Abstract

Copeptin is a peptide derived from pre-provasospression along with arginine vasospressin. In the setting of aneurysmal subarachnoid hemorrhage (SAH), elevated serum copeptin levels correlate with vasospasm, inpatient mortality, mortality at 1 year, and poor functional outcome at 1 year. The potential role of serum copeptin levels in the management of patients with aneurysmal SAH is promising and should be explored further.

Highlights

  • Copeptin is a peptide derived from preprovasospression along with arginine vasospressin

  • Since the larger copeptin is produced in an equimolar ratio with arginine vasospressin (AVP) and is easier to measure in serum, it can be a surrogate marker for AVP

  • Elevated copeptin levels have been correlated with poor outcomes in ischemic stroke, intraparenchymal hemorrhage, and brain trauma as well as sepsis, pneumonia, and myocardial infarction [6]

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Summary

Introduction

Copeptin is a peptide derived from preprovasospression along with arginine vasospressin. *Correspondence: rtamarg@jhmi.edu Department of Neurosurgery, Johns Hopkins University School of Medicine, The Johns Hopkins Hospital, 600 N. The hypothalamic-pituitary axis produces stress hormones such as corticotropin-releasing homone and the nonapeptide arginine vasospressin (AVP).

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