Novel association patterns of cardiac remodeling markers in patients with essential hypertension and atrial fibrillation

BMC Cardiovascular Disorders - Tập 11 - Trang 1-10 - 2011
Andreas S Kalogeropoulos1, Sotirios Tsiodras2, Angelos G Rigopoulos3, Eleftherios A Sakadakis3, Andreas Triantafyllis3, Dimitrios TH Kremastinos3, Ioannis Rizos3
1Department of Cardiology, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK
24th Academic Department of Internal Medicine and Infectious Diseases, University of Athens Medical School, Attikon University Hospital, Athens, Greece
32nd Department of Cardiology, University of Athens Medical School, Attikon University Hospital, Athens, Greece

Tóm tắt

Matrix metalloproteinases (MMPs) and their tissue inhibitors (TIMPs) are essential for the cardiac extracellular matrix (ECM) remodeling. We investigated differences in serum levels of these markers between patients with atrial fibrillation (AF) and sinus rhythm (SR). Serum levels of MMP-2, MMP-3, MMP-9 and TIMP-1 were measured in 86 patients: 27 on SR without any AF history, 33 with paroxysmal and 26 with permanent AF. All subjects had essential hypertension, normal systolic function and no coronary artery disease. Patients with AF had higher MMP-2, MMP-3 and MMP-9 and lower TIMP-1 compared to SR subjects (all p < 0.001). Paroxysmal AF was associated with higher MMP-2 levels compared to permanent AF (p < 0.001). Matrix metalloproteinase-9 but not MMP-3 was higher in permanent compared to paroxysmal AF group (p < 0.001). Patients with AF had lower levels of TIMP-1 compared to those with SR while permanent AF subjects had lower TIMP-1 levels than those with paroxysmal AF (p < 0.001 for both comparisons). Lower TIMP-1 was the only independent factor associated with AF (OR: 0.259, 95%CI: 0.104-0.645, p = 0.004). In hypertensives, paroxysmal AF and permanent AF differ with respect to serum MMPs. Increased MMP-2 is associated with paroxysmal, whereas increased MMP-9 with permanent AF. Additionally, lower levels of TIMP-1 had a strong association with AF incidence.

Tài liệu tham khảo

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2261/11/77/prepub
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BMC Cardiovascular Disorders

Tập 11

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