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Predictive value of plasma galectin-3 levels in heart failure with reduced and preserved ejection fraction

Open access
de Boer, Rudolf A., Lok, Dirk J. A., Jaarsma, Tiny, van der Meer, Peter, Voors, Adriaan A., Hillege, Hans L., van Veldhuisen, Dirk J.·2011·Annals of Medicine

Abstract

AIMS: galectin-3 is an emerging biomarker which has been studied in relatively small heart failure (HF) cohorts with predominantly systolic HF. We studied the prognostic value of base-line galectin-3 in a large HF cohort, with preserved and reduced left ventricular ejection fraction (LVEF), and compared this to other biomarkers. METHODS: we studied 592 HF patients who had been hospitalized for HF and were followed for 18 months. The primary end-point was a composite of all-cause mortality and HF hospitalization. RESULTS: a doubling of galectin-3 levels was associated with a hazard ratio (HR) of 1.97 (1.62-2.42) for the primary outcome (P < 0.001). After correction for age, gender, BNP, eGFR, and diabetes the HR was 1.38 (1.07-1.78; P = 0.015). Galectin-3 levels were correlated with higher IL-6 and CRP levels (P < 0.002). Changes of galectin-3 levels after 6 months did not add prognostic information to the base-line value (n = 291); however, combining plasma galectin-3 and BNP levels increased prognostic value over either biomarker alone (ROC analysis, P < 0.05). The predictive value of galectin-3 was stronger in patients with preserved LVEF (n = 114) compared to patients with reduced LVEF (P < 0.001). CONCLUSIONS: galectin-3 is an independent marker for outcome in HF and appears to be particularly useful in HF patients with preserved LVEF.

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Metadata

Authors
de Boer, R. A., Lok, D. J. A., Jaarsma, T., van der Meer, P., Voors, A. A., Hillege, H. L., & van Veldhuisen, D. J.
Venue
Annals of Medicine
Published
2010-12-28
Volume
43
Issue
1
Pages
60-68
ISSN
  • 0785-3890 (ISSN-L)
  • 1365-2060
OpenAlex
W2015404118
Cited by
592
References
1
FWCI
20.23
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Predictive value of plasma galectin-3 levels in heart failure with reduced and preserved ejection fraction. https://app.cochat.ai/papers/10.3109/07853890.2010.538080
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de Boer, R. A., Lok, D. J. A., Jaarsma, T., van der Meer, P., Voors, A. A., Hillege, H. L., & van Veldhuisen, D. J. (2011). Predictive value of plasma galectin-3 levels in heart failure with reduced and preserved ejection fraction. Annals of Medicine. https://doi.org/10.3109/07853890.2010.538080

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