Insulin-like growth factor-1 (IGF-1) as predictor of cardiovascular mortality in heart failure patients: data from the T.O.S.CA. registry.

Chronic heart failure Chronic renal failure Heart failure with reduced ejection fraction IGF-1 deficiency Multiple hormonal deficiency syndrome

Journal

Internal and emergency medicine
ISSN: 1970-9366
Titre abrégé: Intern Emerg Med
Pays: Italy
ID NLM: 101263418

Informations de publication

Date de publication:
09 2022
Historique:
received: 09 01 2022
accepted: 23 03 2022
pubmed: 22 4 2022
medline: 14 9 2022
entrez: 21 4 2022
Statut: ppublish

Résumé

Data from the "Trattamento Ormonale nello Scompenso CArdiaco" (T.O.S.CA) registry showed that heart failure (HF) represents a complex clinical syndrome with different hormonal alterations. Renal failure represents a frequent complication in HF. We evaluated the relationship between renal function and insuline-like growth factor-1 (IGF-1) deficiency and its impact on cardiovascular mortality (CVM) in patients enrolled in the T.O.S.CA. registry. At the enrolment, all subjects underwent chemistry examinations, including circulating hormones and cardiovascular functional tests. COX regression analysis was used to evaluate factors related to CVM during the follow-up period in all populations, in high-risk patients and in the young-adult population. Also, we evaluate the effects of renal function on the CVM. 337 patients (41 deceased) were analyzed. CVM was related to severe renal dysfunction (HR stages IV-V = 4.86), high-risk conditions (HR 2.25), serum IGF-1 (HR 0.42), and HF etiology (HR 5.85 and HR 1.63 for valvular and ischemic etiology, respectively). In high-risk patients, CVM was related to IGF-1 levels, severe renal dysfunction and valvular etiology, whereas in young patients CMV was related to the high-risk pattern and serum IGF-1 levels. Our study showed the clinical and prognostic utility of the IGF-1 assay in patients with HF.

Identifiants

pubmed: 35445917
doi: 10.1007/s11739-022-02980-4
pii: 10.1007/s11739-022-02980-4
pmc: PMC9463276
doi:

Substances chimiques

IGF1 protein, human 0
Insulin-Like Growth Factor I 67763-96-6

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1651-1660

Investigateurs

A Cittadini (A)
M A ArcopintoSalzano (MA)
L Saccà (L)
M G Monti (MG)
R Napoli (R)
M Matarazzo (M)
F M Stagnaro (FM)
A Schiavo (A)
P Valente (P)
E Bossone (E)
F Ferrara (F)
V Russo (V)
M Malinconico (M)
R Citro (R)
E Guastalamacchia (E)
M Iacoviello (M)
M Leone (M)
V Triggiani (V)
F Cacciatore (F)
C Maiello (C)
C Amarelli (C)
I Mattucci (I)
G Limongelli (G)
D Masarone (D)
P Calabrò (P)
R Calabrò (R)
A D'Andrea (A)
V Maddaloni (V)
G Pacileo (G)
R Scarafile (R)
F Perticone (F)
A Belfiore (A)
A Sci-Acqua (A)
A Cimellaro (A)
P Perrone Filardi (PP)
L Casaretti (L)
S Paolillo (S)
P Gargiulo (P)
A Mancini (A)
A M R Favuzzi (AMR)
C Di Segni (C)
C Bruno (C)
E Vergani (E)
O Vriz (O)
R Castello (R)
A Frigo (A)
M Campo (M)
M R Sorrentino (MR)
P A Modesti (PA)
D Malandrino (D)
R Manfredini (R)
A De Giorgi (A)
F Fabbian (F)
A Puzzo (A)
L Ragusa (L)
L Caliendo (L)
L Carbone (L)
A Frigiola (A)
T Generali (T)
F Giacomazzi (F)
C De Vincentiis (C)
A Ballotta (A)
P Garofalo (P)
G Malizia (G)
T Suzuki (T)
L M Heaney (LM)
D Bruzzese (D)

Informations de copyright

© 2022. The Author(s).

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Auteurs

Alfredo De Giorgi (A)

Clinica Medica Unit, Azienda Ospedaliero-Universitaria S.Anna, Ferrara, Italy. alfredo.degiorgi@unife.it.

Alberto Maria Marra (AM)

Department of Translational Medical Sciences, Federico II University, Naples, Italy. alberto_marra@hotmail.it.
Italian Clinical Outcome Research and Reporting Program (I-CORRP)-Center for Pulmonary Hypertension, Thorax Clinic at Heidelberg University Hospital, Heidelberg, Germany. alberto_marra@hotmail.it.

Massimo Iacoviello (M)

Cardiology Unit, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.

Vincenzo Triggiani (V)

Interdisciplinary Department of Medicine-Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, University of Bari 'A Moro', Bari, Italy.

Giuseppe Rengo (G)

Department of Translational Medical Sciences, Federico II University, Naples, Italy.
Istituti Clinici Scientifici Maugeri SpA Società Benefit-IRCCS-Scientific Institute of Telese Terme, Telese Terme, Italy.

Francesco Cacciatore (F)

Department of Translational Medical Sciences, Federico II University, Naples, Italy.

Ciro Maiello (C)

Heart Transplantation Unit, Monaldi Hospital, Azienda Ospedaliera dei Colli, Naples, Italy.

Giuseppe Limongelli (G)

Division of Cardiology, Monaldi Hospital, Azienda Ospedaliera dei Colli, University of Campania L. Vanvitelli, Caserta, Italy.

Daniele Masarone (D)

Division of Cardiology, Monaldi Hospital, Azienda Ospedaliera dei Colli, University of Campania L. Vanvitelli, Caserta, Italy.

Francesco Perticone (F)

Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Catanzaro, Italy.

Pasquale Perrone Filardi (PP)

Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Mediterranea Cardiocentro, Naples, Italy.

Stefania Paolillo (S)

Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Mediterranea Cardiocentro, Naples, Italy.

Antonio Mancini (A)

Operative Unit of Endocrinology, Catholic University of the Sacred Heart, Rome, Italy.

Maurizio Volterrani (M)

Department of Medical Sciences, IRCCS San Raffaele Pisana, Rome, Italy.

Olga Vriz (O)

Heart Center Department, King Faisal Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.

Roberto Castello (R)

Division of General Medicine, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.

Andrea Passantino (A)

Scientific Clinical Institutes Maugeri, IRCCS, Pavia, Italy.

Michela Campo (M)

Unit of Endocrinology and Metabolic Diseases, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.

Pietro Amedeo Modesti (PA)

Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze, Florence, Italy.

Andrea Salzano (A)

Italian Clinical Outcome Research and Reporting Program (I-CORRP)-IRCCS SDN, Diagnostic and Nuclear Research Institute, Naples, Italy.

Roberta D'Assante (R)

Department of Translational Medical Sciences, Federico II University, Naples, Italy.
Italian Clinical Outcome Research and Reporting Program (I-CORRP), Naples, Italy.

Michele Arcopinto (M)

Department of Translational Medical Sciences, Federico II University, Naples, Italy.
Italian Clinical Outcome Research and Reporting Program (I-CORRP), Naples, Italy.

Valeria Raparelli (V)

Department of Translational Medicine, University of Ferrara, Ferrara, Italy.

Fabio Fabbian (F)

Clinica Medica Unit, Azienda Ospedaliero-Universitaria S.Anna, Ferrara, Italy.
Department of Medical Sciences, University of Ferrara, Ferrara, Italy.

Angela Sciacqua (A)

Department of Medical and Surgical Sciences, University Magna Græcia of Catanzaro, Catanzaro, Italy.

Annamaria Colao (A)

Clinical Medicine and Surgery Department, Federico II University, Naples, Italy.

Toru Suzuki (T)

Department of Cardiovascular Sciences and NIHR Leicester Biomedical Research Centre, University of Leicester, Glenfield Hospital, Leicester, UK.

Eduardo Bossone (E)

Italian Clinical Outcome Research and Reporting Program (I-CORRP)-Cardiology Division, A. Cardarelli Hospital, Naples, Italy.

Antonio Cittadini (A)

Department of Translational Medical Sciences, Federico II University, Naples, Italy.

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