Heart-Kidney Biomarkers in Patients Undergoing Cardiac Stress Testing
| Autor: | Mikko Haapio, Andrew A. House, Massimo de Cal, Dinna N. Cruz, Paolo Lentini, Davide Giavarina, Antonio Fortunato, Luigi Menghetti, Matteo Salgarello, Andrea Lupi, Giuliano Soffiati, Alessandro Fontanelli, Pierluigi Zanco, Claudio Ronco |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | International Journal of Nephrology, Vol 2011 (2011) |
| Druh dokumentu: | article |
| ISSN: | 2090-214X 2090-2158 |
| DOI: | 10.4061/2011/425923 |
| Popis: | We examined association of inducible myocardial perfusion defects with cardiorenal biomarkers, and of diminished left ventricular ejection fraction (LVEF) with kidney injury marker plasma neutrophil gelatinase-associated lipocalin (NGAL). Patients undergoing nuclear myocardial perfusion stress imaging were divided into 2 groups. Biomarkers were analyzed pre- and poststress testing. Compared to the patients in the low ischemia group (n=16), the patients in the high ischemia group (n=18) demonstrated a significantly greater rise in cardiac biomarkers plasma BNP, NT-proBNP and cTnI. Subjects were also categorized based on pre- or poststress test detectable plasma NGAL. With stress, the group with no detectable NGAL had a segmental defect score 4.2 compared to 8.2 (P=.06) in the detectable NGAL group, and 0.9 vs. 3.8 (P=.03) at rest. BNP rose with stress to a greater degree in patients with detectable NGAL (10.2 vs. 3.5 pg/mL, P=.03). LVEF at rest and with stress was significantly lower in the detectable NGAL group; 55.8 versus 65.0 (P=.03) and 55.1 vs. 63.8 (P=.04), respectively. Myocardial perfusion defects associate with biomarkers of cardiac stress, and detectable plasma NGAL with significantly lower LVEF, suggesting a specific heart-kidney link. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
|