Cardiotrophin 1 Plasma Levels are Increased in Patients with Diastolic Heart Failure     
Yazarlar (10)
Prof. Dr. Ataç ÇELİK Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Şemsettin Şahin
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Fatih Koç
Akdeniz Üniversitesi, Türkiye
Mehmet Şahin
İsmail Benli
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Hasan Kadı
Balıkesir Üniversitesi, Türkiye
Turgay Burucu
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Köksal Ceyhan
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ünal Erkorkmaz
Sakarya Üniversitesi, Türkiye
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı MEDICAL SCIENCE MONITOR
Dergi ISSN 1234-1010
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 01-2012
Cilt No 18
Sayı 1
Sayfalar 25 / 31
DOI Numarası 10.12659/MSM.882197
Özet
Background: Cardiotrophin-1 (CT-1) is a member of the interleukin (IL-6) family of cytokines and is increased in various cardiovascular diseases, including chronic heart failure. The aim of the study was to determine if plasma CT-1 is associated with diastolic heart failure (DHF) and to investigate the relationship between CT-1 and echocardiographic parameters. Material/Methods: Fifty-seven consecutive patients (mean age 57±8 years, 24 males) diagnosed with DHF in our clinic and 33 controls (mean age 55±7 years, 12 males) were included in the study. All study participants underwent echocardiographic evaluation and blood samples were obtained. Results: CT-1 and NT-proBNP values were significantly higher in DHF subjects than in controls (11.30 [8.09-16.51] vs. 17.5 [8.95-28.74] fmol/mL, P=0.017 and 64 [27.5-95] vs. 82 [55.5-241] pg/mL, P=0.009, respectively). The mitral peak velocity of early diastolic filling (E), mean ratio of E to early diastolic mitral annular velocity (E/Em), and the pulmonary capillary wedge pressure (PCWP) estimated from E/Em measurements were all significantly higher in the patient group (62.27±14.69 vs. 75.67±18.85 cm/sec, 6.40±1.48 vs. 10.30±3.48, and 10 [9-11] vs. 14[12-16] mmHg, P≤0.001 for all). Lateral and septal Em were significantly lower in the patient group (10.69±1.87 vs. 8.69±2.00 cm/sec and 8.91±1.22 vs. 6.65±1.58 cm/sec, P<0.001 for both). CT-1 positively correlated with NT proBNP (P=0.001, r=0.349), mean E/Em (P=0.003, r=0.307), and estimated mean PCWP (P=0.001, r=0.308). Conclusions: CT-1 is elevated in patients with DHF and is associated with NT-proBNP and estimated left ventricular filling pressures. © Med Sci Monit, 2012.
Anahtar Kelimeler
Cardiotrophin-1 | Diastolic heart failure | N-terminal pro-B-type natriuretic peptide | Tissue doppler echocardiography