Vasostatin-1 as a potential novel circulating biomarker in patients with chronic systolic heart failure: A pilot

Giuseppe Pinto1, Barbara Colombo2, Adriano Autieri1

  • 1Heart Failure Unit, Department of Cardiology, IRCCS San Raffaele Scientific Institute, Milan, Italy.

Insights

In chronic systolic heart failure (HF), higher levels of vasostatin-1 (VS-1) and chromogranin A (CgA) indicate increased cardiovascular (CV) events. VS-1 may offer complementary prognostic information alongside NT-proBNP in HF patients.

Area of Science:

  • Cardiology
  • Biomarkers
  • Heart Failure Research

Background:

  • Circulating chromogranin A (CgA) levels are elevated in chronic systolic heart failure (HF).
  • Vasostatin-1 (VS-1), a cardioregulatory fragment of CgA, is explored for its prognostic potential in HF.

Purpose of the Study:

  • To assess the role of circulating VS-1 as a prognostic marker in patients with chronic systolic HF.
  • To investigate the relationship between VS-1, CgA, NT-proBNP, and left ventricular ejection fraction (LVEF) in HF.

Main Methods:

  • Plasma levels of CgA and VS-1 were measured in 80 patients with chronic systolic HF.
  • Patients were monitored for cardiovascular (CV) events during follow-up.

Main Results:

  • Higher plasma levels of both CgA and VS-1 were observed in patients who experienced CV events.
  • VS-1 levels correlated with NT-proBNP, but not with LVEF.
  • CgA, NT-proBNP, and age were independent predictors of CV events, while VS-1 was not.

Conclusions:

  • Elevated VS-1 and CgA levels are associated with CV events in chronic systolic HF.
  • VS-1's association with NT-proBNP, but not LVEF, suggests it may provide complementary prognostic data.
  • VS-1 warrants further investigation as a potential biomarker in HF management.
Abstract

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