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Correlation between growth differentiation factor-15 and the severity of chronic heart failure in patients with
1Department of Cardiology, Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China. duhong@hb2h.com.
Insights
Growth Differentiation Factor-15 (GDF-15) levels correlate with chronic heart failure (CHF) severity in coronary atherosclerosis patients. This finding suggests GDF-15 is a potential biomarker for assessing CHF progression and guiding treatment strategies.
Area of Science:
- Cardiology
- Biomarkers
- Heart Failure Research
Background:
- Coronary atherosclerosis is a leading cause of chronic heart failure (CHF).
- Identifying reliable biomarkers for CHF severity is crucial for effective patient management.
- Growth Differentiation Factor-15 (GDF-15) is a cytokine implicated in various stress-related conditions.
Purpose of the Study:
- To investigate the association between Growth Differentiation Factor-15 (GDF-15) levels and the severity of chronic heart failure (CHF).
- To determine if GDF-15 can serve as a predictive biomarker for CHF severity in patients with coronary atherosclerosis.
Main Methods:
- Retrospective analysis of 300 coronary atherosclerosis patients with CHF and 300 healthy controls.
- Collection of clinical data including demographics, lifestyle factors, and biochemical markers (GDF-15, cystatin C, CRP).
- Classification of heart failure severity and statistical analysis to assess correlations.
Main Results:
- No significant differences in basic clinical information between patient and control groups.
- Significant differences in GDF-15, cystatin C, and CRP levels were observed across different CHF severity grades.
- Elevated GDF-15 levels were noted in patients with higher CHF severity (Grade IV vs. Grade I).
Conclusions:
- GDF-15 levels are significantly correlated with the severity of chronic heart failure in patients with coronary atherosclerosis.
- GDF-15 emerges as a potential biomarker for evaluating CHF severity.
- These findings offer insights into the biological mechanisms and potential therapeutic targets for heart failure.
Objective:
To explore the correlation of the growth differentiation factor-15 (GDF-15) with the severity of chronic heart failure (CHF) in patients with coronary atherosclerosis.
Patients And Methods:
300 coronary atherosclerosis patients with CHF treated in our hospital from January 2019 to December 2019 and 300 healthy people (control group) were collected and retrospectively analyzed. The basic clinical information of the patients, such as age, gender, smoking/drinking history, waist-hip ratio, BMI and blood lipid were collected, and GDF-15, cystatin C and c-reactive protein (CRP) were determined. The severity of heart failure was classified.
Results:
No significant differences in clinical information were found such as age, gender, smoking/drinking history, waist-to-hip ratio, BMI and blood lipid. However, there were significant differences in GDF-15, cystatin C and CRP among patients with different severities of heart failure. The GDF-15 level was 582.6 ± 104.4 pg/ml in patients with grade IV heart failure and 408.4 ± 94.8 pg/ml in patients with grade I heart failure. There was a significance after GDF-15, cystatin C and CRP were adjusted (p = 0.03) and also after the clinical information and GDF-15 were adjusted (p < 0.001).
Conclusions:
GDF-15 level is correlated with the CHF severity in patients with coronary atherosclerosis, indicating that it is a potential index to evaluate the CHF severity, providing clues to the biological mechanism and treatment of heart failure.
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