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10.1155/2015/714793

http://scihub22266oqcxt.onion/10.1155/2015/714793
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suck abstract from ncbi


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pmid26609532
      Biomed+Res+Int 2015 ; 2015 (ä): 714793
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  • Endogenous Ouabain: An Old Cardiotonic Steroid as a New Biomarker of Heart Failure and a Predictor of Mortality after Cardiac Surgery #MMPMID26609532
  • Simonini M ; Pozzoli S ; Bignami E ; Casamassima N ; Messaggio E ; Lanzani C ; Frati E ; Botticelli IM ; Rotatori F ; Alfieri O ; Zangrillo A ; Manunta P
  • Biomed Res Int 2015[]; 2015 (ä): 714793 PMID26609532 show ga
  • Cardiovascular diseases remain the main cause of mortality and morbidity worldwide; primary prevention is a priority for physicians. Biomarkers are useful tools able to identify high-risk individuals, guide treatments, and determine prognosis. Our aim is to investigate Endogenous Ouabain (EO), an adrenal stress hormone with hemodynamic effects, as a valuable biomarker of heart failure. In a population of 845 patients undergoing elective cardiac surgery, we have investigated the relationships between EO and echocardiography parameters/plasmatic biomarker of cardiac function. EO was found to be correlated negatively with left ventricular EF (p = 0.001), positively with Cardiac End-Diastolic Diameter (p = 0.047), and positively with plasmatic NT-proBNP level (p = 0.02). Moreover, a different plasmatic EO level (both preoperative and postoperative) was found according to NYHA class (p = 0.013). All these results have been replicated on an independent cohort of patients (147 subjects from US). Finally, a higher EO level in the immediate postoperative time was indicative of a more severe cardiological condition and it was associated with increased perioperative mortality risk (p = 0.023 for 30-day morality). Our data suggest that preoperative and postoperative plasmatic EO level identifies patients with a more severe cardiovascular presentation at baseline. These patients have a higher risk of morbidity and mortality after cardiac surgery.
  • |Biomarkers/*metabolism [MESH]
  • |Cardiac Surgical Procedures/*adverse effects/*mortality [MESH]
  • |Cardiotonic Agents/*metabolism [MESH]
  • |Echocardiography/methods [MESH]
  • |Female [MESH]
  • |Heart Failure/diagnosis/*metabolism/mortality [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Ouabain/*metabolism [MESH]
  • |Postoperative Period [MESH]
  • |Prognosis [MESH]
  • |Prospective Studies [MESH]
  • |Risk Assessment [MESH]


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