Heart failure & cardiomyopathies

Biomarker Profiles Associated with Reverse Ventricular Remodelling in Patients with Heart Failure and a Reduced Ejection Fraction: Insights from the Echocardiographic Substudy of the VICTORIA Trial

Eur J Heart FailPublished Secondary analysis of the VICTORIA randomised trial

Authors' conclusion

Reverse ventricular remodelling in patients with HFrEF is associated with a decrease of biomarkers related to inflammation and cardiac metabolism.

Study context

Population
Patients with heart failure with reduced ejection fraction (HFrEF) in the VICTORIA trial with paired echocardiograms and 92 biomarkers measured
Participants
419 patients
Comparison
Reverse ventricular remodelling vs no reverse ventricular remodelling
  • Reverse remodellingn = 206
Primary endpoint
Association of baseline biomarkers and their changes with reverse ventricular remodelling
Follow-up
8 months
Methodological detailsechocardiographic substudy, core-lab assessed echocardiograms
  • Echocardiographic substudy
  • Core-lab assessed echocardiograms

Primary result

As reported in the abstract

Reverse remodelling

49.2%

206

Tumour necrosis factor superfamily member 13B change with reverse remodelling, ratio
0.82 (95% CI 0.77-0.88)
Growth differentiation factor-15 change with reverse remodelling, ratio
0.74 (95% CI 0.66-0.84)
Insulin-like growth factor binding protein 7 change with reverse remodelling, ratio
0.80 (95% CI 0.73-0.88)

Original publication

Biomarker Profiles Associated with Reverse Ventricular Remodelling in Patients with Heart Failure and a Reduced Ejection Fraction: Insights from the Echocardiographic Substudy of the VICTORIA Trial. Eur J Heart Fail. Published 30 July 2024. doi:10.1002/ejhf.3397

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