Association of fibrotic markers with diastolic function after STEMI

Sci Rep. 2024 Aug 18;14(1):19122. doi: 10.1038/s41598-024-69926-y.

Abstract

Galectin-3 and Suppression of tumorigenicity-2 (ST2) are known markers of cardiac fibrosis. We investigated the prognostic value of fibrotic markers for the development of diastolic dysfunction and long-term outcome in patients suffering an ST-elevated myocardial infarction (STEMI). We analyzed 236 patients from the GIPS-III cohort with available echocardiographic studies and plasma measurements at hospitalization and after 4 months follow-up. Adjusted logistic mixed effects modelling revealed no association between the occurrence of diastolic dysfunction over time with abnormal plasma levels of galectin-3 and ST2. We observed no differences regarding survival outcome at follow-up of 5 years between patients with normal versus abnormal values in both galectin-3 (P = 0.75), and ST2 (P = 0.85). In conclusion, galectin-3 and sST2 were not associated with the development of diastolic dysfunction in non-diabetic patients that presented with a STEMI.

MeSH terms

  • Aged
  • Biomarkers* / blood
  • Blood Proteins / metabolism
  • Diastole*
  • Echocardiography
  • Female
  • Fibrosis*
  • Follow-Up Studies
  • Galectin 3 / blood
  • Galectins / blood
  • Humans
  • Interleukin-1 Receptor-Like 1 Protein* / blood
  • Male
  • Middle Aged
  • Prognosis
  • ST Elevation Myocardial Infarction* / blood
  • ST Elevation Myocardial Infarction* / physiopathology

Substances

  • Biomarkers
  • Interleukin-1 Receptor-Like 1 Protein
  • IL1RL1 protein, human
  • Galectin 3
  • Galectins
  • LGALS3 protein, human
  • Blood Proteins

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