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May 1, 1992Clinical Chemistry

Patterns of Serological Markers for Cellular Immune Activation in Patients with Dilated Cardiomyopathy and Chronic Myocarditis

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Key result

Serum neopterin and beta 2-microglobulin were elevated in 11 and 9 of 16 patients with chronic myocarditis, and 2 and 5 of 11 patients with dilated cardiomyopathy, correlating with disease severity.

Population

27 patients with either dilated cardiomyopathy (DCM) (n=11) or chronic myocarditis (n=16)

Design

Cohort

Authors

DFDietmar FuchsVanderbilt University Medical CenterGRGilbert ReibneggerMedical University of GrazJBJ. N. Belenkov

Discussion

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Implication

May support immune monitoring in myocarditis and DCM; hypothesis-generating pending prospective validation.

Study Design

Type

Observational (n=27)

Structured PICO

P
Population
27 patients with either dilated cardiomyopathy or chronic myocarditis.
E
Exposure
Measurement of serum concentrations of neopterin and beta 2-microglobulin
O
Outcome
Correlation of neopterin and beta 2-microglobulin concentrations with NYHA functional class, disease course during follow-up, and left ventricular functional tests (end-diastolic volume, end-systolic volume, and ejection fraction)surrogate

Serum markers of cellular immune activation (neopterin and beta 2-microglobulin) correlate with disease severity and ventricular function in patients with dilated cardiomyopathy and chronic myocarditis, suggesting utility in monitoring disease development.

Cite This Study

Fuchs et al. (1992) conducted an observational in Dilated cardiomyopathy and chronic myocarditis (n=27). Serum neopterin and beta 2-microglobulin levels was evaluated on Correlation with cardiac functional class and left ventricular functional tests. Serum neopterin and beta 2-microglobulin were elevated in 11 and 9 of 16 patients with chronic myocarditis, and 2 and 5 of 11 patients with dilated cardiomyopathy, correlating with disease severity.

synapsesocial.com/papers/6a93a993ec4af56311ebbe82https://doi.org/10.1093/clinchem/38.5.678

Topics

Myocarditis
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Also Consider

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  1. 1Determinants of end‐stage idiopathic dilated cardiomyopathy: A multivariate analysis of 104 patients1989 · 91 citations
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