Evidence map›Paper›PMID 37820741›Full record

ArticleESC heart failure2024

Preoperative sST2 levels relate to myocardial remodeling and cardiac function improvement after cardiac valve surgery.

Yan Zhu, Lipeng Pei, Ning Li, Yan Zhu

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Article in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Yan ZhuDepartment of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, China.
Lipeng PeiDepartment of Obstetrics and Gynecology, General Hospital of Northern Theater Command, Shenyang, China.
Ning LiDepartment of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, China.
Yan ZhuDepartment of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsWe aim to investigate the correlation between preoperative soluble suppression of tumourigenicity 2 (sST2) and postoperative myocardial remodelling and cardiac function in patients with valvular heart disease. METHODS AND

resultsThis retrospective study included patients who underwent heart valve surgery at the General Hospital of Northern Theatre Command from July 2019 to June 2020. Preoperative, early postoperative, and 1-month postoperative cardiac ultrasound data were collected. Multivariable linear regression was used to analyse the factors associated with preoperative sST2 and postoperative cardiac function parameters. A receiver operator characteristic curve analysis was used to analyse the predictive value of sST2 for left ventricular ejection fraction (LVEF) reduction at 1 month after surgery. This study included 156 patients. Left ventricular end-systolic volume (b = 0.125, P = 0.004), atrial fibrillation (b = 7.933, P = 0.003), and coronary artery disease (b = 5.826, P = 0.043) were correlated with the preoperative sST2 levels. Preoperative sST2 was independently associated with early postoperative left ventricular end-systolic volume (b = -0.136, P = 0.035), left ventricular end-diastolic volume (b = -0.225, P = 0.036), and LVEF (b = 0.056, P = 0.008). At 1 month after surgery, LVEF (r = -0.234, P = 0.023) and reduction in LVEF (r = -0.316, P = 0.002) were negatively correlated with preoperative sST2. The area under the receiver operator characteristic curve of preoperative sST2 in predicting LVEF reduction at 1 month was 0.646, with a sensitivity of 0.357 and a specificity of 0.918.

conclusionsPreoperative sST2 levels are related to early postoperative myocardial remodelling and have a predictive value for the improvement of cardiac function 1 month after surgery.

Indexed as

Cardiac Surgical ProceduresVentricular Function, LeftHeart ValvesHumansRetrospective StudiesStroke VolumeHeart valve surgeryLeft ventricular ejection fractionMyocardial remodellingSoluble ST2Valvular heart disease

Identifiers

PMID37820741
PMCPMC10804203

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