Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/34799 |
Resumo: | © 2012 Marques JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article was originally published in a special issue, Cardiac Biomarkers handled by Editor(s). Dr. Virginija Jazbutyte, Institute for Molecular and Translational Therapy Strategies, Germany |
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Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunctionSystolic heart failureBiological markersCopeptinPrognosis© 2012 Marques JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article was originally published in a special issue, Cardiac Biomarkers handled by Editor(s). Dr. Virginija Jazbutyte, Institute for Molecular and Translational Therapy Strategies, GermanyBackground: Patients with heart failure and impaired systolic function may have a highly variable clinical course that renders it difficult to assess the individual prognosis. We hypothesized that ejection fraction would incompletely characterize prognosis in systolic heart failure and that biomarkers would add significant information. This study addresses the specific question whether co-peptin may add value in the evaluation of two-year prognosis in heart failure patients with known systolic dysfunction. Methods: Prospective observational cohort study in 37 patients with symptomatic chronic heart failure (classes II to IV of the NYHA classification) and moderate to severe left ventricular systolic dysfunction. We evaluated clinical, echo-cardiographic and laboratory predictors of 24-month mortality specifically assessing the role of co-peptin. Results: Six patients (16%) died during the follow-up. Patients who died had significant higher prevalence of NYHA class IV heart failure, higher blood osmolality and higher levels of NT-proBNP and co-peptin. In unvariable analysis NYHA functional class (p=0.013), serum creatinine (p=0.034), osmolality (p=0.009), NT-proBNP (p=0.013) and copeptin (p=0.003) were predictors of mortality at 24 months. Only copeptin (p=0.004) remained an independent predictor of death in Cox regression analysis. Conclusions: Our results suggest that, in patients with heart failure and impaired left ventricular systolic function, copeptin level determination may be useful for predicting mortality at two years.The study was funded by Centro de Cardiologia da Universidade de Lisboa (CCUL), Cardiology Centre of Lisbon University.OMICS InternationalRepositório da Universidade de LisboaMarques, Joao SilvaAlmeida, Ana G.David, CláudioRodrigues, Henrique LuzDiogo, António2018-09-13T16:03:58Z20122012-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/34799engJ Clin Exp Cardiolog S22155-988010.4172/2155-9880.S2-006info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:30:20Zoai:repositorio.ul.pt:10451/34799Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:49:26.137733Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
title |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
spellingShingle |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction Marques, Joao Silva Systolic heart failure Biological markers Copeptin Prognosis |
title_short |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
title_full |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
title_fullStr |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
title_full_unstemmed |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
title_sort |
Copeptin for discriminating two-year mortality in heart failure patients with moderate to severe systolic dysfunction |
author |
Marques, Joao Silva |
author_facet |
Marques, Joao Silva Almeida, Ana G. David, Cláudio Rodrigues, Henrique Luz Diogo, António |
author_role |
author |
author2 |
Almeida, Ana G. David, Cláudio Rodrigues, Henrique Luz Diogo, António |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Marques, Joao Silva Almeida, Ana G. David, Cláudio Rodrigues, Henrique Luz Diogo, António |
dc.subject.por.fl_str_mv |
Systolic heart failure Biological markers Copeptin Prognosis |
topic |
Systolic heart failure Biological markers Copeptin Prognosis |
description |
© 2012 Marques JS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article was originally published in a special issue, Cardiac Biomarkers handled by Editor(s). Dr. Virginija Jazbutyte, Institute for Molecular and Translational Therapy Strategies, Germany |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012 2012-01-01T00:00:00Z 2018-09-13T16:03:58Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/34799 |
url |
http://hdl.handle.net/10451/34799 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
J Clin Exp Cardiolog S2 2155-9880 10.4172/2155-9880.S2-006 |
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info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
OMICS International |
publisher.none.fl_str_mv |
OMICS International |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134426656931840 |