Table 4.
Metabolic status, echocardiographic, 24 h Holter-ECG and 24 h-blood pressure monitoring findings in patients with adrenal insufficiency on conventional treatment and 6 months after switching to once daily modified release hydrocortisone (OD-HC)
Conventional treatment (n = 10) | OD-HC treatment (n = 10) | Controls (n = 10) | P* | P# | |
---|---|---|---|---|---|
Metabolic status | |||||
Glycaemia (mg/dL) | 81 (67–159) | 83 (72–106) | 83 (63–102) | 0.244 | 0.953 |
Total cholesterol (mg/dL) | 233 (152–321) | 205 (152–241) | 192 (162–230) | 0.028 | 0.678 |
LDL-cholesterol (mg/dL) | 135 (70–223) | 109 (65–158) | 125 (98–175) | 0.028 | 0.139 |
Triglycerides (mg/dL) | 111 (59–214) | 92 (43–187) | 146 (112–198) | 0.176 | 0.066 |
Echocardiography | |||||
IVSTDd (mm) | 9.0 (7.7–11.7) | 9.0 (5.0–11.5) | 9.0 (8.0–10.0) | 0.461 | 0.496 |
LVEDd (mm) | 45.8 (42.1–56.0) | 44.4 (40.0–52.0) | 49.5 (48.0–55.0) | 0.123 | 0.008 |
LAD (mm) | 35.0 (30–44.0) | 35.0 (28.0–37.0) | 35.5 (33.0–41.0) | 0.194 | 0.176 |
LVEF (%) | 60.0 (50.0–68.3) | 62.4 (50.6–70.0) | 56.0 (50.0–64.0) | 0.674 | 0.327 |
24 h-blood pressure | |||||
MAP-S day (mmHg) | 123 (96–138) | 118 (101–138) | 126 (108–135) | 0.342 | 0.141 |
MAP-D day (mmHg) | 76 (65–89) | 75 (64–90) | 76 (63–86) | 0.374 | 0.398 |
MAP-S night (mmHg) | 106 (94–138) | 115 (90–131) | 122 (103–127) | 0.678 | 0.086 |
MAP-D night (mmHg) | 63 (54–86) | 72 (59–101) | 71 (60–82) | 0.028 | 0.674 |
Holter-ECG | |||||
HR day (bpm) | 81 (73–86) | 81 (72–96) | 81 (66–89) | 0.400 | 0.646 |
HR night (bpm) | 75 (58–90) | 72 (55–86) | 71 (48–79) | 0.833 | 0.362 |
Data are presented in median (range). No cases of supraventricular tachycardia and ventricular tachycardia were recorded
bpm beats per minute, HR heart rate, bpm beats per minute, IVSTDd interventricular septum thickness at diastole, LAD left atrial diameter, LVEDd left ventricular end-diastolic diameter, LVEF left ventricular ejection fraction, MAP-D mean arterial pressure-diastolic, MAP-S mean arterial pressure-systolic
P* Conventional treatment vs. OD-HC treatment; P# OD-HC treatment vs. Controls