Heart failure & cardiomyopathies

Phenotyping Patients with Ischaemic Heart Disease at Risk of Developing Heart Failure: An Analysis of the HOMAGE Trial

ESC Heart FailPublished Secondary analysis of the HOMAGE randomised trial

Authors' conclusion

In patients at risk of developing HF, those with CAD or MI had a different proteomic profile regarding inflammatory, immunological, and collagen catabolic processes.

Study context

Population
Patients with (or at risk of having) coronary artery disease (CAD) and raised natriuretic peptides, at risk of developing heart failure (HF)
Participants
527 patients
Comparison
CAD vs prior myocardial infarction (MI) vs neither CAD nor MI
Primary endpoint
Between-group proteomic differences (logistic regression, backward stepwise selection and bootstrapping)
Follow-up
Baseline
Methodological detailspost hoc analysis
  • Post hoc analysis

Primary result

As reported in the abstract

Baseline plasma proteomic profile

Further findings

Effect of spironolactone on proteins · 9 months

Spironolactone associated with increase of MMP7, NT3 and PGLYRP1

Original publication

Phenotyping Patients with Ischaemic Heart Disease at Risk of Developing Heart Failure: An Analysis of the HOMAGE Trial. ESC Heart Fail. Published 8 November 2023. doi:10.1002/ehf2.14465

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