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10.1186/s12872-015-0073-6

http://scihub22266oqcxt.onion/10.1186/s12872-015-0073-6
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suck abstract from ncbi


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pmid26223692
      BMC+Cardiovasc+Disord 2015 ; 15 (ä): 79
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  • Admission hypoxia-inducible factor 1? levels and in-hospital mortality in patients with acute decompensated heart failure #MMPMID26223692
  • Li G ; Lu WH ; Wu XW ; Cheng J ; Ai R ; Zhou ZH ; Tang ZZ
  • BMC Cardiovasc Disord 2015[Jul]; 15 (ä): 79 PMID26223692 show ga
  • BACKGROUND: Hypoxia-inducible factor 1 (HIF-1) is a critical regulator for cellular oxygen balance. Myocardial hypoxia can induce the increased expression of HIF-1?. Our goals were to evaluate the value of HIF-1? in predicting death of patients with acute decompensated heart failure (ADHF) and describe the in vivo relationship between serum HIF-1? and N-terminal-pro-brain natriuretic peptide (NT-proBNP) levels. METHOD: We included 296 patients who were consecutively admitted to the emergency department for ADHF. The primary end point was in-hospital death. The patients were categorized as HFrEF (patients with reduced systolic function) and HFpEF (patients with preserved systolic function) groups. RESULTS: In our patients, the median admission HIF-1? level was 2.95?±?0.85 ng/ml. The HIF-1? level was elevated significantly in HFrEF patients and deceased patients compared with HFpEF patients and patients who survived. The HIF-1? level was positively correlated with NT-proBNP and cardiac troponin T levels, and negatively correlated with left ventricular ejection fraction and systolic blood pressure. Kaplan-Meier curves revealed a significant increase in in-hospital mortality in ADHF patients with higher HIF-1? levels. Multivariable Cox regression analysis showed that HIF-1? levels were not correlated with the short-term prognosis of ADHF patients. CONCLUSIONS: This is the first study to evaluate the circulating levels of HIF-1? in ADHF patients. Serum HIF-1? levels may reflect a serious state in patients with ADHF. Due to the limitations of the study, serum HIF-1? levels were not correlated with the in-hospital mortality based on regression analysis. Further studies are needed to demonstrate the diagnostic and/or prognostic role of HIF-1? as a risk biomarker in patients with ADHF.
  • |Acute Disease [MESH]
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Biomarkers/blood [MESH]
  • |Female [MESH]
  • |Follow-Up Studies [MESH]
  • |Heart Failure/*blood/diagnosis/*mortality [MESH]
  • |Hospital Mortality/*trends [MESH]
  • |Humans [MESH]
  • |Hypoxia-Inducible Factor 1, alpha Subunit/*blood [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]


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