半乳糖凝集素-3与慢性心力衰竭患者心功能关系的评价

Saud M. Elsaughier, M. Salama, A. Hanafy, M. Ahmed, A. Ibrahim
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引用次数: 0

摘要

背景:HF生物标志物在日常临床实践和临床试验中越来越重要。几种生物标志物用于心衰患者的诊断和预后。近年来,半乳糖凝集素-3被提出用于心衰的诊断和预后。本研究旨在探讨半乳糖凝集素-3水平与慢性心力衰竭患者心功能的关系及其与临床表现的相关性。方法:本研究纳入90例慢性心力衰竭患者,根据射血分数(EF)分为两组,第一组60例临床表现为HF和EF各占50%。测量所有心力衰竭患者血清半乳糖凝集素-3水平。结果:半乳糖凝集素-3水平随NYHA分级的进展而显著升高[p值<0.001],与射血分数呈显著负相关(r=0.06;P=0.51),半乳糖泌素-3水平随着舒张功能障碍程度的加重而显著升高(P= <0.001)。结论:血浆半乳糖泌素-3浓度可作为心衰临床分期和严重程度的生物标志物。
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Assessment of the Relationship between Galectine-3 and Cardiac Functions in Patients with Chronic Heart Failure
Background: HF biomarkers have growing importance in daily clinical practice as well as in clinical trials. Several biomarkers are used for diagnosis and prognosis of HF patients. Recently, Galectine-3 has been proposed for diagnosis and prognosis of HF. In this study we aimed to determine the relationship between galectine-3 level and cardiac functions in patients with chronic heart failure and its correlation with clinical manifestations. Methods: The current study enrolled 90 patients with chronic heart failure and then divided according to ejection fraction (EF) into two groups , group I included 60 patients with clinical manifestation of HF and EF 50%.serum levels of Galectine-3 were measured in all patients with heart failure. Results: Level of galectine-3 was significantly increasing with advancing in NYHA classes [p value <0.001), while it had insignificant negative correlation with ejection fraction (r=0.06; P=0.51) and the Level of galactin-3 was significantly increasing with advancing in diastolic dysfunction grade (P= <0.001) Conclusion: Plasma galectine-3 concentration can be used as a biomarker to aid in clinical staging and severity of heart failure.
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