PMID- 21890535 OWN - NLM STAT- MEDLINE DCOM- 20130205 LR - 20151119 IS - 2047-4881 (Electronic) IS - 2047-4873 (Linking) VI - 19 IP - 5 DP - 2012 Oct TI - Plasma calprotectin levels reflect disease severity in patients with chronic heart failure. PG - 999-1004 LID - 10.1177/1741826711421078 [doi] AB - BACKGROUND: Low-grade inflammation has been associated with cardiovascular disease (CVD) and chronic heart failure (CHF). The aim of the present study was to investigate the potential usefulness of the inflammatory protein calprotectin as a biomarker in CHF. METHODS: Plasma calprotectin was measured in 193 CHF patients with left ventricular function <45% and in 100 healthy controls at baseline. Patients with CHF were followed for a median period of 2.6 years according to mortality. RESULTS: The levels of plasma calprotectin were significantly increased in the CHF patients compared to the control group (P < 0.01), primarily due to elevated levels in the patients with New York Heart Association (NYHA) class III and IV. Furthermore, plasma calprotectin was a superior biomarker of high NYHA classes than other parameters reflecting CHF severity, OR 2.2 (1.1-4.3) (P = 0.019). After the follow-up period, 46 patients had died. Plasma calprotectin levels did not predict mortality in CHF patients. CONCLUSIONS: Plasma calprotectin is increased in CHF patients, indicating that inflammatory activity is upregulated in CHF and may be associated with the severity of CHF. FAU - Jensen, Louise J N AU - Jensen LJ AD - The Medical Research Laboratories, Institute of Clinical Medicine, Aarhus University and Department of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark. ljnoergaard@hotmail.com FAU - Kistorp, Caroline AU - Kistorp C FAU - Bjerre, Mette AU - Bjerre M FAU - Raymond, Ilan AU - Raymond I FAU - Flyvbjerg, Allan AU - Flyvbjerg A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110902 PL - England TA - Eur J Prev Cardiol JT - European journal of preventive cardiology JID - 101564430 RN - 0 (Biomarkers) RN - 0 (Leukocyte L1 Antigen Complex) SB - IM MH - Aged MH - Biomarkers/blood MH - Denmark/epidemiology MH - Echocardiography MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Follow-Up Studies MH - Heart Failure/*blood/diagnosis/mortality MH - Humans MH - Leukocyte L1 Antigen Complex/*blood MH - Male MH - Prognosis MH - Severity of Illness Index MH - Stroke Volume MH - Survival Rate/trends MH - Ventricular Function, Left/*physiology EDAT- 2011/09/06 06:00 MHDA- 2013/02/06 06:00 CRDT- 2011/09/06 06:00 PHST- 2011/09/06 06:00 [entrez] PHST- 2011/09/06 06:00 [pubmed] PHST- 2013/02/06 06:00 [medline] AID - 1741826711421078 [pii] AID - 10.1177/1741826711421078 [doi] PST - ppublish SO - Eur J Prev Cardiol. 2012 Oct;19(5):999-1004. doi: 10.1177/1741826711421078. Epub 2011 Sep 2.