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May 1, 1999Angiology

Circulating Cytokines and Complements in Chronic Heart Failure

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Key result

Tumor necrosis factor alpha concentrations were significantly higher in patients with chronic heart failure compared to control subjects (20.0 vs 18.0 pg/mL, p<0.05).

Why the study?

Are circulating cytokines and complements elevated in patients with chronic heart failure and do they correlate with mortality?

Population

60 subjects with chronic heart failure; 34 with idiopathic dilated cardiomyopathy and 26 with ischemic heart…

Comparison

Assessment of circulating cytokines and… vs Control subjects

Design

Cohort

Authors

FKFeridun KoşarInonu UniversityEVErcan VarolKayseri Eğitim ve Araştırma HastanesiMİMehmet İleriMemorial Ankara Hospital

Discussion

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Implication

TNF-α elevation in chronic heart failure supports immune dysregulation hypothesis; leaves open prognostic value and therapeutic targeting.

Study Design

Type

Observational (n=60)

Structured PICO

Are circulating cytokines and complements elevated in patients with chronic heart failure and do they correlate with mortality?

P
Population
60 subjects (16.7% female) with chronic heart failure (34 with idiopathic dilated cardiomyopathy and 26 with ischemic heart disease) compared to control subjects.
E
Exposure
Assessment of circulating cytokines (tumor necrosis factor alpha, interleukin-2 receptor) and complements
C
Comparator
Control subjects
O
Outcome
Circulating levels of cytokines and complements and their correlation with mortalitysurrogate

Main Result

Absolute Event Rate: 20% vs 18%

p-value: p=<0.05

Elevated circulating cytokines and complements in chronic heart failure suggest that humoral and cellular immunity abnormalities may play a role in its pathogenesis and have independent prognostic value for mortality.

Cite This Study

Koşar et al. (1999) conducted an observational in Chronic heart failure (n=60). Chronic heart failure vs. Control subjects was evaluated on Tumor necrosis factor alpha concentration (pg/mL) (p=<0.05). Tumor necrosis factor alpha concentrations were significantly higher in patients with chronic heart failure compared to control subjects (20.0 vs 18.0 pg/mL, p<0.05).

synapsesocial.com/papers/6a93a11733e28bb72dafc845https://doi.org/10.1177/000331979905000506
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patterns of Serological Markers for Cellular Immune Activation in Patients with Dilated Cardiomyopathy and Chronic Myocarditis1992 · 29 citations
  2. 2Therapeutic effect of anti-tumor necrosis factor-alpha antibody on the murine model of viral myocarditis induced by encephalomyocarditis virus.1994 · 167 citations
  3. 3Immunocomplexes stimulate different signalling events to chemoattractants in the neutrophil and regulate L-selectin and beta 2-integrin expression differently.1994 · 53 citations
  4. 4C5a induction of human interleukin 1. Synergistic effect with endotoxin or interferon-gamma.1987 · 193 citations
  5. 5Negative Inotropic Effects of Cytokines on the Heart Mediated by Nitric Oxide1992 · 1,643 citations