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Association of NT-proBNP and GDF-15 with markers of a prothrombotic state in patients with atrial fibrillation off anticoagulation
atrial fbrillation
NT-proBNP
GDF-15
cardiac troponin
fibrinolysis
thrombin generation
We investigated whether growth diferentiation factor-15 (GDF-15), also known as macrophage inhibitory cytokine-1 (MIC1), levels are associated with a prothrombotic state in atrial fbrillation (AF) as compared to N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity cardiac troponin I (cTnI-hs). In 103 patients with AF assessed of anticoagulation (age: 71.0 [65.0–76.0] years; CHA2DS2-VASc score: 4.6±1.7), we measured endogenous thrombin potential (ETP), plasma fbrin clot permeability (Ks, a measure of clot density) and clot lysis time (CLT) and other hemostatic parameters, along with GDF-15, NT-proBNP, and cTnI-hs. GDF-15 positively correlated with ETP and CLT (r=0.25, P=0.01 and R=0.56, P<0.0001, respectively) but not with Ks, von Willebrand factor, thrombin-activatable fbrinolysis inhibitor, plasminogen, antiplasmin or tissue-type plasminogen activator antigen. NT-proBNP showed a stronger association with ETP (r=0.60, P<0.0001) and a similar correlation with CLT (R=0.53, P<0.0001), while cTnI-hs correlated solely with CLT (R=0.25, P=0.01). After adjustment for clinical and laboratory parameters, GDF-15 was a better independent predictor of CLT (unstandardized coefcient B 0.009; 95% confdence interval [CI] 0.006–0.012) than NT-proBNP (B 0.007; 95% CI 0.004–0.010, R (2)=0.51; P<0.0001); while among the three biomarkers, only NT-proBNP was an independent predictor of ETP. Elevated GDF-15 and NT-proBNP independently predict impaired fbrin clot lysability, while NT-proBNP is a key predictor of heightened thrombin formation in AF. Our fndings suggest that a predictive value of NT-proBNP and GDF-15 in AF could be in part attributed to their association with prothrombotic blood alterations.
cris.lastimport.wos | 2024-04-09T18:28:05Z | |
dc.abstract.en | We investigated whether growth diferentiation factor-15 (GDF-15), also known as macrophage inhibitory cytokine-1 (MIC1), levels are associated with a prothrombotic state in atrial fbrillation (AF) as compared to N-terminal pro-B-type natriuretic peptide (NT-proBNP) and high-sensitivity cardiac troponin I (cTnI-hs). In 103 patients with AF assessed of anticoagulation (age: 71.0 [65.0–76.0] years; CHA2DS2-VASc score: 4.6±1.7), we measured endogenous thrombin potential (ETP), plasma fbrin clot permeability (Ks, a measure of clot density) and clot lysis time (CLT) and other hemostatic parameters, along with GDF-15, NT-proBNP, and cTnI-hs. GDF-15 positively correlated with ETP and CLT (r=0.25, P=0.01 and R=0.56, P<0.0001, respectively) but not with Ks, von Willebrand factor, thrombin-activatable fbrinolysis inhibitor, plasminogen, antiplasmin or tissue-type plasminogen activator antigen. NT-proBNP showed a stronger association with ETP (r=0.60, P<0.0001) and a similar correlation with CLT (R=0.53, P<0.0001), while cTnI-hs correlated solely with CLT (R=0.25, P=0.01). After adjustment for clinical and laboratory parameters, GDF-15 was a better independent predictor of CLT (unstandardized coefcient B 0.009; 95% confdence interval [CI] 0.006–0.012) than NT-proBNP (B 0.007; 95% CI 0.004–0.010, R (2)=0.51; P<0.0001); while among the three biomarkers, only NT-proBNP was an independent predictor of ETP. Elevated GDF-15 and NT-proBNP independently predict impaired fbrin clot lysability, while NT-proBNP is a key predictor of heightened thrombin formation in AF. Our fndings suggest that a predictive value of NT-proBNP and GDF-15 in AF could be in part attributed to their association with prothrombotic blood alterations. | pl |
dc.affiliation | Wydział Lekarski : Instytut Kardiologii | pl |
dc.cm.date | 2020-12-02 | |
dc.cm.id | 94920 | |
dc.contributor.author | Matusik, Paweł - 139227 | pl |
dc.contributor.author | Małecka, Barbara - 130836 | pl |
dc.contributor.author | Lelakowski, Jacek - 130641 | pl |
dc.contributor.author | Undas, Anetta - 133708 | pl |
dc.date.accessioned | 2020-12-02T10:07:32Z | pl |
dc.date.available | 2020-12-02T10:07:32Z | pl |
dc.date.issued | 2019 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.number | 4 | pl |
dc.description.physical | 426-434 | pl |
dc.description.points | 100 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 109 | pl |
dc.identifier.doi | 10.1007/s00392-019-01522-x | pl |
dc.identifier.eissn | 1861-0692 | pl |
dc.identifier.issn | 1861-0684 | pl |
dc.identifier.project | ROD UJ / OP | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/255943 | |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.rights | Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa | * |
dc.rights.licence | CC-BY | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/legalcode.pl | * |
dc.share.type | inne | |
dc.subject.en | atrial fbrillation | pl |
dc.subject.en | NT-proBNP | pl |
dc.subject.en | GDF-15 | pl |
dc.subject.en | cardiac troponin | pl |
dc.subject.en | fibrinolysis | pl |
dc.subject.en | thrombin generation | pl |
dc.subtype | Article | pl |
dc.title | Association of NT-proBNP and GDF-15 with markers of a prothrombotic state in patients with atrial fibrillation off anticoagulation | pl |
dc.title.journal | Clinical Research in Cardiology | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |