Why the study?
High serum uric acid is associated with left ventricular dysfunction, but its relationship with plasma B-type natriuretic peptide remains unclear.
Is high serum uric acid associated with reduced LVEF and increased BNP in patients undergoing cardiac catheterization for cardiovascular disorders?
Is high serum uric acid associated with reduced LVEF and increased BNP in patients undergoing cardiac catheterization for cardiovascular disorders?
High serum uric acid is a consistent marker of reduced LVEF across different patient profiles, whereas its association with BNP is inconsistent and influenced by factors like age, sex, and body habitus.
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Uric acid may mark reduced LVEF but not BNP in cath patients; leaves open its added value beyond established factors.
High serum uric acid (UA) has been reported to be associated with left ventricular (LV) dysfunction; however, the relationship between UA and plasma B-type natriuretic peptide (BNP), a sensitive biomarker of heart failure, is still unclear. This study investigated their relationship to provide an accurate assessment of high UA. The study patients consisted of 3,077 subjects who underwent cardiac catheterization because of various cardiovascular disorders. Since the explanatory factors of multiple regression analysis were mostly confounding with each other, subgroup analysis was performed by quartering the study population using the respective risk factors and by covariance structure analysis. This analysis revealed that UA was almost always well associated with a reduced LV ejection fraction (LVEF), but generally not with BNP. UA was significantly associated with BNP in lean aged females, but not in obese adolescent males, although LVEF was significantly reduced in response to a high UA in both groups. A high UA is a direct risk factor for cardiac dysfunction from the perspective of BNP; however, augmentation of BNP in response to a high UA would likely be restricted among obese adolescent males. On the other hand, the observed LV systolic dysfunction, such as LVEF, reflects a high UA on an almost constant basis.
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Oki et al. (2019) studied this question.
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