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vWf levels as a circulating marker of endothelial dysfunction in patients with hypertrophic cardiomyopathy
Ercan Varol1, Mehmet Ozaydin, Mehmet Sahin
1Department of Cardiology, Isparta State Hospital, Suleyman Demirel University, Turkey. drercanvarol@yahoo.com
Insights
Von Willebrand factor levels are not elevated in hypertrophic cardiomyopathy patients and do not correlate with disease severity. This suggests von Willebrand factor is not a reliable biomarker for endothelial dysfunction in this condition.
Area of Science:
- Cardiology
- Vascular Biology
- Biomarkers
Background:
- Hypertrophic cardiomyopathy (HCM) is a complex cardiac condition.
- Endothelial dysfunction is implicated in cardiovascular diseases.
- Von Willebrand factor (vWF) is a potential marker for endothelial dysfunction.
Purpose of the Study:
- To determine if von Willebrand factor (vWF) levels are increased in patients with hypertrophic cardiomyopathy (HCM).
- To investigate the relationship between vWF levels and the clinical status (functional class) of HCM patients.
Main Methods:
- A case-control study involving 29 HCM patients and 29 age- and gender-matched healthy controls.
- Measurement of plasma von Willebrand factor (vWF) levels in all participants.
- Comparison of vWF levels between HCM patients and controls, and across different functional classes of HCM.
Main Results:
- No significant difference was observed in von Willebrand factor (vWF) levels between hypertrophic cardiomyopathy (HCM) patients and healthy controls.
- Von Willebrand factor (vWF) levels did not differ significantly between HCM patients in functional class I/II and those in functional class III.
- No correlation was found between vWF levels and the functional class of HCM patients.
Conclusions:
- Von Willebrand factor (vWF) levels are not elevated in patients with hypertrophic cardiomyopathy (HCM).
- Von Willebrand factor (vWF) levels do not correlate with the clinical severity or functional class in HCM patients.
- vWF is unlikely to be a useful biomarker for endothelial dysfunction in hypertrophic cardiomyopathy (HCM).
Background:
The aim of the present study was to investigate whether the von Willebrand factor levels, as a possible indicator of endothelial dysfunction, is increased in hypertrophic cardiomyopathy, and also whether it is related to the clinical status of hypertrophic cardiomyopathy.
Methods And Results:
The study group comprised 29 patients with hypertrophic cardiomyopathy and 29 healthy age- and gender-matched control subjects. There was no significant difference in von Willebrand factor levels between study group (77.0 +/- 23.1%) and control group (88.5 +/- 34.2%). There was no statistically significant difference between control group (88.5 +/- 34.2%) and functional class I/II group (82.0 +/- 24.3%), between control group and functional class III group (67.6 +/- 18.3%) and between functional class I/II group and functional class III group with respect to the von Willebrand factor levels.
Conclusions:
The results suggest that von Willebrand factor levels, as a possible indicator of endothelial dysfunction, are not increased in patients with hypertrophic cardiomyopathy and von Willebrand factor levels are not related to functional class in these patients.
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