학술논문

Cardiac-Referenced Leukocyte Telomere Length and Outcomes After Cardiovascular Surgery.
Document Type
article
Source
JACC: Basic to Translational Science. 3(5)
Subject
CI
confidence interval
HR
hazard ratio
ICU
intensive care unit
OR
odds ratio
PCR
polymerase chain reaction
TL
telomere length
atrium
bp
base pair
risk
surgery
telomere shortening
ΔTLRA-L
right atrium-leukocyte TL difference
Language
Abstract
Leukocyte telomere shortening reflects stress burdens and has been associated with cardiac events. However, the patient-specific clinical value of telomere assessment remains unknown. Moreover, telomere shortening cannot be inferred from a single telomere length assessment. The authors investigated and developed a novel strategy for gauging leukocyte telomere shortening using autologous cardiac atrial referencing. Using multitissue assessments from 163 patients who underwent cardiovascular surgery, we determined that the cardiac atrium-leukocyte telomere length difference predicted post-operative complexity. This constituted the first evidence that a single-time assessment of telomere dynamics might be salient to acute cardiac care.