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264727

Galectin-3 as a predictor for thromboembolic risk in patients with non-valvular atrial fibrillation assessed by CHA2DS2-VASc scoring

Article

Last updated: 24 Dec 2024

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Abstract

Background: Circulating remodeling markers such as Galectin-3 (Gal-3) are significantly higher in atrial fibrillation (AF) patients. Nevertheless, there is still scarcity in the published literature regarding Gal-3 levels and risk of stroke in AF patients. The aim of this study was to evaluate the correlation of Gal-3 blood levels with the predicted thromboembolic risk factors according to the current standard scoring system (CHA2DS2-VASc) as well as some other echocardiographic and laboratory parameters, among patients with paroxysmal or persistent non-valvular AF. Methods: Three groups were enrolled in this cross-sectional study: low (70 patients), moderate (50 patients) and high risk (40 patients) categorized according to CHA2DS2-VASc score. Serum concentrations of Gal-3 were detected by an enzyme-linked immunosorbent assay (ELISA). In addition, activated partial thromboplastin time (aPTT) was estimated in all patients. Echocardiography was carried out to evaluate valvular functions and left ventricular ejection fraction and left atrial volume index (LAVI). Results: Patients with high risk had significantly higher Gal-3 level, lower aPTT duration and higher LAVI values than moderate and low risk. There were statistically significant positive correlations between CHA2DS2-VASc score and serum Gal-3 level and LAVI. Similarly, there was statistically significant negative correlation between CHA2DS2-VASc score and aPTT. Female patients at all age groups had significantly higher Gal-3 levels than male patients. Conclusion: Serum Gal-3 level might be a predictor for thromboembolic complication in AF patients with potential clinical benefit.

DOI

10.21608/besps.2022.130999.1122

Keywords

Atrial Fibrillation, galectin-3, Activated partial thromboplastin time, CHA2DS2-VASc score, thromboembolic complication

Authors

First Name

Fatma

Last Name

Moustafa

MiddleName

-

Affiliation

Medical physiology Department, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

fatma.taha.elsayed@gmail.com

City

-

Orcid

-

First Name

Mahmoud

Last Name

Abdel-Fadeil

MiddleName

-

Affiliation

Medical Physiology Department, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

mrafadeil@hotmail.com

City

-

Orcid

-

First Name

Salah

Last Name

Atta

MiddleName

-

Affiliation

Department of Cardiovascular Medicine, Assiut University Hospitals, Assiut, Egypt

Email

salah_s_atta@hotmail.com

City

-

Orcid

-

First Name

Azza

Last Name

Abdelhaffez

MiddleName

-

Affiliation

Medical Physiology Department, Faculty Of Medicine, Assiut University, Assiut, Egypt

Email

azza@aun.edu.eg

City

Assiut

Orcid

0000-0003-1567-7041

Volume

42

Article Issue

4

Related Issue

29630

Issue Date

2022-10-01

Receive Date

2022-04-03

Publish Date

2022-10-01

Page Start

318

Page End

328

Print ISSN

1110-0842

Online ISSN

2356-9514

Link

https://besps.journals.ekb.eg/article_264727.html

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https://besps.journals.ekb.eg/service?article_code=264727

Order

264,727

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Original Article

Type Code

567

Publication Type

Journal

Publication Title

Bulletin of Egyptian Society for Physiological Sciences

Publication Link

https://besps.journals.ekb.eg/

MainTitle

Galectin-3 as a predictor for thromboembolic risk in patients with non-valvular atrial fibrillation assessed by CHA2DS2-VASc scoring

Details

Type

Article

Created At

22 Jan 2023