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The Relationship of Heart-type Fatty Acid-binding Protein Levels and Chronic Heart Failure |
Central Hospital of Jilin,Jilin 132011,China |
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Abstract Objective:To investigate the relationship of heart-type fatty acid- binding ng protein( H-FABP) and chronic congestive heart failure( CHF).Method:The CHF group included 80 patients with CHF,they were divided into NYHA Ⅱ, Ⅲ and Ⅳ three subgroups. The control group were 65 healthy person.Serum concentrations of H-FABP,NT-proBNP and cTnI of two groups were measured. Followed-up at least a year, the major adverse cardiac events were recorded. Result:Serum concentrations of H-FABP,NT-proBNP and cTnI of CHF group were higher than control group,the differences were statistically significant(P<0.05).The level of H-FABP,NT-pro BNP increased gradually of CHF subgroups with the different classification, the differences were statistically significant(P<0.05),but there was no significant difference between cTnI subgroup and CKMB subgroup(P>0.05). The deaths proportion of H-FABP positive group and NT-proBNP positive group were higher than the rest two groups,but had no statistical difference(P>0.05).The incidence of readmission and refractory heart failure in H-FABP positive group were higher than cTnI group and CKMB group,the differences were statistically significant( P<0.05). Multiariable logistic regression analysis found that NT-proBNP and H-FABP associated with all-cause mortality(P<0.05).Conclusion:The detection of H-FABP can be help for assessment risk stratification and prognosis for patients with CHF.
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