PMID- 17277352 OWN - NLM STAT- MEDLINE DCOM- 20071004 LR - 20181113 IS - 1468-201X (Electronic) IS - 1355-6037 (Print) IS - 1355-6037 (Linking) VI - 93 IP - 9 DP - 2007 Sep TI - Circulating endothelial progenitor cells and clinical outcome in patients with congestive heart failure. PG - 1046-50 AB - BACKGROUND: Circulating endothelial progenitor cells (EPCs) are increased in conditions associated with ischaemia and can potentially support angiogenesis and vasculogenesis. EPC levels were also shown to predict outcome in patients with atherosclerotic vascular disease. We tested the hypothesis that circulating EPC can predict outcome in patients with congestive heart failure (CHF). METHODS: EPC-colony-forming units were measured in the peripheral blood of 107 consecutive patients with CHF with New York Heart Association (NYHA) functional class II-IV. Serum levels of vascular endothelial growth factor (VEGF), N-terminal pro-B-type natriuretic peptide (NT-pro-BNP) and high-sensitivity C-reactive protein (hsCRP) were also measured. End points were defined as CHF-related hospital admissions and all-cause mortality. RESULTS: Age (p = 0.01), diabetes mellitus (p = 0.002) and EPC levels (p = 0.02) were found to be independent predictors of all-cause mortality. EPC levels did not predict CHF-related hospitalisations. EPC levels correlated positively with NYHA (p = 0.05, r = 0.19), but did not correlate with VEGF, NT-pro-BNP or hsCRP. EPC levels did not differ by the aetiology of CHF. CONCLUSIONS: EPC levels are independent predictors of all-cause mortality among patients with CHF. FAU - Michowitz, Yoav AU - Michowitz Y AD - The Department of Cardiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. FAU - Goldstein, Emil AU - Goldstein E FAU - Wexler, Dov AU - Wexler D FAU - Sheps, David AU - Sheps D FAU - Keren, Gad AU - Keren G FAU - George, Jacob AU - George J LA - eng PT - Journal Article DEP - 20070203 PL - England TA - Heart JT - Heart (British Cardiac Society) JID - 9602087 RN - 0 (Biomarkers) RN - 0 (Peptide Fragments) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Aged MH - Aged, 80 and over MH - Biomarkers/blood MH - C-Reactive Protein/analysis MH - Colony-Forming Units Assay MH - Endothelial Cells/*physiology MH - Endothelium, Vascular/pathology MH - Female MH - Heart Failure/*blood/pathology MH - Hospitalization MH - Humans MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/blood MH - Peptide Fragments/blood MH - Prognosis MH - Risk Factors MH - Stem Cells/*physiology MH - Survival Analysis MH - Vascular Endothelial Growth Factor A/blood PMC - PMC1955007 COIS- Competing interests: None declared. EDAT- 2007/02/06 09:00 MHDA- 2007/10/05 09:00 PMCR- 2010/09/01 CRDT- 2007/02/06 09:00 PHST- 2007/02/06 09:00 [pubmed] PHST- 2007/10/05 09:00 [medline] PHST- 2007/02/06 09:00 [entrez] PHST- 2010/09/01 00:00 [pmc-release] AID - hrt.2006.102657 [pii] AID - ht102657 [pii] AID - 10.1136/hrt.2006.102657 [doi] PST - ppublish SO - Heart. 2007 Sep;93(9):1046-50. doi: 10.1136/hrt.2006.102657. Epub 2007 Feb 3.