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Galectin-3: A Novel Biomarker Predicts Sudden Cardiac Death in Hypertrophic Cardiomyopathy
Samim Emet1, Mubariz Dadashov1, Mehmet Rasih Sonsoz1
1Department of Cardiology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
Insights
Serum galectin-3 levels correlate with sudden cardiac death risk in hypertrophic cardiomyopathy patients. This finding may help predict arrhythmia risk and guide prophylactic treatments.
Area of Science:
- Cardiology
- Biochemistry
- Medical Diagnostics
Background:
- Hypertrophic cardiomyopathy (HCM) is a primary cardiac condition causing left ventricular hypertrophy and potentially sudden cardiac death (SCD).
- Galectin-3, a lectin linked to cardiac fibrosis and inflammation, is implicated in cardiovascular disease progression.
Purpose of the Study:
- To investigate the association between serum galectin-3 levels and the 5-year sudden death risk criteria in patients with hypertrophic cardiomyopathy.
- To evaluate galectin-3 as a potential biomarker for risk stratification in HCM.
Main Methods:
- 52 patients with hypertrophic cardiomyopathy were assessed for 5-year SCD risk predictors based on 2014 European Society of Cardiology guidelines.
- Serum galectin-3 levels were measured in all participants.
- Statistical analysis was performed with a significance level of P < 0.05.
Main Results:
- A significant correlation was identified between estimated 5-year SCD risk and serum galectin-3 levels in HCM patients.
Conclusions:
- Serum galectin-3 may serve as a cost-effective biomarker for predicting arrhythmia risk in hypertrophic cardiomyopathy.
- It could aid in determining antiarrhythmic prophylaxis and managing patients with implantable cardioverter-defibrillators.
Background:
Hypertrophic cardiomyopathy is a primary cardiac disease characterized by left ventricular hypertrophy, myocyte hypertrophy and irregularities and interstitial fibrosis in the absence of any cardiac or systemic diseases and may lead to sudden cardiac death (SCD). Galectin-3 is a β-galactoside-binding lectin that has been associated with cardiac fibrosis and inflammation. In this study, we aimed to investigate the relationship between serum galectin-3 levels and the criteria for 5-year sudden death risk, recently defined in the European Society of Cardiology guidelines (2014), in patients with hypertrophic cardiomyopathy.
Materials And Methods:
A total of 52 hypertrophic cardiomyopathy patients were enrolled in the study. Patients were questioned for sudden death risk predictors as outlined in the 2014 European Society of Cardiology guideline. A standardized clinical evaluation was carried out on the basis of previously described prognostic variables to calculate the 5-year risk of SCD. Blood samples were taken from all patients to measure serum galectin-3 levels. A statistical significance level of P < 0.05 was accepted in all tests.
Results:
We found that there was a significant correlation between the estimated 5-year risk of SCD and serum levels of galectin-3.
Conclusions:
Galectin-3 may be an inexpensive and easily accessible parameter to predict arrhythmia risk. In addition, it can be used to determine antiarrhythmic prophylaxis as a predictor of an arrhythmia storm in implantable cardioverter defibrillator-implanted patients who are not available for magnetic resonance imaging.
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