The purpose of this study is to determine whether galectin-3 binding protein plasma levels can predict adverse cardiovascular events in patients with coronary artery disease and/or heart failure.
Chronic heart failure represents an important cause of disease burden in Western countries. Heart failure can be either caused by vascular disease (i.e. cardiomypathy (CMP) due to coronary artery disease ("ischemic/ICMP")) or by myocardial conditions (i.e. dilated cardiomyopathies (DCMP) resulting from other causes like familial disposition, drug toxicity, etc.). Gold standard for the diagnosis of CMPs is the coronary angiography in conjunction with left ventricular angiography and myocardial biopsy, non-invasive markers include C-reactive protein (CRP) for ICMP and brain natriuretic protein (BNP) for DCMP. We have previously identified G3BP to be overexpressed in foam cells and plasma-derived microparticles, both potentially important in formation of atherosclerotic plaque. Galectin-3 binding protein (G3BP) is a secreted protein that is involved in cell adhesion and immune activation. The purpose of the current study is to test, whether G3BP plasma levels (a) are able to non-invasively differentiate causes of CMP and (b) are a suitable means for future risk assessment in CMP patients.
Study Type
OBSERVATIONAL
Enrollment
373
University of Heidelberg, Dept. of Cardiology
Heidelberg, Germany
Death from cardiac causes
Time frame: up to five years
diagnosis of coronary artery disease (CAD)
Time frame: up to five years
diagnosis of cardiomypathy (CMP)
Time frame: up to five years
assessment of disease stage (CAD-1-3, NYHA I-IV)
Time frame: up to five years
non-fatal myocardial infarction or cerebrovascular accident
Time frame: up to five years
revascularization (percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG))
Time frame: up to five years
rehospitalization
Time frame: up to five years
implantation of ICD/biventricular pacemaker
Time frame: up to five years
heart transplantation
Time frame: up to five years
correlation with patient history
Time frame: up to five years
correlation with physical examination
Time frame: up to five years
correlation with routine lab values
Time frame: up to five years
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correlation with ECG
Time frame: up to five years
correlation with echocardiography
Time frame: up to five years
correlation with cardiac MRI
Time frame: up to five years
correlation with cardiac CT
Time frame: up to five years
correlation with chest X-ray
Time frame: up to five years