Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.

Ventricular hypertrabeculation/noncompaction is a morphologic and functional anomaly of myocardium characterized by prominent trabeculae accompanied by deep recessus. Dilated cardiomyopathy with left ventricular failure is observed in these patients, while the cause or pathophysiologic nature of thi...

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Autores principales: Hatice Betül Erer, Tolga Sinan Güvenç, Ahu Sarbay Kemik, Hale Yaka Yılmaz, Şeref Kul, Servet Altay, Nurten Sayar, Yüksel Kaya, Mehmet Eren
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:19d4f5469f074539b0ce42747153d10c2021-11-18T07:55:26ZTroponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.1932-620310.1371/journal.pone.0057648https://doaj.org/article/19d4f5469f074539b0ce42747153d10c2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23469039/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Ventricular hypertrabeculation/noncompaction is a morphologic and functional anomaly of myocardium characterized by prominent trabeculae accompanied by deep recessus. Dilated cardiomyopathy with left ventricular failure is observed in these patients, while the cause or pathophysiologic nature of this complication is not known. Anti-troponin antibodies are formed against circulating cardiac troponins after an acute coronary event or conditions associated with chronic myocyte necrosis, such as dilated cardiomyopathy. In present study, we aimed to investigate cardiac troponins and anti troponin autoantibodies in ventricular noncompaction/hypertrabeculation patients with/without reduced ejection fraction. A total of 50 patients with ventricular noncompaction and 23 healthy volunteers were included in this study. Noncompaction/hypertrabeculation was diagnosed with two-dimensional echocardiography using appropriate criteria. Depending on ejection fraction, patients were grouped into noncompaction with preserved EF (LVEF >50%, n = 24) and noncompaction with reduced EF (LVEF <35%, n = 26) groups. Troponin I, troponin T, anti-troponin I IgM and anti-troponin T IgM were measured with sandwich immunoassay method using a commercially available kit. Patients with noncompaction had significantly higher troponin I (28.98±9.21 ng/ml in NCNE group and 28.11±10.42 ng/ml in NCLE group), troponin T (22.17±6.97 pg/ml in NCNE group and 22.78±7.76 pg/ml in NCLE group) and antitroponin I IgM (1.92±0.43 µg/ml in NCNE group and 1.79±0.36 µg/ml in NCLE group) levels compared to control group, while antitroponin T IgM and IgG were only elevated in patients with noncompaction and reduced EF (15.81±6.52 µg/ml for IgM and 16.46±6.25 µg/ml for IgG). Elevated cardiac troponins and anti-troponin I autoantibodies were observed in patients with noncompaction preceding the decline in systolic function and could indicate ongoing myocardial damage in these patients.Hatice Betül ErerTolga Sinan GüvençAhu Sarbay KemikHale Yaka YılmazŞeref KulServet AltayNurten SayarYüksel KayaMehmet ErenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 2, p e57648 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hatice Betül Erer
Tolga Sinan Güvenç
Ahu Sarbay Kemik
Hale Yaka Yılmaz
Şeref Kul
Servet Altay
Nurten Sayar
Yüksel Kaya
Mehmet Eren
Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
description Ventricular hypertrabeculation/noncompaction is a morphologic and functional anomaly of myocardium characterized by prominent trabeculae accompanied by deep recessus. Dilated cardiomyopathy with left ventricular failure is observed in these patients, while the cause or pathophysiologic nature of this complication is not known. Anti-troponin antibodies are formed against circulating cardiac troponins after an acute coronary event or conditions associated with chronic myocyte necrosis, such as dilated cardiomyopathy. In present study, we aimed to investigate cardiac troponins and anti troponin autoantibodies in ventricular noncompaction/hypertrabeculation patients with/without reduced ejection fraction. A total of 50 patients with ventricular noncompaction and 23 healthy volunteers were included in this study. Noncompaction/hypertrabeculation was diagnosed with two-dimensional echocardiography using appropriate criteria. Depending on ejection fraction, patients were grouped into noncompaction with preserved EF (LVEF >50%, n = 24) and noncompaction with reduced EF (LVEF <35%, n = 26) groups. Troponin I, troponin T, anti-troponin I IgM and anti-troponin T IgM were measured with sandwich immunoassay method using a commercially available kit. Patients with noncompaction had significantly higher troponin I (28.98±9.21 ng/ml in NCNE group and 28.11±10.42 ng/ml in NCLE group), troponin T (22.17±6.97 pg/ml in NCNE group and 22.78±7.76 pg/ml in NCLE group) and antitroponin I IgM (1.92±0.43 µg/ml in NCNE group and 1.79±0.36 µg/ml in NCLE group) levels compared to control group, while antitroponin T IgM and IgG were only elevated in patients with noncompaction and reduced EF (15.81±6.52 µg/ml for IgM and 16.46±6.25 µg/ml for IgG). Elevated cardiac troponins and anti-troponin I autoantibodies were observed in patients with noncompaction preceding the decline in systolic function and could indicate ongoing myocardial damage in these patients.
format article
author Hatice Betül Erer
Tolga Sinan Güvenç
Ahu Sarbay Kemik
Hale Yaka Yılmaz
Şeref Kul
Servet Altay
Nurten Sayar
Yüksel Kaya
Mehmet Eren
author_facet Hatice Betül Erer
Tolga Sinan Güvenç
Ahu Sarbay Kemik
Hale Yaka Yılmaz
Şeref Kul
Servet Altay
Nurten Sayar
Yüksel Kaya
Mehmet Eren
author_sort Hatice Betül Erer
title Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
title_short Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
title_full Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
title_fullStr Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
title_full_unstemmed Troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
title_sort troponin and anti-troponin autoantibody levels in patients with ventricular noncompaction.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/19d4f5469f074539b0ce42747153d10c
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