Serum adiponectin, anemia and left ventricular dimensions in patients with cardiac cachexia

Evin Bozcali1, Veli Polat, Handan Akbulut

  • 1Department of Cardiology, Baltalimani Bone Diseases Education and Research Hospital, Istanbul, Turkey.

Cardiology
|September 21, 2013
PubMed

Insights

Serum adiponectin is significantly elevated in chronic heart failure (CHF) patients with cardiac cachexia (CC). This finding suggests adiponectin

Area of Science:

  • Cardiology
  • Endocrinology
  • Biochemistry

Background:

  • Chronic heart failure (CHF) is a complex condition often accompanied by cardiac cachexia (CC), a state of severe malnutrition.
  • Adiponectin, an adipokine, has been implicated in various cardiovascular diseases, but its specific role in CC remains unclear.

Purpose of the Study:

  • To investigate the association between serum adiponectin levels and the presence of cardiac cachexia in patients with chronic heart failure.
  • To explore the relationship between serum adiponectin and clinical parameters in CHF patients with CC.

Main Methods:

  • A cohort of 90 patients was studied, divided into three groups: 30 CHF patients with CC, 30 CHF patients without CC, and 30 healthy controls.
  • Serum adiponectin levels were quantified using human ELISA kits.
  • Correlations between adiponectin and body mass index (BMI), C-reactive protein, hemoglobin, B-type natriuretic protein, and left ventricular dimensions were analyzed.

Main Results:

  • Serum adiponectin levels were markedly higher in CHF patients with CC compared to CHF patients without CC and healthy controls (p = 0.001).
  • In CHF patients with CC, adiponectin showed negative correlations with BMI, high-sensitivity C-reactive protein, and hemoglobin.
  • Adiponectin levels positively correlated with B-type natriuretic protein and left ventricular remodeling parameters in CHF patients with CC.

Conclusions:

  • Elevated serum adiponectin is a significant finding in chronic heart failure patients experiencing cardiac cachexia.
  • Adiponectin may contribute to the pathophysiology of cardiac remodeling and anemia observed in cardiac cachexia.
Abstract

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