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Study breakdown

Tracking Heart Hormone Changes Over Time After Heart Attack Predicts Remodeling and Survival

RCTStrong evidence
The takeaway

Temporal changes in natriuretic peptides, norepinephrine, and aldosterone after MI predicted ventricular remodeling and prognosis in the Val-HeFT substudy — the trajectory matters more than a single measurement.

Key finding

Serial changes in BNP, ANP, norepinephrine, and aldosterone after MI in the Val-HeFT RCT substudy predicted ventricular remodeling and clinical outcom

What the researchers found

Serial changes in BNP, ANP, norepinephrine, and aldosterone after MI in the Val-HeFT RCT substudy predicted ventricular remodeling and clinical outcomes — neurohormonal trajectory (pattern over time) provided prognostic information beyond single baseline measurements.

Why it matters

Relevant for natriuretic-peptides, cardiovascular.

How the study worked

RCT study on natriuretic-peptides, cardiovascular.

What this study cannot tell us

See abstract.

How to read the evidence

strong evidence.

When this study was published

Published in 2005.

The bigger picture

Advances peptide/biomarker research.

Questions still open

  • Further research needed.
  • Clinical translation to evaluate.

Common questions

What was studied?
Tracking Heart Hormone Changes Over Time After Heart Attack Predicts Remodeling and Survival
What was found?
Temporal changes in natriuretic peptides, norepinephrine, and aldosterone after MI predicted ventricular remodeling and prognosis in the Val-HeFT substudy — the trajectory matters more than a single measurement.

Read the original research

Usefulness of temporal changes in neurohormones as markers of ventricular remodeling and prognosis in patients with left ventricular systolic dysfunction and heart failure receiving either candesartan or enalapril or both.

The American journal of cardiology, 96(5), 698-704

Citation

Yan, Raymond T; White, Michel; Yan, Andrew T; Yusuf, Salim; Rouleau, Jean L; Maggioni, Aldo P; Hall, Christian; Latini, Roberto; Afzal, Rizwan; Floras, John; Masson, Serge; McKelvie, Robert S. (2005). Usefulness of temporal changes in neurohormones as markers of ventricular remodeling and prognosis in patients with left ventricular systolic dysfunction and heart failure receiving either candesartan or enalapril or both.. The American journal of cardiology, 96(5), 698-704.