Angiopoietin-2 predicts morbidity in adults with Fontan physiology View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12-04

AUTHORS

Aditya S. Shirali, Gentian Lluri, Pierre J. Guihard, Miles B. Conrad, Helen Kim, Ludmila Pawlikowska, Kristina I. Boström, M. Luisa Iruela-Arispe, Jamil A. Aboulhosn

ABSTRACT

Morbidity in patients with single-ventricle Fontan circulation is common and includes arrhythmias, edema, and pulmonary arteriovenous malformations (PAVM) among others. We sought to identify biomarkers that may predict such complications. Twenty-five patients with Fontan physiology and 12 control patients with atrial septal defects (ASD) that underwent cardiac catheterization were included. Plasma was collected from the hepatic vein and superior vena cava and underwent protein profiling for a panel of 20 analytes involved in angiogenesis and endothelial dysfunction. Ten (40%) of Fontan patients had evidence of PAVM, eighteen (72%) had a history of arrhythmia, and five (20%) were actively in arrhythmia or had a recent arrhythmia. Angiopoietin-2 (Ang-2) was higher in Fontan patients (8,875.4 ± 3,336.9 pg/mL) versus the ASD group (1,663.6 ± 587.3 pg/mL, p < 0.0001). Ang-2 was higher in Fontan patients with active or recent arrhythmia (11,396.0 ± 3,457.7 vs 8,118.2 ± 2,795.1 pg/mL, p < 0.05). A threshold of 8,500 pg/mL gives Ang-2 a negative predictive value of 100% and positive predictive value of 42% in diagnosing recent arrhythmia. Ang-2 is elevated among adults with Fontan physiology. Ang-2 level is associated with active or recent arrhythmia, but was not found to be associated with PAVM. More... »

PAGES

18328

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/s41598-019-54776-w

DOI

http://dx.doi.org/10.1038/s41598-019-54776-w

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1123119423

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31797976


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