Coronary sinus thermography in idiopathic dilated cardiomyopathy: Correlation with systemic inflammation and left ventricular contractility

Background Previous studies have demonstrated that patients with heart failure have increased myocardial heat production. Coronary sinus (CS) thermography is a new method for the evaluation of left ventricular heat production. Aims We investigated whether the CS blood temperature is increased in pat...

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Veröffentlicht in:European journal of heart failure 2007-02, Vol.9 (2), p.168-172
Hauptverfasser: Toutouzas, Konstantinos, Stougiannos, Pavlos, Drakopoulou, Maria, Mitropoulos, John, Bosinakou, Eirini, Markou, Virginia, Latsios, George, Karabelas, Ioannis, Stefanadi, Elli, Stefanadis, Christodoulos
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container_end_page 172
container_issue 2
container_start_page 168
container_title European journal of heart failure
container_volume 9
creator Toutouzas, Konstantinos
Stougiannos, Pavlos
Drakopoulou, Maria
Mitropoulos, John
Bosinakou, Eirini
Markou, Virginia
Latsios, George
Karabelas, Ioannis
Stefanadi, Elli
Stefanadis, Christodoulos
description Background Previous studies have demonstrated that patients with heart failure have increased myocardial heat production. Coronary sinus (CS) thermography is a new method for the evaluation of left ventricular heat production. Aims We investigated whether the CS blood temperature is increased in patients with idiopathic dilated cardiomyopathy (DCM) compared to a control group and whether the CS blood temperature correlates with ejection fraction and systemic inflammatory activation. Methods and results We included 25 patients with DCM and 22 healthy subjects. Temperature measurements were performed using a new thermography catheter. Temperature difference (ΔT) was defined as the difference between the CS and RA blood temperature. The CRP levels were also measured. ΔT was significantly greater in patients with DCM compared to the controls (0.25±0.09 vs 0.14±0.07 °C, p
doi_str_mv 10.1016/j.ejheart.2006.04.002
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Coronary sinus (CS) thermography is a new method for the evaluation of left ventricular heat production. Aims We investigated whether the CS blood temperature is increased in patients with idiopathic dilated cardiomyopathy (DCM) compared to a control group and whether the CS blood temperature correlates with ejection fraction and systemic inflammatory activation. Methods and results We included 25 patients with DCM and 22 healthy subjects. Temperature measurements were performed using a new thermography catheter. Temperature difference (ΔT) was defined as the difference between the CS and RA blood temperature. The CRP levels were also measured. ΔT was significantly greater in patients with DCM compared to the controls (0.25±0.09 vs 0.14±0.07 °C, p&lt;0.01). ΔT and EF were inversely correlated in patients with DCM (R=0.43). We categorized patients with DCM into two groups using a CRP cut-off value of ≤1 mg/dL. ΔT in patients with high CRP was less (0.21±0.06 °C) compared to patients with low CRP (0.30±0.08 °C, p=0.01). Conclusions In patients with DCM increased heat production from the myocardium, as estimated from the coronary sinus blood temperature, was demonstrated, interestingly there was no correlation with systemic inflammatory activation.</description><identifier>ISSN: 1388-9842</identifier><identifier>EISSN: 1879-0844</identifier><identifier>DOI: 10.1016/j.ejheart.2006.04.002</identifier><identifier>PMID: 16731036</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Body Temperature ; Cardiomyopathy, Dilated - physiopathology ; Case-Control Studies ; coronary sinus thermography ; Coronary Vessels - physiopathology ; dilated cardiomyopathy ; Female ; Heart Ventricles - physiopathology ; heat production ; Humans ; Inflammation - physiopathology ; Male ; Middle Aged ; Myocardial Contraction - physiology ; Stroke Volume ; Thermography</subject><ispartof>European journal of heart failure, 2007-02, Vol.9 (2), p.168-172</ispartof><rights>2007 European Society of Cardiology 2007</rights><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © 2007 the Authors</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4452-5290d213a8485161831aa18d912c00fc81d84452f973a098e0f108775493b1343</citedby><cites>FETCH-LOGICAL-c4452-5290d213a8485161831aa18d912c00fc81d84452f973a098e0f108775493b1343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ejheart.2006.04.002$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ejheart.2006.04.002$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,1430,27907,27908,45557,45558,46392,46816</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16731036$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toutouzas, Konstantinos</creatorcontrib><creatorcontrib>Stougiannos, Pavlos</creatorcontrib><creatorcontrib>Drakopoulou, Maria</creatorcontrib><creatorcontrib>Mitropoulos, John</creatorcontrib><creatorcontrib>Bosinakou, Eirini</creatorcontrib><creatorcontrib>Markou, Virginia</creatorcontrib><creatorcontrib>Latsios, George</creatorcontrib><creatorcontrib>Karabelas, Ioannis</creatorcontrib><creatorcontrib>Stefanadi, Elli</creatorcontrib><creatorcontrib>Stefanadis, Christodoulos</creatorcontrib><title>Coronary sinus thermography in idiopathic dilated cardiomyopathy: Correlation with systemic inflammation and left ventricular contractility</title><title>European journal of heart failure</title><addtitle>European Journal of Heart Failure</addtitle><description>Background Previous studies have demonstrated that patients with heart failure have increased myocardial heat production. Coronary sinus (CS) thermography is a new method for the evaluation of left ventricular heat production. Aims We investigated whether the CS blood temperature is increased in patients with idiopathic dilated cardiomyopathy (DCM) compared to a control group and whether the CS blood temperature correlates with ejection fraction and systemic inflammatory activation. Methods and results We included 25 patients with DCM and 22 healthy subjects. Temperature measurements were performed using a new thermography catheter. Temperature difference (ΔT) was defined as the difference between the CS and RA blood temperature. The CRP levels were also measured. ΔT was significantly greater in patients with DCM compared to the controls (0.25±0.09 vs 0.14±0.07 °C, p&lt;0.01). ΔT and EF were inversely correlated in patients with DCM (R=0.43). We categorized patients with DCM into two groups using a CRP cut-off value of ≤1 mg/dL. ΔT in patients with high CRP was less (0.21±0.06 °C) compared to patients with low CRP (0.30±0.08 °C, p=0.01). Conclusions In patients with DCM increased heat production from the myocardium, as estimated from the coronary sinus blood temperature, was demonstrated, interestingly there was no correlation with systemic inflammatory activation.</description><subject>Body Temperature</subject><subject>Cardiomyopathy, Dilated - physiopathology</subject><subject>Case-Control Studies</subject><subject>coronary sinus thermography</subject><subject>Coronary Vessels - physiopathology</subject><subject>dilated cardiomyopathy</subject><subject>Female</subject><subject>Heart Ventricles - physiopathology</subject><subject>heat production</subject><subject>Humans</subject><subject>Inflammation - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Contraction - physiology</subject><subject>Stroke Volume</subject><subject>Thermography</subject><issn>1388-9842</issn><issn>1879-0844</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1TAQhS1ERUvhEUBesUsYx05is6NX_aGqChIglpbrOMSXJA62Q8kz9KXr21xRsevKI893zozmIPSGQE6AVO-3udl2RvmYFwBVDiwHKJ6hI8JrkQFn7HmqKeeZ4Kw4RC9D2AKQOkEv0CGpakqAVkfobuO8G5VfcLDjHHDsjB_cT6-mbsF2xLaxblKxsxo3tlfRNFgrnz6H5eF_-YCTgzepZd2Ib23scFhCNENS2LHt1TCsLTU2uDdtxH_MGL3Vc6881i7VSkfb27i8Qget6oN5vX-P0fez02-bi-zq8_mnzcerTDNWFllZCGgKQhVnvCQV4ZQoRXgjSKEBWs1Jw3dgK2qqQHADLQFe1yUT9IZQRo_Ru9V38u73bEKUgw3a9L0ajZuDrAQQQaFIYLmC2rsQvGnl5O2QjiUJyF0Kciv3KchdChKYhAfd2_2A-WYwzaNqf_YEnKzAre3N8jRXeXp5cfb_FFhN3Dw9ebFsldiU0N9_IuV_ybRaXcof1-fyy9fq-uRSbGRF7wGsWbt2</recordid><startdate>200702</startdate><enddate>200702</enddate><creator>Toutouzas, Konstantinos</creator><creator>Stougiannos, Pavlos</creator><creator>Drakopoulou, Maria</creator><creator>Mitropoulos, John</creator><creator>Bosinakou, Eirini</creator><creator>Markou, Virginia</creator><creator>Latsios, George</creator><creator>Karabelas, Ioannis</creator><creator>Stefanadi, Elli</creator><creator>Stefanadis, Christodoulos</creator><general>Blackwell Publishing Ltd</general><general>Elsevier</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200702</creationdate><title>Coronary sinus thermography in idiopathic dilated cardiomyopathy: Correlation with systemic inflammation and left ventricular contractility</title><author>Toutouzas, Konstantinos ; Stougiannos, Pavlos ; Drakopoulou, Maria ; Mitropoulos, John ; Bosinakou, Eirini ; Markou, Virginia ; Latsios, George ; Karabelas, Ioannis ; Stefanadi, Elli ; Stefanadis, Christodoulos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4452-5290d213a8485161831aa18d912c00fc81d84452f973a098e0f108775493b1343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Body Temperature</topic><topic>Cardiomyopathy, Dilated - physiopathology</topic><topic>Case-Control Studies</topic><topic>coronary sinus thermography</topic><topic>Coronary Vessels - physiopathology</topic><topic>dilated cardiomyopathy</topic><topic>Female</topic><topic>Heart Ventricles - physiopathology</topic><topic>heat production</topic><topic>Humans</topic><topic>Inflammation - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Contraction - physiology</topic><topic>Stroke Volume</topic><topic>Thermography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toutouzas, Konstantinos</creatorcontrib><creatorcontrib>Stougiannos, Pavlos</creatorcontrib><creatorcontrib>Drakopoulou, Maria</creatorcontrib><creatorcontrib>Mitropoulos, John</creatorcontrib><creatorcontrib>Bosinakou, Eirini</creatorcontrib><creatorcontrib>Markou, Virginia</creatorcontrib><creatorcontrib>Latsios, George</creatorcontrib><creatorcontrib>Karabelas, Ioannis</creatorcontrib><creatorcontrib>Stefanadi, Elli</creatorcontrib><creatorcontrib>Stefanadis, Christodoulos</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of heart failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toutouzas, Konstantinos</au><au>Stougiannos, Pavlos</au><au>Drakopoulou, Maria</au><au>Mitropoulos, John</au><au>Bosinakou, Eirini</au><au>Markou, Virginia</au><au>Latsios, George</au><au>Karabelas, Ioannis</au><au>Stefanadi, Elli</au><au>Stefanadis, Christodoulos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary sinus thermography in idiopathic dilated cardiomyopathy: Correlation with systemic inflammation and left ventricular contractility</atitle><jtitle>European journal of heart failure</jtitle><addtitle>European Journal of Heart Failure</addtitle><date>2007-02</date><risdate>2007</risdate><volume>9</volume><issue>2</issue><spage>168</spage><epage>172</epage><pages>168-172</pages><issn>1388-9842</issn><eissn>1879-0844</eissn><abstract>Background Previous studies have demonstrated that patients with heart failure have increased myocardial heat production. Coronary sinus (CS) thermography is a new method for the evaluation of left ventricular heat production. Aims We investigated whether the CS blood temperature is increased in patients with idiopathic dilated cardiomyopathy (DCM) compared to a control group and whether the CS blood temperature correlates with ejection fraction and systemic inflammatory activation. Methods and results We included 25 patients with DCM and 22 healthy subjects. Temperature measurements were performed using a new thermography catheter. Temperature difference (ΔT) was defined as the difference between the CS and RA blood temperature. The CRP levels were also measured. ΔT was significantly greater in patients with DCM compared to the controls (0.25±0.09 vs 0.14±0.07 °C, p&lt;0.01). ΔT and EF were inversely correlated in patients with DCM (R=0.43). We categorized patients with DCM into two groups using a CRP cut-off value of ≤1 mg/dL. ΔT in patients with high CRP was less (0.21±0.06 °C) compared to patients with low CRP (0.30±0.08 °C, p=0.01). Conclusions In patients with DCM increased heat production from the myocardium, as estimated from the coronary sinus blood temperature, was demonstrated, interestingly there was no correlation with systemic inflammatory activation.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>16731036</pmid><doi>10.1016/j.ejheart.2006.04.002</doi><tpages>5</tpages></addata></record>
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subjects Body Temperature
Cardiomyopathy, Dilated - physiopathology
Case-Control Studies
coronary sinus thermography
Coronary Vessels - physiopathology
dilated cardiomyopathy
Female
Heart Ventricles - physiopathology
heat production
Humans
Inflammation - physiopathology
Male
Middle Aged
Myocardial Contraction - physiology
Stroke Volume
Thermography
title Coronary sinus thermography in idiopathic dilated cardiomyopathy: Correlation with systemic inflammation and left ventricular contractility
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