PMID- 9474018 OWN - NLM STAT- MEDLINE DCOM- 19980316 LR - 20190722 IS - 0009-9147 (Print) IS - 0009-9147 (Linking) VI - 44 IP - 2 DP - 1998 Feb TI - Direct enzyme immunometric measurement of plasma big endothelin-I concentrations and correlation with indicators of left ventricular function. PG - 239-43 AB - Recent studies have suggested that the plasma concentrations of endothelin-1, a potent vasoconstrictive peptide, are increased in patients with congestive heart failure. This study aimed to evaluate a new direct ELISA for big endothelin-1 (the precursor of endothelin-1), in comparison with a big endothelin-1 ELISA using plasma sample extraction, and to investigate whether plasma big endothelin-1 concentrations correlate with indicators of left ventricular function. The direct ELISA yielded significantly (P < 0.001) lower results than the assay with extracted samples (0.9 +/- 0.5 pmol/L vs 2.7 +/- 1.9 pmol/L; n = 90); however, the results of the two assays were closely correlated (r = 0.86, P < 0.001). Plasma big endothelin-1 concentrations exhibited a significant (P < 0.001) negative correlation (r = -0.46, r = -0.40) with the left ventricular ejection fraction and a significant positive correlation (r = 0.40, P < 0.001; r = 0.36, P < 0.01) with the left ventricular end-diastolic pressure and the left ventricular end-diastolic (r = 0.42, r = 0.38, P < 0.001) and end-systolic (r = 0.52, r = 0.47, P < 0.001) volume indices. Plasma big endothelin-1 concentrations were notably greater in patients with New York Heart Association (NYHA) class II-IV symptoms than in patients without cardiac disease or in patients categorized to NYHA class I. These data suggest that plasma big endothelin-1 concentrations, measured by a direct ELISA, correlate with hemodynamic indicators and symptoms of left ventricular dysfunction. FAU - Haug, C AU - Haug C AD - Institute of Clinical Chemistry, University Hospital, Ulm, Germany. cornelia.haug@medizin.uni-ulm.de FAU - Koenig, W AU - Koenig W FAU - Hoeher, M AU - Hoeher M FAU - Kochs, M AU - Kochs M FAU - Hombach, V AU - Hombach V FAU - Gruenert, A AU - Gruenert A FAU - Osterhues, H AU - Osterhues H LA - eng PT - Journal Article PL - England TA - Clin Chem JT - Clinical chemistry JID - 9421549 RN - 0 (Endothelin-1) RN - 0 (Endothelins) RN - 0 (Protein Precursors) SB - IM MH - Adult MH - Aged MH - Endothelin-1 MH - Endothelins/*blood MH - Enzyme-Linked Immunosorbent Assay/methods MH - Female MH - Heart Diseases/blood MH - Hemodynamics/physiology MH - Humans MH - Male MH - Middle Aged MH - Protein Precursors/*blood MH - Statistics as Topic MH - Ventricular Function, Left/*physiology EDAT- 1998/02/25 00:00 MHDA- 1998/02/25 00:01 CRDT- 1998/02/25 00:00 PHST- 1998/02/25 00:00 [pubmed] PHST- 1998/02/25 00:01 [medline] PHST- 1998/02/25 00:00 [entrez] PST - ppublish SO - Clin Chem. 1998 Feb;44(2):239-43.