PMID- 34017496 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210523 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 13 IP - 4 DP - 2021 TI - Correlation between serum urea nitrogen, cystatin C, homocysteine, and chronic heart failure. PG - 3254-3261 AB - OBJECTIVE: To explore the correlation between uric acid (UA), cystatin C (Cys-C), homocysteine (Hcy), and chronic heart failure (CHF). METHODS: 45 patients with CHF were selected as the research group; 45 healthy people were selected as the control group. The levels of serum UA, Cys-C and Hcy were detected. RESULTS: The in The research group had much higher levels of serum UA, Cys-C and Hcy than the control group (all P<0.05). The levels of above indexes also increased with an increase in cardiac function classification. Patients with major adverse cardiovascular events (MACE) had much higher levels of serum UA, Cys-C, and Hcy than those without MACE in the research group (all P<0.05). In addition, the levels of these above indexes in the research group were all positively correlated with the left ventricular end diastolic diameter (LVEDD) (all P<0.05), and all negatively correlated with the f left ventricular ejection fraction (LVEF) (P<0.05). What is more, the levels of these above indexes in the research group were all positively correlated with New York Heart Association (NYHA) grade (all P<0.05). The diagnostic sensitivity of serum UA level, Cys-C level, and Hcy level in joint diagnosis of CHF patients was higher than that of any single index diagnosis (P<0.05), and the specificity of combined diagnosis was lower than that of single index diagnosis (P<0.05). CONCLUSION: The levels of serum UA, Cys-C, and Hcy in CHF patients may be used as reference indexes for clinical screening of early CHF patients and could provide a certain reference for clinical evaluation. CI - AJTR Copyright (c) 2021. FAU - Yao, Zongqin AU - Yao Z AD - Department of Cardiology, Linyi Central Hospital Linyi, Shandong Province, China. FAU - Li, Guangfeng AU - Li G AD - Department of Neurology, Linyi Central Hospital Linyi, Shandong Province, China. FAU - Li, Guangcai AU - Li G AD - Department of Clinical Pharmacy, Linyi Central Hospital Linyi, Shandong Province, China. LA - eng PT - Journal Article DEP - 20210415 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC8129353 OTO - NOTNLM OT - Uric acid OT - cardiac function OT - chronic heart failure OT - correlation OT - cystatin C OT - homocysteine COIS- None. EDAT- 2021/05/22 06:00 MHDA- 2021/05/22 06:01 PMCR- 2021/04/15 CRDT- 2021/05/21 06:32 PHST- 2020/11/20 00:00 [received] PHST- 2020/12/27 00:00 [accepted] PHST- 2021/05/21 06:32 [entrez] PHST- 2021/05/22 06:00 [pubmed] PHST- 2021/05/22 06:01 [medline] PHST- 2021/04/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2021 Apr 15;13(4):3254-3261. eCollection 2021.