Usefulness of biomarkers to predict prognosis after heart transplant

Autores de IIS La Fe

• Raquel López Vilella

  Autor

• Julia Martínez Solé

  Autor

• Víctor José Donoso Trenado

  Autor

• Ignacio José Sánchez Lázaro

  Autor

• Iratxe Zarragoikoetxea Jauregui

  Autor

• Manuel Pérez Guillén

  Autor

• 

  Luis Vicente Martínez Dolz

  Autor

Participantes ajenos a IIS La Fe

• Montoro, Sara Huelamo
• Garcia, Paula Carmona
• Massa, Carlos Dominguez
• Boneta, Luis Almenar

Grupos

• Anestesia y Cuidados Críticos

• Cardiopatías familiares, muerte súbita y mecanismos de enfermedad (CAFAMUSME)

• Grupo de Investigación Clínica y Traslacional en Cardiología

• Regeneración y Trasplante Cardíaco

Abstract

Introduction and objectives: Heart transplant (HT) represents a major physiological stress, resulting in elevated levels of analytical biomarkers. This study aimed to determine whether changes in biomarker levels after HT can identify patients with a poor prognosis. Methods: A prospective longitudinal noninterventional study was conducted in 149 consecutive patients undergoing HT from July 2017 to July 2023. Biomarkers were assessed before HT and at 6, 24, 48, 72, and 96 hours after HT. The biomarkers analyzed were high-sensitivity troponin T, N-terminal pro- B-type natriuretic peptide (NT-proBNP), creatinine, and lactic acid. The primary outcome was a composite of death and severe primary graft failure (PGF). Results: NT-proBNP and troponin levels remained highly elevated throughout the period and stabilized from the first 24 hours post-HT. Lactate levels stabilized after the first 24 hours, and creatinine from the second day onward. Exitus occurred in 23 (15%) of the patients, and severe PGF in 26 (17%). All biomarkers were significantly associated with the incidence of the combined event (P < .0001). Receiver operating characteristic curve analysis at 24 hours showed significant areas under the curve (P = .0001). The greatest discriminatory power was observed for the NT-proBNP curve. A value of 10 000 pg/mL had a sensitivity of 90% and specificity of 80%. Conclusions: A significant elevation of post-HT analytical biomarkers was associated with mortality and/ or severe PGF. Among the biomarkers analyzed, NT-proBNP was the most accurate in classifying patients. (c) 2024 Sociedad Espanola de Cardiologia. Published by Elsevier Espana, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Copyright © 2024 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Keywords

• Heart transplant; Analytical biomarkers; Death; Primary graft failure