GDF-15 and soluble ST2 as biomarkers of right ventricular dysfunction in pulmonary hypertension

被引:5
作者
Keranov, Stanislav [1 ,2 ]
Widmann, Laila [1 ]
Jafari, Leili [3 ]
Liebetrau, Christoph [4 ]
Keller, Till [1 ,2 ,3 ]
Troidl, Christian [2 ,3 ]
Kriechbaum, Steffen [2 ,3 ]
Voss, Sandra [2 ,3 ]
Bauer, Pascal [1 ]
Richter, Manuel J. [5 ]
Tello, Khodr [5 ]
Gall, Henning [5 ]
Ghofrani, Hossein A. [5 ]
Wiedenroth, Christoph B. [6 ]
Guth, Stefan [6 ]
Seeger, Werner [5 ]
Hamm, Christian W. [1 ,2 ,3 ]
Nef, Holger [1 ,2 ]
Dorr, Oliver [1 ,2 ]
机构
[1] Univ Giessen, Dept Cardiol & Angiol, D-35392 Giessen, Germany
[2] German Ctr Cardiovasc Res DZHK, Partner Site RheinMain, D-61231 Bad Nauheim, Germany
[3] Kerckhoff Heart & Lung Ctr, Dept Cardiol, D-61231 Bad Nauheim, Germany
[4] Cardioangiol Ctr Bethanien CCB, D-60389 Frankfurt, Germany
[5] Justus Liebig Univ Giessen, Univ Giessen & Marburg Lung Ctr UGMLC, German Ctr Lung Res DZL, Dept Internal Med,Cardiopulm Inst CPI,Inst Lung H, D-35392 Giessen, Germany
[6] Kerckhoff Heart & Lung Ctr, Dept Thorac Surg, D-61231 Bad Nauheim, Germany
关键词
biomolecules; chronic thromboembolic pulmonary hypertension; dilated cardiomyopathy; fibrosis; heart failure; idiopathic pulmonary arterial hypertension; left ventricular hypertrophy; right ventricular-pulmonary arterial coupling; right ventricular maladaptation; right ventricular remodeling; GROWTH-DIFFERENTIATION FACTOR-15; CHRONIC HEART-FAILURE; PROGNOSTIC VALUE; SURVIVAL; ASSOCIATION; SUPPRESSION; EXPRESSION; GALECTIN-3; RECEPTOR; OUTCOMES;
D O I
10.2217/bmm-2022-0395
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background: This study analyzed the utility of soluble ST2 (sST2) and GDF-15 as biomarkers of right ventricular (RV) function in patients with pulmonary hypertension (PH). Methods: GDF-15 and sST2 serum concentrations were measured in patients with PH (n = 628), dilated cardiomyopathy (n = 31) and left ventricular hypertrophy (n = 47), and in healthy controls (n = 61). Results: Median sST2 and GDF-15 levels in patients with left ventricular hypertrophy were higher than in patients with PH and dilated cardiomyopathy. In tertile analysis GDF-15 >1363 pg/ml and sST2 >38 ng/ml were associated with higher N-terminal pro-brain natriuretic peptide, RV systolic dysfunction, RV-pulmonary arterial uncoupling and hemodynamic impairment. Conclusion: GDF-15 and sST2 are potential biomarkers of RV dysfunction in patients with PH.
引用
收藏
页码:1193 / 1207
页数:15
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