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rss IGF - Associations among echocardiography, cardiac biomarkers, insulin metabolism, mo

Related Articles Associations among echocardiography, cardiac biomarkers, insulin metabolism, morphology, and inflammation in cats with asymptomatic hypertrophic cardiomyopathy.

J Vet Intern Med. 2020 Feb 11;:

Authors: van Hoek I, Hodgkiss-Geere H, Bode EF, Hamilton-Elliott J, Mõtsküla P, Palermo V, Pereira YM, Culshaw GJ, Ivanova A, Dukes-McEwan J

Abstract
BACKGROUND: Insulin, insulin-like growth factor-1 (IGF-1), and inflammation possibly are involved in cats with asymptomatic hypertrophic cardiomyopathy (aHCM).
OBJECTIVES: To evaluate echocardiography, morphology, cardiac and inflammatory markers, insulin and IGF-1 in cats with aHCM.
ANIMALS: Fifty-one client-owned cats with aHCM.
METHODS: Observational descriptive study. Variables (body weight [BW], body condition score [BCS], echocardiography, and serum concentrations of N-terminal pro-B-type natriuretic peptide [NT-proBNP], ultra-sensitive troponin-I [c-TnI], serum amyloid A [SAA], insulin, glucose and IGF-1) were evaluated for significant increases above echocardiography cutoff values and laboratory reference ranges, associations and effect of left atrial (LA) remodeling and generalized hypertrophy.
RESULTS: Cats with aHCM had BCS >=6/9 (P = .01) and insulin (P < .001), NT-proBNP (P = .001) and cTn-I (P < .001) above laboratory reference ranges. Associations were present between NT-proBNP and maximum end-diastolic interventricular septum thickness (IVSd; ? = .32; P = .05), maximum end-diastolic left ventricular free wall thickness;(? = .41; P = .01), LA/Aorta (? = .52; P = .001) and LA diameter (LA-max; ? = .32; P = .05); c-TnI and LA/Aorta (? = .49; P = .003) and LA-max (? = .28; P = .05); and SAA and number of IVSd regions >=6 mm thickness (? = .28; P = .05). Body weight and BCS were associated with IGF-1 (r = 0.44; P = .001), and insulin (? = .33; P = .02), glucose (? = .29; P = .04) and IGF-1 (? = .32; P = .02), respectively. Concentrations of NT-proBNP (P = .02) and c-TnI (P = .01), and SAA (P = .02), were higher in cats with LA remodeling, and generalized hypertrophy, respectively.
CONCLUSIONS AND CLINICAL IMPORTANCE: Results suggest potential implications of insulin, IGF-1, and inflammation in cats with aHCM, but it remains to be confirmed whether these findings represent a physiological process or a part of the pathogenesis and development of disease.


PMID: 32045061 [PubMed - as supplied by publisher]



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