Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
August 11, 2022Frontiers in PhysiologyOpen Access

Endothelitis profile in acute heart failure and cardiogenic shock patients: Endocan as a potential novel biomarker and putative therapeutic target

View Full Paper
Ask AI
Bookmark
Share

Key result

Admission serum endocan was significantly elevated in patients with acute heart failure and cardiogenic shock compared to controls (p < 0.001), and correlated with left ventricular ejection fraction impairment.

Why the study?

Endocan contributes to inflammation and endothelial dysfunction, but has been scarcely explored in human acute heart failure.

Population

23 AHF patients, 25 CS patients, and 22 blood donor controls

Comparison

AHF vs CS vs controls

Design

Prospective cohort study

Authors

MRMarta Reina‐CoutoCSCarolina Silva-PereiraPPPatrícia Pereira‐Terra

Discussion

Loading...

Member takes

Overview

Endocan elevation was associated with acute HF and shock severity; leaves open its role as an endothelial biomarker pending validation.

Study Design

Type

Cohort (n=70)

Multicenter

No

Structured PICO

P
Population
70 participants, comprising 23 patients with acute heart failure, 25 with cardiogenic shock, and 22 healthy controls, evaluated for endothelial biomarkers during intensive care admission.
C
Comparator
Healthy blood donor controls
O
Outcome
Serum and urinary endocan levels at admission (days 1-2) and during hospitalization (days 3-4 and 5-8)surrogate

Main Result

p-value: p=<0.001

Serum endocan is significantly elevated in acute heart failure and cardiogenic shock, correlating with disease severity and prognostic scores, suggesting its potential as a biomarker for endothelitis.

Limitations

  • Single-center study
  • Small sample size
  • Selection bias of AHF patients recruited only from the ICU
  • Missing values in some biomarkers
  • Lack of routine clinical biomarkers in healthy controls
  • Missing values in some biomarkers due to insufficient sample volume
  • Routine clinical biomarkers could only be assessed at a single time point due to hospital policies
  • Lack of permission to measure routine clinical biomarkers in healthy controls

Cite This Study

Reina‐Couto et al. (2022) conducted a cohort in Acute heart failure and cardiogenic shock (n=70). Acute heart failure and cardiogenic shock vs. Healthy controls was evaluated on Admission serum endocan (S-Endocan) concentration (p=<0.001). Admission serum endocan was significantly elevated in patients with acute heart failure and cardiogenic shock compared to controls (p < 0.001), and correlated with left ventricular ejection fraction impairment.

synapsesocial.com/papers/6a9edddce056b05edee998f5https://doi.org/10.3389/fphys.2022.965611
View Full Paper
Ask AI
Bookmark
Share

Also Consider

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

  1. 1A Contemporary View on Endothelial Function in Heart Failure2012 · 78 citations
  2. 2Rethinking Endothelial Dysfunction as a Crucial Target in Fighting Heart Failure2019 · 112 citations
  3. 3Angiotensin–Neprilysin Inhibition in Acute Decompensated Heart Failure2018 · 1,260 citations
  4. 4Predictors of Post-discharge Mortality Among Patients Hospitalized for Acute Heart Failure2017 · 34 citations
  5. 5Acute Heart Failure Congestion and Perfusion Status – Impact of the Clinical Classification on in-Hospital and Long-Term Outcomes; Insights from the ESC-EORP-HFA Heart Failure Long-Term Registry2019 · 361 citations