Academic Journal

Catestatin as a predictor for cardiac death in heart failure with mildly reduced and preserved ejection fraction

التفاصيل البيبلوغرافية
العنوان: Catestatin as a predictor for cardiac death in heart failure with mildly reduced and preserved ejection fraction
المؤلفون: Song‐Yun Chu, Fen Peng, Jie Wang, Lin Liu, Jing Zhao, Xiao‐Ning Han, Wen‐Hui Ding
المصدر: ESC Heart Failure, Vol 12, Iss 1, Pp 517-524 (2025)
بيانات النشر: Wiley, 2025.
سنة النشر: 2025
المجموعة: LCC:Diseases of the circulatory (Cardiovascular) system
مصطلحات موضوعية: cardiac death, catestatin, heart failure with mildly reduced ejection fraction or preserved ejection fraction, predictor, Diseases of the circulatory (Cardiovascular) system, RC666-701
الوصف: Abstract Aims Endogenous catecholamine release‐inhibitory peptide catestatin has been associated with heart failure (HF). This subgroup analysis of our cohort of HF compared the different effects of catestatin as a predictor for cardiac outcomes in patients with HF with reduced (HFrEF), mildly reduced (HFmrEF) or preserved (HFpEF) ejection fraction. Methods Plasma catestatin was measured in the HF patient cohort of 228 cases with a whole spectrum of ejection fraction. The cardiac deaths were analysed according to prespecified subgroups. Results Over a median follow‐up of 52.5 months, the association between plasma catestatin and cardiac death was different in patients with HFrEF, HFmrEF or HFpEF [hazard ratio (HR) 1.53, 95% confidence interval (CI) 0.99–2.37 and HR 2.73, 95% CI 1.56–4.75, respectively; interaction P = 0.022]. Patients with HFmrEF/HFpEF were older and more likely to be female, with non‐ischaemic cardiomyopathy and atrial fibrillation but lower levels of plasma B‐type natriuretic peptide (BNP). Similar adverse cardiac events occurred in patients with HFmrEF/HFpEF as in HFrEF. Plasma catestatin was a better predictor for cardiovascular death in the HFmrEF/HFpEF patients [area under the receiver operating characteristic curve (AUC) = 0.72, 95% CI 0.45–0.74] than in the HFrEF patients (AUC = 0.59, 95% CI 0.587–0.849). The optimal cut point of plasma catestatin level of 0.86 ng/mL predicted a 2.80‐fold elevated risk for cardiac death in HFmrEF/HFpEF. Conclusions Elevated plasma catestatin might be a more sensitive predictor for cardiac outcome in patients with HFmrEF/HFpEF than in HFrEF.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2055-5822
Relation: https://doaj.org/toc/2055-5822
DOI: 10.1002/ehf2.15107
URL الوصول: https://doaj.org/article/a9b869467a6b4a6694f31b382c3453dd
رقم الانضمام: edsdoj.9b869467a6b4a6694f31b382c3453dd
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20555822
DOI:10.1002/ehf2.15107