PMID- 27273357 OWN - NLM STAT- MEDLINE DCOM- 20170822 LR - 20240317 IS - 1760-4788 (Electronic) IS - 1279-7707 (Linking) VI - 20 IP - 6 DP - 2016 TI - Parathormone Levels Are Independently Associated with the Presence of Left Ventricular Hypertrophy in Patients with Coronary Artery Disease. PG - 659-64 LID - 10.1007/s12603-015-0649-y [doi] AB - BACKGROUND: Abnormalities of mineral metabolism and inflammation may affect the cardiovascular system. We have assessed the relationship of left ventricular hypertrophy (LVH) with inflammation and mineral metabolism. METHODS: LVH was measured in 146 outpatients with stable coronary artery disease (SCAD) using echocardiography. Calcidiol (a vitamin D metabolite), parathyroid hormone (PTH), fibroblast growth factor-23, high-sensitivity C-reactive protein, MCP-1 (monocyte chemoattractant protein-1), galectin-3, NGAL (neutrophil gelatinase-associated lipocalin), and sTWEAK (soluble TNF-related weak inducer of apoptosis) plasma levels were studied. RESULTS: LVH, defined as septal thickness >/=11 mm, was present in 19.9% of cases. These patients were older [75.0 (61.0-81.0) vs 64.0 (51.0-76.0) years; p=0.002], had higher prevalence of left ventricular ejection fraction (LVEF)>40%, and had higher PTH [84.7 (59.6-104.7) vs 63.2 (49.2-85.2) pg/ml; p=0.007], galectin-3 [9.6 (8.0-11.1) vs 8.3 (6.9-9.9) ng/ml; p=0.037], and NGAL (208.5+/-87.6 vs 173.9+/-73.4 ng/ml; p=0.031) plasma levels than those without LVH. Glomerular filtration rate was lower in patients with LVH than in those without it (65.1+/-20.0 vs 74.7+/-19.9 mL/min/1.73 m2; p=0.021). There were no significant differences in hypertension (79.3 vs 68.4%; p=0.363) or sex between both groups. Variables showing differences based on univariate analysis and hypertension were entered into a logistic regression analysis. Only age [odds ratio (OR) =1.052 (1.011-1.096); p=0.013], PTH plasma levels [OR=1.017 (1.003-1.031); p=0.021], and LVEF>40% [OR=7.595 (1.463-39.429); p=0.016] were independent predictors of LVH. CONCLUSIONS: In patients with SCAD, elevated PTH levels are independently associated with the presence of LVH. Further studies are needed to elucidate the role of PTH in the development of myocardial hypertrophy. FAU - Acena, A AU - Acena A AD - Jose Tunon, Department of Cardiology, IIS-Fundacion Jimenez Diaz-UAM, Avenida Reyes Catolicos 2, 28040 Madrid, Spain, email: jtunon@secardiologia.es, Phone: 00-34-915504800 Ext-3701, Fax 00-34-915504904. FAU - Pello, A M AU - Pello AM FAU - Carda, R AU - Carda R FAU - Lorenzo, O AU - Lorenzo O FAU - Gonzalez-Casaus, M L AU - Gonzalez-Casaus ML FAU - Blanco-Colio, L M AU - Blanco-Colio LM FAU - Martin-Ventura, J L AU - Martin-Ventura JL FAU - Palfy, J AU - Palfy J FAU - Orejas, M AU - Orejas M FAU - Rabago, R AU - Rabago R FAU - Gonzalez-Parra, E AU - Gonzalez-Parra E FAU - Mahillo-Fernandez, I AU - Mahillo-Fernandez I FAU - Farre, J AU - Farre J FAU - Egido, J AU - Egido J FAU - Tunon, J AU - Tunon J LA - eng PT - Journal Article PL - France TA - J Nutr Health Aging JT - The journal of nutrition, health & aging JID - 100893366 RN - 0 (Parathyroid Hormone) SB - IM MH - Aged MH - Coronary Artery Disease/*complications MH - Cross-Sectional Studies MH - Female MH - Humans MH - Hypertrophy, Left Ventricular/*etiology MH - Male MH - Middle Aged MH - Parathyroid Hormone/*blood EDAT- 2016/06/09 06:00 MHDA- 2017/08/23 06:00 CRDT- 2016/06/09 06:00 PHST- 2016/06/09 06:00 [entrez] PHST- 2016/06/09 06:00 [pubmed] PHST- 2017/08/23 06:00 [medline] AID - S1279-7707(23)00946-6 [pii] AID - 10.1007/s12603-015-0649-y [doi] PST - ppublish SO - J Nutr Health Aging. 2016;20(6):659-64. doi: 10.1007/s12603-015-0649-y.