Assuntos
Aneurisma da Aorta Abdominal/diagnóstico , Dor no Flanco/etiologia , Hemorragia/diagnóstico , Nefropatias/diagnóstico , Idoso , Aneurisma da Aorta Abdominal/complicações , Aneurisma da Aorta Abdominal/terapia , Hemorragia/complicações , Hemorragia/terapia , Humanos , Nefropatias/complicações , Nefropatias/terapia , Masculino , Pessoa de Meia-Idade , SíndromeRESUMO
OBJECTIVE: To evaluate the effect of smoking on the hemodynamic status of liver cirrhosis and several vasoactive substances. METHODS: Hemodynamic, blood gases values, liver parameters, and several vasopressors and vasodilators substances were measured in consecutive inpatients diagnosed of liver cirrhosis divided into two groups: smokers and nonsmokers. RESULTS: Nineteen smoking cirrhotic patients and 13 nonsmoking cirrhotic patients were studied. Both groups showed similar age, Child--Pugh and model for end-stage liver disease indexes. Smokers had higher levels of hemoglobin and lower partial pressure of arterial oxygen, FEV1/FVC %, cardiac output and total vascular resistance than nonsmokers. Plasma level of adrenomedullin was independently higher in nonsmoking cirrhotic patients than in smokers. CONCLUSION: In contrast with smoking cirrhotic patients, nonsmoking cirrhotic patients show an increased systemic vasodilation, which could depend on higher plasmatic levels of adrenomedullin.