血液生物标志物的变化与法洛氏四联症患者心脏大小和功能的变化有关

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS International journal of cardiology. Congenital heart disease Pub Date : 2024-06-17 DOI:10.1016/j.ijcchd.2024.100522
Wouter J. van Genuchten , Eva van den Bosch , Saskia E. Luijnenburg , Vivian P. Kamphuis , Jolien W. Roos-Hesselink , Beatrijs Bartelds , Arno A.W. Roest , Johannes M.P.J. Breur , Nico A. Blom , Eric Boersma , Laurens P. Koopman , Willem A. Helbing
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引用次数: 0

摘要

导言法洛四联症(ToF)手术矫正后的患者通常会出现不良的心脏重塑。为了更好地了解其潜在的生物学过程,我们研究了血液生物标志物的变化与心脏磁共振成像(CMR)评估的双心室大小和功能变化之间的关系。方法这项研究纳入了 50 名 ToF 患者,他们在 2002 年至 2018 年期间至少接受了两次血液生物标志物和 CMR 分析。患者首次就诊时的平均年龄为 16.1 岁。生物标志物的选择基于我们小组的早期研究,包括NT-proBNP、ST2、GDF-15、DLK-1、IGFBP-1/7 和 FABP-4。结果对于右心室(RV)大小参数的变化,观察到与 NT-proBNP、ST-2、GDF-15、IGFBP7 和 FABP-4 的变化有显著相关性(rpearson 在 0.28 和 0.51 之间)。与 NT-proBNP 的相关性是由肺动脉瓣置换术引起的 RV 尺寸变化引起的(n = 9)。结论在临床稳定的 ToF 患者中,左右心室大小和功能的变化与炎症和应激免疫反应的血液生物标志物的变化相关。
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Changes in blood biomarkers correlate with changes in cardiac size and function in patients with tetralogy of Fallot

Introduction

Patients after surgical correction of Tetralogy of Fallot (ToF) often show adverse cardiac remodeling. To better understand the underlying biological processes, we studied the relation between changes in blood biomarkers and changes in biventricular size and function as assessed by cardiac magnetic resonance imaging (CMR).

Methods

This study included 50 ToF patients, who underwent blood biomarker and CMR analysis at least twice between 2002 and 2018.34 (68 %) of these patients were male. Patients had an average age of 16.1 at first visit. Biomarkers were chosen based on earlier research by our group and included: NT-proBNP, ST2, GDF-15, DLK-1, IGFBP-1/7, and FABP-4. Pearson correlations coefficients (rpearson) were determined to quantify the relationship between changes in biomarkers and CMR measurements.

Results

For changes in parameters of right ventricular (RV) size significant correlations were observed with changes in NT-proBNP, ST-2, GDF-15, IGFBP7 and FABP-4 (rpearson between 0.28 and 0.51). Correlations with NT-proBNP were driven by changes in RV size induced by pulmonary valve replacement (n = 9). For LV serial size changes, significant correlations were noted with changes in NT-pro-BNP, ST-2, GDF-15 and FABP-4 (rpearson between 0.32 and 0.52).

Conclusion

In clinically stable ToF patients changes in right and left ventricular size and function correlated with alterations in blood biomarkers of inflammation and immune response to stress.

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来源期刊
International journal of cardiology. Congenital heart disease
International journal of cardiology. Congenital heart disease Cardiology and Cardiovascular Medicine
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