From the Institut National de la Santé et de la Recherche
Médicale, IFR "Circulation Lariboisière," INSERM U
141 (Z.M., A.T.) and INSERM U 348 (M.L., J.M.), Hôpital
Lariboisière, Paris, and Service de Chirurgie Cardiovasculaire (I.P.,
D.C.), Hôpital Bichat, Paris, France. Correspondence to Alain Tedgui,
PhD, INSERM U 141, 41 boulevard de la Chapelle, 75475 Paris Cedex 10, France.
BackgroundIt has been suggested
that oxidant stress may play a role in the pathophysiology of heart
failure. However, no definitive information is available because most
previous approaches used to measure oxidant stress are nonspecific,
inaccurate, and unreliable.
Methods and ResultsTo evaluate oxidant stress in the heart, we
measured pericardial fluid levels of 8-iso-prostaglandin
F2
ConclusionsPericardial levels of 8-iso-PGF2
© 1998 American Heart Association, Inc.
Brief Rapid Communications
Elevated Levels of 8-iso-Prostaglandin F2
in Pericardial Fluid of Patients With Heart Failure
A Potential Role for In Vivo Oxidant Stress in Ventricular Dilatation and Progression to Heart Failure
(8-iso-PGF2
), a specific and
quantitative marker of oxidant stress in vivo, in a series of 51
consecutive patients with ischemic and/or valvular
heart disease referred for cardiac surgery. Pericardial levels of
8-iso-PGF2
were correlated with the functional severity
of heart failure (NYHA classification) and with
echocardiographic indices of ventricular
dilatation measured by independent physicians. Pericardial levels of
8-iso-PGF2
were significantly increased in patients with
symptomatic heart failure compared with
asymptomatic patients and gradually increased with the
functional severity of heart failure (P=.0003). In
addition, pericardial levels of 8-iso-PGF2
were
significantly correlated with left ventricular
end-diastolic and end-systolic diameters
(P=.008 and .026, respectively).
increase with the functional severity of heart failure and are
associated with ventricular dilatation. These data suggest
an important role for in vivo oxidant stress on ventricular
remodeling and the progression to heart failure.
Key Words: heart failure free radicals pericardium
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M. Reza Mehrabi, C. Ekmekcioglu, F. Tatzber, A. Oguogho, R. Ullrich, A. Morgan, F. Tamaddon, M. Grimm, H. D Glogar, and H. Sinzinger The isoprostane, 8-epi-PGF2{alpha}, is accumulated in coronary arteries isolated from patients with coronary heart disease Cardiovasc Res, August 1, 1999; 43(2): 492 - 499. [Abstract] [Full Text] [PDF] |
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D. A. Siwik, J. D. Tzortzis, D. R. Pimental, D. L.-F. Chang, P. J. Pagano, K. Singh, D. B. Sawyer, and W. S. Colucci Inhibition of Copper-Zinc Superoxide Dismutase Induces Cell Growth, Hypertrophic Phenotype, and Apoptosis in Neonatal Rat Cardiac Myocytes In Vitro Circ. Res., July 23, 1999; 85(2): 147 - 153. [Abstract] [Full Text] [PDF] |
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T. Munzel and D. G. Harrison Increased Superoxide in Heart Failure : A Biochemical Baroreflex Gone Awry Circulation, July 20, 1999; 100(3): 216 - 218. [Full Text] [PDF] |
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W. F. Saavedra, N. Paolocci, M. E. St. John, M. W. Skaf, G. C. Stewart, J.-S. Xie, R. W. Harrison, J. Zeichner, D. Mudrick, E. Marban, et al. Imbalance Between Xanthine Oxidase and Nitric Oxide Synthase Signaling Pathways Underlies Mechanoenergetic Uncoupling in the Failing Heart Circ. Res., February 22, 2002; 90(3): 297 - 304. [Abstract] [Full Text] [PDF] |
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F. Sam, D. B. Sawyer, Z. Xie, D. L.F. Chang, S. Ngoy, D. A. Brenner, D. A. Siwik, K. Singh, C. S. Apstein, and W. S. Colucci Mice Lacking Inducible Nitric Oxide Synthase Have Improved Left Ventricular Contractile Function and Reduced Apoptotic Cell Death Late After Myocardial Infarction Circ. Res., August 17, 2001; 89(4): 351 - 356. [Abstract] [Full Text] [PDF] |
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