PMID- 23722357 OWN - NLM STAT- MEDLINE DCOM- 20140214 LR - 20211021 IS - 1937-5395 (Electronic) IS - 1937-5387 (Linking) VI - 6 IP - 4 DP - 2013 Aug TI - Plasma profiles of matrix metalloproteinases and tissue inhibitors of the metalloproteinases predict recurrence of atrial fibrillation following cardioversion. PG - 528-35 LID - 10.1007/s12265-013-9471-2 [doi] AB - Atrial fibrosis is considered to contribute to atrial fibrillation (AF) recurrence following cardioversion. This study tested the hypothesis that circulating levels of matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs) can predict AF recurrence postcardioversion. Precardioversion plasma samples (n = 82) were assayed for MMPs (eight types), TIMPs (all four types), N-terminus pro B-type natriuretic peptide, and high-sensitivity C-reactive protein levels. Patients were followed for AF recurrence postcardioversion. Despite 100 % restoration of sinus rhythm, 36 (44 %) reverted to AF within 3 months. Left atrial volume was increased in patients in whom AF recurred. Precardioversion MMP-9 was higher and TIMP-4 lower with AF recurrence. MMP-9, MMP-3, and TIMP-4 independently predicted AF recurrence. In multivariate analysis, combination of MMP-9, MMP-3, and TIMP-4 increased prediction of AF recurrence. Circulating levels of MMPs and TIMPs predict AF recurrence postcardioversion and may be used in a novel biomarker panel to guide AF stratification and therapy. FAU - Mukherjee, Rupak AU - Mukherjee R AD - Division of Cardiothoracic Surgery, Medical University of South Carolina, 770 MUSC Complex, Suite 326, Charleston, SC 29425, USA. mukherr@musc.edu FAU - Akar, Joseph G AU - Akar JG FAU - Wharton, J Marcus AU - Wharton JM FAU - Adams, Deborah K AU - Adams DK FAU - McClure, Catherine D AU - McClure CD FAU - Stroud, Robert E AU - Stroud RE FAU - Rice, Allison D AU - Rice AD FAU - DeSantis, Stacia M AU - DeSantis SM FAU - Spinale, Francis G AU - Spinale FG FAU - Gold, Michael R AU - Gold MR LA - eng GR - HL057952/HL/NHLBI NIH HHS/United States GR - HL059165/HL/NHLBI NIH HHS/United States GR - HL095608/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20130531 PL - United States TA - J Cardiovasc Transl Res JT - Journal of cardiovascular translational research JID - 101468585 RN - 0 (Biomarkers) RN - 0 (Peptide Fragments) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Aged MH - Atrial Fibrillation/blood/diagnosis/enzymology/*surgery MH - Biomarkers/blood MH - C-Reactive Protein/metabolism MH - Chi-Square Distribution MH - Electric Countershock/*adverse effects MH - Fibrosis MH - Heart Atria/enzymology/pathology/surgery MH - Humans MH - Logistic Models MH - Matrix Metalloproteinases/*blood MH - Middle Aged MH - Multivariate Analysis MH - Natriuretic Peptide, Brain/blood MH - Peptide Fragments/blood MH - Predictive Value of Tests MH - Recurrence MH - Risk Factors MH - Time Factors MH - Tissue Inhibitor of Metalloproteinases/*blood MH - Treatment Outcome EDAT- 2013/06/01 06:00 MHDA- 2014/02/15 06:00 CRDT- 2013/06/01 06:00 PHST- 2013/03/22 00:00 [received] PHST- 2013/05/06 00:00 [accepted] PHST- 2013/06/01 06:00 [entrez] PHST- 2013/06/01 06:00 [pubmed] PHST- 2014/02/15 06:00 [medline] AID - 10.1007/s12265-013-9471-2 [doi] PST - ppublish SO - J Cardiovasc Transl Res. 2013 Aug;6(4):528-35. doi: 10.1007/s12265-013-9471-2. Epub 2013 May 31.