Please use this identifier to cite or link to this item:
http://doi.org/10.25358/openscience-6367
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DC Field | Value | Language |
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dc.contributor.author | Schwuchow-Thonke, Sören | - |
dc.contributor.author | Göbel, Sebastian | - |
dc.contributor.author | Emrich, Tilman | - |
dc.contributor.author | Schmitt, Volker H. | - |
dc.contributor.author | Fueting, F. | - |
dc.contributor.author | Klank, C. | - |
dc.contributor.author | Escher, F. | - |
dc.contributor.author | Schultheiss, Hans-Peter | - |
dc.contributor.author | Münzel, Thomas | - |
dc.contributor.author | Keller, Karsten | - |
dc.contributor.author | Wenzel, Philip | - |
dc.date.accessioned | 2021-09-24T09:50:47Z | - |
dc.date.available | 2021-09-24T09:50:47Z | - |
dc.date.issued | 2021 | - |
dc.identifier.uri | https://openscience.ub.uni-mainz.de/handle/20.500.12030/6377 | - |
dc.description.abstract | Inflammatory cardiomyopathy diagnosed by endomyocardial biopsy (EMB) is common in non-ischemic heart failure (HF) and might be associated with adverse outcome. We aimed to identify markers predicting myocardial inflammation in HF. We screened 517 patients with symptomatic non-ischemic HF who underwent EMB; 397 patients (median age 54 [IQR 43/64], 28.7% females) were included in this study. 230 patients were diagnosed with myocardial inflammation, defined as ≥ 7.0 CD3+ lymphocytes/mm2 and/or ≥ 35.0 Mac1 macrophages/mm2 and were compared to 167 inflammation negative patients. Patients with myocardial inflammation were more often smokers (52.4% vs. 39.8%, p = 0.013) and had higher C-reactive protein (CRP) levels (5.4 mg/dl vs. 3.7 mg/dl, p = 0.003). In logistic regression models CRP ≥ 8.15 mg/dl (OR 1.985 [95%CI 1.160–3.397]; p = 0.012) and Troponin I (TnI) ≥ 136.5 pg/ml (OR 3.011 [1.215–7.464]; p = 0.017) were independently associated with myocardial inflammation, whereas no association was found for elevated brain natriuretic peptide (OR 1.811 [0.873–3.757]; p = 0.111). In prognostic performance calculation the highest positive predictive value (90%) was detected for the combination of Global longitudinal strain (GLS) ≥ -13.95% and TnI ≥ 136.5 pg/ml (0.90 (0.74–0.96)). Elevated CRP, TnI and GLS in combination with TnI can be useful to detect myocardial inflammation. Smoking seems to predispose for myocardial inflammation. | en_GB |
dc.language.iso | eng | de |
dc.rights | CC BY | * |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
dc.subject.ddc | 610 Medizin | de_DE |
dc.subject.ddc | 610 Medical sciences | en_GB |
dc.title | Increased C reactive protein, cardiac troponin I and GLS are associated with myocardial inflammation in patients with non-ischemic heart failure | en_GB |
dc.type | Zeitschriftenaufsatz | de |
dc.identifier.doi | http://doi.org/10.25358/openscience-6367 | - |
jgu.type.dinitype | article | en_GB |
jgu.type.version | Published version | de |
jgu.type.resource | Text | de |
jgu.organisation.department | FB 04 Medizin | de |
jgu.organisation.number | 2700 | - |
jgu.organisation.name | Johannes Gutenberg-Universität Mainz | - |
jgu.rights.accessrights | openAccess | - |
jgu.journal.title | Scientific reports | de |
jgu.journal.volume | 11 | de |
jgu.pages.alternative | 3008 | de |
jgu.publisher.year | 2021 | - |
jgu.publisher.name | Macmillan Publishers Limited, part of Springer Nature | de |
jgu.publisher.place | London | de |
jgu.publisher.uri | https://doi.org/10.1038/s41598-021-82592-8 | de |
jgu.publisher.issn | 2045-2322 | de |
jgu.organisation.place | Mainz | - |
jgu.subject.ddccode | 610 | de |
jgu.publisher.doi | 10.1038/s41598-021-82592-8 | |
jgu.organisation.ror | https://ror.org/023b0x485 | |
Appears in collections: | JGU-Publikationen |
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schwuchow-thonke_s.-increased_c_re-20210922202942534.pdf | 1.62 MB | Adobe PDF | View/Open |