PMID- 15904639 OWN - NLM STAT- MEDLINE DCOM- 20050705 LR - 20161124 IS - 0002-9149 (Print) IS - 0002-9149 (Linking) VI - 95 IP - 11 DP - 2005 Jun 1 TI - Circulating levels of heart-type fatty acid-binding protein and its relation to thallium-201 perfusion defects in patients with hypertrophic cardiomyopathy. PG - 1334-7 AB - Myocyte loss and replacement fibrosis have been observed in patients with hypertrophic cardiomyopathy (HC) with heart failure. This study was designed to elucidate whether heart-type fatty acid-binding protein (H-FABP), a sensitive biochemical marker for myocardial damage, indicates ongoing myocardial damage in patients with HC. We studied 48 patients with HC and 17 control subjects. Patients with HC were divided into 2 groups according to the New York Heart Association (NYHA) functional class: NYHA I + II (n = 40) and NYHA III + IV (n = 8). Serum H-FABP and myoglobin levels were measured, and extent score was used to assess the extent of thallium-201 perfusion defect. Serum H-FABP levels were significantly higher in patients with HC than in control subjects (3.8 +/- 1.6 vs 2.6 +/- 0.7 ng/ml, p = 0.0032). Furthermore, serum H-FABP levels were significantly higher in NYHA III + IV than in NYHA I + II (5.2 +/- 1.3 vs 3.5 +/- 1.5 ng/ml, p = 0.0043). Serum myoglobin levels showed no significant difference among the 3 groups (control, 46.6 +/- 15.0 ng/ml; NYHA I + II, 55.5 +/- 26.4 ng/ml; NYHA III + IV, 65.1 +/- 33.6 ng/ml, p = 0.2115). Extent score correlated positively with serum H-FABP levels (r = 0.420, p = 0.0026) and negatively with fractional shortening (r = -0.542, p <0.0001). Increased H-FABP levels indicate ongoing myocardial damage, which could result in clinical deterioration in patients with HC. FAU - Morioka, Norikatsu AU - Morioka N AD - The Second Department of Internal Medicine, Ehime University School of Medicine, Ehime, Japan. FAU - Shigematsu, Yuji AU - Shigematsu Y FAU - Hamada, Mareomi AU - Hamada M FAU - Higaki, Jitsuo AU - Higaki J LA - eng PT - Journal Article PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 RN - 0 (Biomarkers) RN - 0 (Carrier Proteins) RN - 0 (Fatty Acid-Binding Proteins) RN - 0 (Myoglobin) RN - 0 (Radiopharmaceuticals) RN - 0 (Thallium Radioisotopes) SB - IM MH - Aged MH - Biomarkers/*blood MH - Cardiomyopathy, Hypertrophic/blood/diagnostic imaging/*physiopathology MH - Carrier Proteins/*blood MH - Echocardiography MH - Fatty Acid-Binding Proteins MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myoglobin/blood MH - Radionuclide Imaging MH - Radiopharmaceuticals MH - Thallium Radioisotopes EDAT- 2005/05/21 09:00 MHDA- 2005/07/06 09:00 CRDT- 2005/05/21 09:00 PHST- 2004/10/13 00:00 [received] PHST- 2005/01/20 00:00 [revised] PHST- 2005/01/18 00:00 [accepted] PHST- 2005/05/21 09:00 [pubmed] PHST- 2005/07/06 09:00 [medline] PHST- 2005/05/21 09:00 [entrez] AID - S0002-9149(05)00366-8 [pii] AID - 10.1016/j.amjcard.2005.01.078 [doi] PST - ppublish SO - Am J Cardiol. 2005 Jun 1;95(11):1334-7. doi: 10.1016/j.amjcard.2005.01.078.