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Časopis Neurology – Článok Rhabdomyolysis – etiology, pathogenesis, clinical presentation, diagnosis and treatment

Neurology

Reviewed, postgraduate scietific medical journal.
Period 3x per year
1336-8621
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Neurology
Neurology
Reviewed, postgraduate scietific medical journal.
Period 3x per year
Téma: Overview works

Rhabdomyolysis - etiology, pathogenesis, clinical presentation, diagnosis and treatment

Peter Špalek

Rhabdomyolysis (lysis of skeletal muscle cells) is a potentially lethal syndrome with broad spectrum of clinical and biochemical
findings. Rhabdomyolysis is caused by a diverse spectrum of inherited and acquired disorders affecting muscle
membranes, membrane ion channels and muscle energy supply. The commmon final pathophysiological mechanisms
of all causes of rhabdomyolysis is an uncontrolled rise in free intracellular calcium and activation of calcium-dependent
proteases leading to destruction of myofibrils and lysosomal digestion of muscle fiber contents. Recent advances
in molecular genetics and muscle enzyme histochemistry may enable a specific metabolic diagnosis in many patients
with idiopathic recurrent rhabdomyolysis. Muscle weakness, myalgias, pigmenturia (dark, tea-colored urine) are the
main clinical manifestations. Elevated activity of serum creatin kinase is the most sensitive laboratory finding. Fulminant
rhabdomyolysis may be associated with severe metabolic disturbances and involvement of other organ systems.
Cardiac arrest, compartment syndrome, and acute renal failure are the major complications. The prevention of life-threatening
complications of rhabdomyolysis strongly depends on early diagnosis and adequate therapy. The management
of patients in acute phase of rhabdomyolysis is governed by renal and metabolic consequences of myoglobinuria and
requires early vigorous hydration. After the metabolic syndrome has been corrected, triggering factors and predisposing
conditions should be investigated in all cases of rhabdomyolysis. Since the repair mechanism of striated muscle
functions very well, the prognosis of appropriately treated rhabdomyolysis is excellent.

Neurológia 2017; 12 (1): 5-10
Nie sú dostupné žiadne voľne dostupné články
CHAIRMAN OF THE EDITORIAL BOARD
doc. MUDr. Miroslav Brozman, CSc.

MEMBERS OF THE EDITORIAL BOARD
MUDr. František Cibulčík, CSc.
doc. MUDr. Eleonóra Klímová, CSc.
doc. MUDr. Pavol Kučera, PhD.
MUDr. Marian Kuchar, PhD.
doc. MUDr. Robert Mikulík,Ph.D., FESO
MUDr. Vladimír Nosáľ, PhD.
MUDr. Ľubica Procházková, CSc.
prof. MUDr. Bruno Rudinský, CSc.
doc. MUDr. Daniel Šaňák, Ph.D.
doc. MUDr. David Školoudík, Ph.D., FESO
prof. MUDr. Karel Šonka, DrSc.
doc. MUDr. Peter Špalek, PhD.
Dr. Milan R. Voško, PhD.

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Eva Stachová
e-mail: stachova@amedi.sk

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6. Bibliography
Citations are numbered chronologically in bold, references in the text are stated by the number of citations in parentheses. Use maximum 20 citations.

Examples of citations:
1. Pitt B, et al. The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators. N Engl J Med 1999; 341: 709-717.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285(4): 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981: 15-27.

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Which of following factors is not related to rosacea?
a. genetic predisposition
b. Scandinavian origin
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d. endothelial growth factor

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

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Send contributions in the e-mail to the address: stachova@amedi.sk
Period 3x per year
1336-8621
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Neurology
Neurology
Reviewed, postgraduate scietific medical journal.
Period 3x per year