2018
Prognostic Impact of Copeptin and Mid-Regional Pro-Adrenomedullin in Chronic Heart Failure with Regard to Comorbidities
ŠPINAROVÁ, Lenka, Monika ŠPINAROVÁ, Monika PÁVKOVÁ GOLDBERGOVÁ, Jindřich ŠPINAR, Jiří PAŘENICA et. al.Základní údaje
Originální název
Prognostic Impact of Copeptin and Mid-Regional Pro-Adrenomedullin in Chronic Heart Failure with Regard to Comorbidities
Autoři
ŠPINAROVÁ, Lenka (203 Česká republika, garant, domácí), Monika ŠPINAROVÁ (203 Česká republika, domácí), Monika PÁVKOVÁ GOLDBERGOVÁ (203 Česká republika, domácí), Jindřich ŠPINAR (203 Česká republika, domácí), Jiří PAŘENICA (203 Česká republika, domácí), Ondřej LUDKA (203 Česká republika, domácí), Karel LÁBR (203 Česká republika), F. MALEK (203 Česká republika), P. OSTADAL (203 Česká republika), D. VONDRAKOVA (203 Česká republika), Josef TOMANDL (203 Česká republika, domácí), Jana VEVERKOVÁ (203 Česká republika, domácí), Jolana LIPKOVÁ (203 Česká republika, domácí), Klára BENEŠOVÁ (203 Česká republika, domácí) a Jiří JARKOVSKÝ (203 Česká republika, domácí)
Vydání
Journal of Cardiovascular & Diseases Diagnosis, (Romania), OMICS International, 2018, 2329-9517
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30201 Cardiac and Cardiovascular systems
Stát vydavatele
Rumunsko
Utajení
není předmětem státního či obchodního tajemství
Kód RIV
RIV/00216224:14110/18:00103531
Organizační jednotka
Lékařská fakulta
Klíčová slova anglicky
Chronic heart failure; AHEAD score; Copeptin; Midregional pro-adrenomedullin; Prognosis
Změněno: 6. 6. 2019 09:08, Soňa Böhmová
Anotace
V originále
The aim of the study is to evaluate the impact of new humoral substances: copeptin and mid- regional proadrenomedullin (MR-proADM) on one-year survival of patients with stable systolic chronic heart failure (CHF) and to compare them with AHEAD score assessing the comorbidities. The FAR NHL (FARmacology and NeuroHumoraL activation) registry is a database of patients with stable CHF (ejection fraction (EF) <50%) treated in specialized HF departments. AHEAD score is a simple bed-side mortality predictive model based on age and comorbidities. Primary endpoint after 1-year follow-up was: death or hospitalization for decompensation of HF or heart transplantation or LVAD implantation. To whole FAR NHL registry, a total amount of 1088 patients were included, in 552 of them the levels of copeptin and MR-proADM were available. Mean age was 65+12 years, mean EF was 31+9%. Patients without primary endpoint were assigned as group A (469 pts), those with the primary endpoint group B (83 pts). There were statistically significant differences between the groups in the levels of copeptin: group A median 15.9 pmol/l (3.4-50.9) vs group B 23.7 pmol/l(5.0-89.44) (p<0.001), MR-proADM: group A median 0.63 nmol/l(0.32-1.34) vs group B 0.74 nmol/l (0.4-1.94) (p<0.001). Relationship of AHEAD score to primary endpoint in the first year of follow-up was not significant, but within 24th month it reached statistical significance: p= 0.017. Patients with higher AHEAD score (more comorbidities) reached more often the primary end-point.