Combination of serum TIMP-3, CA125, and NT-proBNP in predicting ventricular remodeling in patients with heart failure following acute myocardial infarction
机构：[1]Department of Cardiology, Hebei General Hospital, Shijiazhuang, China[2]Department of Cardiology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China临床科室心血管内科河北医科大学第四医院
Background: Left ventricular remodeling is the basic pathological mechanism of heart failure following acute myocardial infarction (AMI). Determining sensitive indexes for the early prediction of ventricular remodeling is important for the prevention of heart failure. This study aims to investigate the value of serum TLMP-3, CA125, and NT-proBNP in predicting ventricular remodeling in patients with heart failure following AMT. Methods: From May 2017 to May 2018, 93 patients with heart failure following AMI were enrolled in the study. The participants were divided into two groups: the ventricular remodeling group (n=51) and the nonventricular remodeling group (n=42). In addition, 47 healthy subjects who underwent physical examinations in the same period were enrolled as controls. Serum TIMP-3, CA125, and NT-proBNP were measured, in addition to the left ventricular wall thickness (LVWT) and left ventricular mass index (LVMI). The correlation of serum TIMP-3, CA125, and NT-proBNP with the LVWT and LVMI was analyzed, and its value in predicting ventricular remodeling was evaluated. Results: Serum TIMP-3 level was lower (P<0.05) and CA125 and NT-proBNP levels were higher (P<0.05) in both the ventricular remodeling and non-ventricular remodeling groups compared with the control group. Furthermore, the serum T1MP-3 level was lower in the ventricular remodeling group compared with the non-ventricular remodeling group (P<0.05), while the levels of CA125 and NT-proBNP were higher in the ventricular remodeling group compared with the non-ventricular remodeling group (P<0.05). The serum TIM P-3 level was negatively correlated with the LVWT and LVMI, while serum CA125 and NT-proBNP levels were positively correlated with the LVWT and LVMI, respectively. The area under the receiver operating characteristic curve of the combination of serum TIMP-3, CA125, and NT-proBNP levels in predicting ventricular remodeling was 0.850, and the prediction sensitivity and specificity were 74.51% and 87.71%, respectively. Conclusions: The combination of serum TIMP-3, CA125, and NT-proBNP can improve the sensitivity and specificity of predicting ventricular remodeling and can aid in the early prevention and treatment of heart failure.
基金：
The study was supported by Hebei Province Medical Science Research Key Project Plan (No. 20180163).
第一作者机构：[1]Department of Cardiology, Hebei General Hospital, Shijiazhuang, China
通讯作者：
通讯机构：[1]Department of Cardiology, Hebei General Hospital, Shijiazhuang, China[2]Department of Cardiology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China[*1]Department of Cardiology, Hebei General Hospital, No. 348, Peace West Road, Shijiazhuang 050000, China.[*2]Department of Cardiology, The Fourth Affiliated Hospital of Hebei Medical University, No. 12, Jiankang Road, Shijiazhuang 050000, China.
推荐引用方式(GB/T 7714)：
Xie Yue-Tao,Dang Yi,Zhang Fei-Fei,et al.Combination of serum TIMP-3, CA125, and NT-proBNP in predicting ventricular remodeling in patients with heart failure following acute myocardial infarction[J].CARDIOVASCULAR DIAGNOSIS AND THERAPY.2020,10(5):1184-1191.doi:10.21037/cdt-20-399.
APA：
Xie, Yue-Tao,Dang, Yi,Zhang, Fei-Fei,Zhang, Qian-Hui,Wu, Hai-Bo&Liu, Guang.(2020).Combination of serum TIMP-3, CA125, and NT-proBNP in predicting ventricular remodeling in patients with heart failure following acute myocardial infarction.CARDIOVASCULAR DIAGNOSIS AND THERAPY,10,(5)
MLA：
Xie, Yue-Tao,et al."Combination of serum TIMP-3, CA125, and NT-proBNP in predicting ventricular remodeling in patients with heart failure following acute myocardial infarction".CARDIOVASCULAR DIAGNOSIS AND THERAPY 10..5(2020):1184-1191
