Valvular & structural heart disease

Preoperative sST2 Levels Relate to Myocardial Remodeling and Cardiac Function Improvement After Cardiac Valve Surgery

ESC Heart FailPublished Retrospective cohort study

Authors' conclusion

Preoperative sST2 levels are related to early postoperative myocardial remodelling and have a predictive value for the improvement of cardiac function 1 month after surgery.

Study context

Population
Patients with valvular heart disease undergoing heart valve surgery, General Hospital of Northern Theatre Command, July 2019 to June 2020
Participants
156 patients
Outcome
Association of preoperative sST2 with postoperative remodelling and cardiac function
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Preoperative sST2 vs early postoperative LV end-systolic volume (b)
−0.136, P = 0.035
Preoperative sST2 vs early postoperative LV end-diastolic volume (b)
−0.225, P = 0.036
Preoperative sST2 vs early postoperative left ventricular ejection fraction (LVEF) (b)
0.056, P = 0.008
LVEF at 1 month vs preoperative sST2 (r)
−0.234, P = 0.023
LVEF reduction at 1 month vs preoperative sST2 (r)
−0.316, P = 0.002
AUC of preoperative sST2 for LVEF reduction at 1 month
0.646
Sensitivity
0.357
Specificity
0.918

Observational data: associations, not effects.

Further findings

Factors correlated with preoperative sST2

LV end-systolic volume (b)
0.125, P = 0.004
AF (b)
7.933, P = 0.003
CAD (b)
5.826, P = 0.043

Original publication

Preoperative sST2 Levels Relate to Myocardial Remodeling and Cardiac Function Improvement After Cardiac Valve Surgery. ESC Heart Fail. Published 11 October 2023. doi:10.1002/ehf2.14541

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