Association of fibrotic markers with diastolic function after STEMI

  • Lawien Al Ali*
  • , Wouter C. Meijers
  • , Iris E. Beldhuis
  • , Hilde E. Groot
  • , Erik Lipsic
  • , Dirk J. van Veldhuisen
  • , Adriaan A. Voors
  • , Iwan C.C. van der Horst
  • , Rudolf A. de Boer
  • , Pim van der Harst
  • *Corresponding author for this work

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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.

Original languageEnglish
Article number19122
Number of pages11
JournalScientific Reports
Volume14
Issue number1
DOIs
Publication statusPublished - 18 Aug 2024

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