Tissue hypoxia may contribute to this sequence of events by leading to the depletion of adenosine triphosphate (ATP) and activation of purine nucleotide degradation to uric acid.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0002-9343
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
72
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
58-62
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7058824-Acute Disease,
pubmed-meshheading:7058824-Adult,
pubmed-meshheading:7058824-Aged,
pubmed-meshheading:7058824-Anoxia,
pubmed-meshheading:7058824-Blood Pressure,
pubmed-meshheading:7058824-Cardiovascular Diseases,
pubmed-meshheading:7058824-Creatinine,
pubmed-meshheading:7058824-Female,
pubmed-meshheading:7058824-Heart Rate,
pubmed-meshheading:7058824-Humans,
pubmed-meshheading:7058824-Male,
pubmed-meshheading:7058824-Middle Aged,
pubmed-meshheading:7058824-Prognosis,
pubmed-meshheading:7058824-Uric Acid
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pubmed:year |
1982
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pubmed:articleTitle |
Hyperuricemia in acute illness: a poor prognostic sign.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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