Association of Plasma Myeloperoxidase with Inflammation and Diabetic status in HFpEF.
diabetes
heart failure with preserved ejection fraction
inflammation
myeloperoxidase
oxidative stress
vascular stiffness
Journal
Reviews in cardiovascular medicine
ISSN: 1530-6550
Titre abrégé: Rev Cardiovasc Med
Pays: Singapore
ID NLM: 100960007
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
21
10
2022
revised:
06
12
2022
accepted:
13
12
2022
medline:
8
2
2023
pubmed:
8
2
2023
entrez:
30
7
2024
Statut:
epublish
Résumé
Inflammation and oxidative stress are thought to play an important role in the pathophysiology of heart failure with preserved ejection fraction (HFpEF) through the development of endothelial dysfunction. Myeloperoxidase (MPO) functions as a link between oxidative stress and inflammation and is an interesting therapeutic target. The objective of this observational cohort study was to compare MPO levels between HFpEF and old controls, to define clinical characteristics associated with high levels of MPO and to assess the relation between MPO levels and vascular function. Patients with HFpEF (N = 55) and controls Patients with HFpEF (80 HFpEF patients have higher levels of MPO than controls, reflecting leukocyte activation and oxidative stress. Among patients, high levels of MPO are associated with male sex, diabetic status, subtle left ventricular dysfunction and pronounced diastolic dysfunction. The association between oxidative stress and vascular stiffness, on the other hand could not be demonstrated. Clinical trial NCT03197350.
Sections du résumé
Background
UNASSIGNED
Inflammation and oxidative stress are thought to play an important role in the pathophysiology of heart failure with preserved ejection fraction (HFpEF) through the development of endothelial dysfunction. Myeloperoxidase (MPO) functions as a link between oxidative stress and inflammation and is an interesting therapeutic target. The objective of this observational cohort study was to compare MPO levels between HFpEF and old controls, to define clinical characteristics associated with high levels of MPO and to assess the relation between MPO levels and vascular function.
Methods
UNASSIGNED
Patients with HFpEF (N = 55) and controls
Results
UNASSIGNED
Patients with HFpEF (80
Conclusions
UNASSIGNED
HFpEF patients have higher levels of MPO than controls, reflecting leukocyte activation and oxidative stress. Among patients, high levels of MPO are associated with male sex, diabetic status, subtle left ventricular dysfunction and pronounced diastolic dysfunction. The association between oxidative stress and vascular stiffness, on the other hand could not be demonstrated.
Clinical Trial Registration
UNASSIGNED
Clinical trial NCT03197350.
Identifiants
pubmed: 39077419
doi: 10.31083/j.rcm2402056
pii: S1530-6550(22)00829-8
pmc: PMC11273114
doi:
Banques de données
ClinicalTrials.gov
['NCT03197350']
Types de publication
Journal Article
Langues
eng
Pagination
56Informations de copyright
Copyright: © 2023 The Author(s). Published by IMR Press.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.