Endothelial dysfunction in burn injury

Objective: to estimate the level of markers of endothelial dysfunction in burn injury of various severities. Material and Methods. 57 patients were included in the study. The level of vascular endothelial growth factor (VEGF), endothelin, nitric oxide metabolites (NO), and the amount of circulating desquamated endothelial cells were determined in the dynamics of burn injury development. Results. In burn injury there was an increased amount of endothelial dysfunction markers in blood, which is highly expressed on the 7-15th day. Moreover on the 7th day in case of severe and extremely severe burn injury the level of VEGF was increased over 50 times while the amount of endothelin, nitric oxide metabolites and circulating desquamated endothelial cells becomes higher in 3-5 times. Conclusion. The research outcomes have proved the damage of endothelial lining in burn injury.