Heart failure & cardiomyopathiesCohort study

Circulating Growth Differentiation Factor-15 Levels are Associated with Early Echocardiographic Signs of Diastolic Function Impairment in the STANISLAS Cohort: A 20-Year Follow-Up Study

Eur J Heart FailPublished

  • Prospective cohort study
  • population-based familial cohort
  • long follow-up

Authors' conclusion

In the STANISLAS cohort, initial circulating GDF-15 levels were associated with echocardiographic signs of reduced LV size and increased filling pressure almost two decades later.

Study context

Population
Initially healthy populational familial cohort (STANISLAS cohort)1,562 with GDF-15 at V1
Participants
1,679 participants
Exposure
Higher vs lower circulating GDF-15 levels
Outcome
Adverse changes in echocardiographic indexes of cardiac structure and function

Main finding

As reported in the abstract

Baseline (V1) GDF-15 and echocardiographic variables at V4 · 18.2 ± 1.4 years

Higher baseline GDF-15 associated with lower left ventricular (LV) end-diastolic volume and higher E/e' ratio nearly two decades later (adjusted)

p ≤ 0.01

Observational data: associations, not effects.

Further findings

Cross-sectional GDF-15 at V4 and echocardiographic variables

Significant associations with LV end-diastolic volume, higher E/e' ratio and impaired LV strain

Original publication

Circulating Growth Differentiation Factor-15 Levels are Associated with Early Echocardiographic Signs of Diastolic Function Impairment in the STANISLAS Cohort: A 20-Year Follow-Up Study. Eur J Heart Fail. Published 21 January 2025. doi:10.1002/ejhf.3576

Summarised from the published abstract; every number is checked against it