Effectiveness of Spironolactone in Terms of Galectin-3 Levels in Patients with Heart Failure with a Reduced Ejection Fraction in the Vietnamese Population

被引：3

作者：

Tran, Son Kim ^{[1
]}

Ngo, Toan Hoang ^{[1
]}

Lai, Tin Trung ^{[2
]}

Truong, Giang Khanh ^{[1
]}

Tran, Khoa Dang Dang ^{[3
]}

Vo, Phuong Minh ^{[1
]}

Nguyen, Phi The ^{[1
]}

Nguyen, Phi Hoang ^{[1
]}

Nguyen, Thuan Tuan ^{[1
]}

Nguyen, Oanh Thi Kim ^{[1
]}

Nguyen, Thang ^{[4
]}

Nguyen, Kien Trung ^{[3
]}

Tran, Hung Do ^{[5
]}

机构：

[1] Can Tho Univ Med & Pharm, Dept Internal Med, Can Tho 900000, Vietnam

[2] Can Tho Cardiovasc Hosp, Dept Cardiol, Can Tho 900000, Vietnam

[3] Can Tho Univ Med & Pharm, Fac Med, Can Tho 90000, Vietnam

[4] Can Tho Univ Med & Pharm, Dept Pharmacol & Clin Pharm, Can Tho 900000, Vietnam

[5] Can Tho Univ Med & Pharm, Fac Nursing & Med Technol, Can Tho 90000, Vietnam

来源：

HEALTHCARE | 2023年 / 11卷 / 02期

关键词：

heart failure; reduced ejection fraction; galectin-3; NT-PROBNP; PROGNOSTIC VALUE; DIAGNOSIS; BIOMARKER; FIBROSIS; MARKER; PERFORMANCE;

D O I：

10.3390/healthcare11020253

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Galectin-3 is a biomarker that has been demonstrated to play a significant role in myocardial fibrosis and remodeling in the pathogenesis of heart failure. Furthermore, spironolactone has the ability to control galectin-3 levels in heart failure patients. Objectives: The aim of our study was to determine the factors associated with the increase in galectin-3 and the alteration of galectin-3 concentration in patients with heart failure with a reduced ejection fraction after 12 weeks of treatment with spironolactone. Materials and methods: A cross-sectional descriptive study was conducted on 122 patients with heart failure with a reduced ejection fraction. Those patients were nonusers of spironolactone and presented for examination or had been hospitalized at the Can Tho Cardiovascular Hospital in Vietnam. The demographic and cardiovascular risk factor details were obtained at baseline, and galectin-3 levels were measured at baseline and also 12 weeks after taking spironolactone 25 mg once daily vs. 50 mg once daily. Results: The median baseline galectin-3 was 54.82 +/- 26.06. Galectin-3 levels were positively correlated with age, NT-proBNP, and negatively correlated between EF and galectin-3 levels (p < 0.05). After 12 weeks of treatment with spironolactone, the galectin-3 concentration decreased from 54.82 +/- 26.06 to 44.20 +/- 24.36 (p < 0.05). According to the subgroup analysis, the average concentration of galectin-3 decreased the most in the group of patients with grade 3 hypertension and NYHA class III heart failure. The 50 mg once-daily dose of spironolactone significantly improved galectin-3 concentrations compared with the 25 mg once-daily group, at 17.11 +/- 20.81 (p < 0.05) (reduced 29.05%) and 3.46 +/- 6.81 ng/mL (p < 0.05) (reduced 6.87%), respectively. Conclusion: Treatment with spironolactone played an essential role in reducing galectin-3 concentrations, especially spironolactone 50 mg once daily, which showed a significant effect on reducing galectin-3 compared with a 25 mg once-daily dose.

引用

页数：12

共 34 条

[31] Galectin-3, cardiac structure and function, and long-term mortality in patients with acutely decompensated heart failure [J].