PMID- 22748487 OWN - NLM STAT- MEDLINE DCOM- 20121024 LR - 20120703 IS - 1532-8414 (Electronic) IS - 1071-9164 (Linking) VI - 18 IP - 7 DP - 2012 Jul TI - Total plasma sulfide in congestive heart failure. PG - 541-8 LID - 10.1016/j.cardfail.2012.04.011 [doi] AB - BACKGROUND: Hydrogen sulfide (H(2)S) has emerged as a third gaseous transmitter in mammals. In animal models of heart failure, treatment with an H(2)S donor can protect the heart against adverse remodeling and attenuate cardiac dysfunction. The aim was to determine total plasma sulfide in patients with congestive heart failure. METHODS AND RESULTS: Total plasma sulfide was determined in 57 patients on admission to an outpatient clinic or cardiology department. Total plasma sulfide concentrations in these patients was lower compared with a control group (5.32 [2.22, 8.00] muM vs. 8.5 [6.00, 14.00] muM; P = .05). Total plasma sulfide decreased significantly across the New York Heart Association (NYHA) functional classes (II, 5.84 [4.33, 8.00] muM vs. III, 4.67 [4.00, 7.17] muM vs. IV, 2.67 [2.22, 4.31] muM; P = .001). The total plasma sulfide negatively correlated with pro-BNP (R(2) cubic, 0.692; P = .001) and pulmonary artery systolic pressure (R(2) cubic, 0.569; P = .001). The receiver operating characteristic analysis of the area under the curve for total plasma sulfide as a predictor of mortality was 0.904 (95% CI, 0.822-0.987; P = .001), and of rehospitalization was 0.779 (95% CI, 0.650-0.908; P = .001). Total plasma sulfide was a univariate predictor of mortality (odds ratio, 0.245; 95% CI, 0.108-0.555; P = .001). CONCLUSION: Total plasma sulfide is negatively related to severity of congestive heart failure: it is lowest in NYHA Class IV and in patients with high pro-BNP and high pulmonary artery pressure. Low total plasma sulfide predicts a higher mortality rate. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Kovacic, Dragan AU - Kovacic D AD - Department of Cardiology, Celje General and Teaching Hospital, Celje, Slovenia. FAU - Glavnik, Nina AU - Glavnik N FAU - Marinsek, Matej AU - Marinsek M FAU - Zagozen, Petra AU - Zagozen P FAU - Rovan, Ksenija AU - Rovan K FAU - Goslar, Tomaz AU - Goslar T FAU - Mars, Tomaz AU - Mars T FAU - Podbregar, Matej AU - Podbregar M LA - eng PT - Journal Article DEP - 20120530 PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 RN - 0 (Peptide Fragments) RN - 0 (Sulfides) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Aged MH - Blood Pressure/physiology MH - Case-Control Studies MH - Female MH - Heart Failure/*blood/classification/*mortality MH - Humans MH - Male MH - Natriuretic Peptide, Brain/blood MH - Patient Readmission MH - Peptide Fragments/blood MH - Pulmonary Artery/physiology MH - ROC Curve MH - Sensitivity and Specificity MH - *Severity of Illness Index MH - Sulfides/*blood MH - Systole/physiology EDAT- 2012/07/04 06:00 MHDA- 2012/10/25 06:00 CRDT- 2012/07/04 06:00 PHST- 2011/10/19 00:00 [received] PHST- 2012/04/24 00:00 [revised] PHST- 2012/04/30 00:00 [accepted] PHST- 2012/07/04 06:00 [entrez] PHST- 2012/07/04 06:00 [pubmed] PHST- 2012/10/25 06:00 [medline] AID - S1071-9164(12)00150-9 [pii] AID - 10.1016/j.cardfail.2012.04.011 [doi] PST - ppublish SO - J Card Fail. 2012 Jul;18(7):541-8. doi: 10.1016/j.cardfail.2012.04.011. Epub 2012 May 30.