Cardio-oncology & other

Prognostic Role of High-Sensitivity Cardiac Troponin T in Patients with Cardiac Sarcoidosis: Insights from ILLUMINATE-CS

ESC Heart FailPublished Post-hoc analysis of the ILLUMINATE-CS multicentre retrospective observational study

Authors' conclusion

In patients with CS, a high hs-cTnT level is a useful predictor of adverse events, and combined measurement of hs-cTnT and BNP further improves the prognostic value.

Study context

Population
Patients diagnosed with cardiac sarcoidosis with high-sensitivity cardiac troponin T (hs-cTnT) measured at diagnosis (62.2 ± 10.9 years, 31.1% male)24 primary outcomes
Participants
103 patients
Comparison
High vs low hs-cTnT level at diagnosis
Primary endpoint
All-cause death, fatal ventricular arrhythmia events and HF hospitalisation
Follow-up
Median 2.6 (IQR 1.6-5.7) years

Primary result

As reported in the abstract

Cox regression
Hazard ratio (95% CI)P value
Log-transformed hs-cTnT
4.368(1.032–18.480)
P = 0.045
Log-transformed BNP
3.127(1.029–9.499)
P = 0.044

Further findings

OutcomeFold increased risk (95% CI)
Primary outcome, combined high hs-cTnT and high BNP (>140 pg/mL) vs both low3.49 (1.23–9.88)

Original publication

Prognostic Role of High-Sensitivity Cardiac Troponin T in Patients with Cardiac Sarcoidosis: Insights from ILLUMINATE-CS. ESC Heart Fail. Published 27 December 2024. doi:10.1002/ehf2.15058

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