Serum interleukin-6, tumour necrosis factor-a, D-dimer after recombinant human brain natriuretic peptide combined with levosimendan in patients with heart failure.
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Abstract
Background: This study evaluates the impact of recombinant human brain natriuretic peptide (Rh-BNP) combined with levosimendan on therapeutic efficacy, inflammatory markers, and nutritional status in patients with heart failure (HF).
Methods: A total of 162 heart failure patients treated between March 2022 and March 2024 were randomly assigned to three treatment groups: Group 1 received conventional therapy plus Rh-BNP Group 2 received conventional therapy plus levosimendan, and Group 3 received a combination of both Rh-BNP and levosimendan, along with nutritional support. Efficacy was assessed regarding cardiac function, renal function, inflammatory biomarkers (IL-6, TNF-a), nutritional status, and quality of life.
Results: All three treatment groups improved cardiac and renal function, reduced inflammatory markers, and enhanced nutritional status. However, the combination therapy group (Group 3) demonstrated the most significant improvements across all parameters, including a greater reduction in IL-6 and TNF-a levels and an improvement in the Mini Nutritional Assessment (MNA) score. Additionally, the combination treatment led to marked improvements in quality of life and reduced symptoms of depression and anxiety compared to the other groups (P< 0.05).
Conclusions: Rh-BNP combined with levosimendan, alongside nutritional support, offers significant benefits in treating heart failure, enhancing cardiac function, reducing inflammation, improving nutritional status, and improving the overall quality of life for patients.
期刊介绍：
The JOURNAL OF MEDICAL BIOCHEMISTRY (J MED BIOCHEM) is the official journal of the Society of Medical Biochemists of Serbia with international peer-review. Papers are independently reviewed by at least two reviewers selected by the Editors as Blind Peer Reviews. The Journal of Medical Biochemistry is published quarterly.
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clinical microbiology,
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clinical genomics and molecular biology,
genetic epidemiology,
drug measurement,
evaluation of diagnostic markers,
new reagents and laboratory equipment,
reference materials and methods,
reference values,
laboratory organization,
automation,
quality control,
clinical metrology,
all related scientific disciplines where chemistry, biochemistry, molecular biology and immunochemistry deal with the study of normal and pathologic processes in human beings.
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