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Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure.

Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure. Research Abstract Details 

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  • Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure. Abstract Text:

    giulio molonGiulio Molon,edoardo adamoEdoardo Adamo,gaetano m de ferrariGaetano M De Ferrari,francesco accardiFrancesco Accardi,eros dalla vecchiaEros Dalla Vecchia,luciano sallustiLuciano Sallusti,stefano ciaffoniStefano Ciaffoni,enrico barbieriEnrico Barbieri,giulio molonGiulio Molon,edoardo adamoEdoardo Adamo,gaetano m de ferrariGaetano M De Ferrari,francesco accardiFrancesco Accardi,eros dalla vecchiaEros Dalla Vecchia,luciano sallustiLuciano Sallusti,stefano ciaffoniStefano Ciaffoni,enrico barbieriEnrico Barbieri,

    BACKGROUND: Although a more favorable neurohormonal balance may contribute to improving symptoms following cardiac resynchronization therapy (CRT), no information is available regarding the effects of CRT on insulin-like growth factor-1 (IGF-1). This study assessed the effects of CRT on IGF-1 levels and their correlation with changes in quality of life and left ventricular (LV) function. METHODS AND RESULTS: Patients with cardiomyopathy in New York Heart Association class III or IV (n = 18; age 71 +/- 10 years), left ventricular ejection fraction (LVEF) < or = 40% and QRS > or = 130 ms or ventricular dyssynchrony were enrolled in the study and followed up for 6 months. After 3 months, there was an improvement in LVEF (from 29 +/- 7 to 33 +/- 10%, P = 0.0136) and quality of life (from 33 +/- 14 to 13 +/- 12, P = 0.0000) and an increase in IGF-1 levels (from 137 +/- 79 to 175 +/- 111 ng/ml, P = 0.01353). The change in quality of life correlated with changes in IGF-1 levels (P = 0.02) but not with LVEF changes. CONCLUSIONS: In patients with advanced heart failure, CRT leads to a significant increase in plasma IGF-1 levels within 3 months. This increase is correlated with the improvement in quality of life, whereas the increase in LVEF is not. This finding suggests that IGF-1 may play a role as a mediator in the early phase of symptomatic improvement after CRT.

    Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure. Publishing Authors By Initials

    g molonG Molon,e adamoE Adamo,gm de ferrariGM De Ferrari,f accardiF Accardi,e dalla vecchiaE Dalla Vecchia,l sallustiL Sallusti,s ciaffoniS Ciaffoni,e barbieriE Barbieri,g molonG Molon,e adamoE Adamo,gm de ferrariGM De Ferrari,f accardiF Accardi,e dalla vecchiaE Dalla Vecchia,l sallustiL Sallusti,s ciaffoniS Ciaffoni,e barbieriE Barbieri,

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    Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of cardiovascular medicine (Hagerstown, Md

    VOLUME: 8

    Page Numbers: 917-22

    Journal Abbreviation:

    ISSN: 1558-2027

    DAY: 1

    MONTH: Nov

    YEAR: 2007

    Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure. Information

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    LANGUAGE: eng

    NlmUniqueID: 101259752

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    Grant and Affiliation Information for Effects of cardiac resynchronization therapy on insulin-like growth factor-1 in patients with advanced heart failure.

    AFFILIATION: Department of Cardiology, Sacro Cuore Hospital, don Calabria, Via don A. Sempreboni, Negrar, Verona, Italy. giulio.molon@sacrocuore.it

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Cardiovasc Med (Hagerstown)

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