Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling

Background: It has been suggested that ethnicity can make a significant difference to the likelihood of thromboembolic stroke related to atrial fibrillation. Ethnic differences have been shown to alter inflammatory and haemostatic factors; however, this may all be confounded by differences in cardio...

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Main Authors: Carlee D. Ruediger, Bobby John, Sathesh Kumar, Han S. Lim, Geetanjali Rangnekar, Kurt C. Roberts-Thomson, Glenn D. Young, David Chase, Prashanthan Sanders, Scott R. Willoughby
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:Indian Pacing and Electrophysiology Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S097262921730092X
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author Carlee D. Ruediger
Bobby John
Sathesh Kumar
Han S. Lim
Geetanjali Rangnekar
Kurt C. Roberts-Thomson
Glenn D. Young
David Chase
Prashanthan Sanders
Scott R. Willoughby
author_facet Carlee D. Ruediger
Bobby John
Sathesh Kumar
Han S. Lim
Geetanjali Rangnekar
Kurt C. Roberts-Thomson
Glenn D. Young
David Chase
Prashanthan Sanders
Scott R. Willoughby
author_sort Carlee D. Ruediger
collection DOAJ
description Background: It has been suggested that ethnicity can make a significant difference to the likelihood of thromboembolic stroke related to atrial fibrillation. Ethnic differences have been shown to alter inflammatory and haemostatic factors; however, this may all be confounded by differences in cardiovascular risk factors between different ethnicity. The impact of different ethnicities on the thrombogenic profile is not known. The aim of this study was to investigate differences in markers of inflammation, endothelial function and tissue remodelling between Caucasian and Indian populations with supraventricular tachycardia (SVT). Methods: Patients with structurally normal hearts undergoing catheter ablation for SVT were studied. This study included 23 Australian (Caucasian) patients from the Royal Adelaide Hospital, Adelaide, Australia and 24 Indian (Indian) patients from the Christian Medical College, Vellore, India. Blood samples were collected from the femoral vein, and right and left atria. Blood samples were analysed for the markers of endothelial function (ADMA, ET-1), inflammation (CD40L, VCAM-1, ICAM-1), and tissue remodelling (MMP-9, TIMP-1) using ELISA. Results: The study populations were well matched for cardiovascular risk factors and the absence of structural heart disease. No difference in the echocardiographic measurements between the two ethnicities was found. In this context, there was no difference in markers of inflammation, endothelial function or tissue remodelling between the two SVT populations. Conclusion: Caucasian and Indian populations demonstrate similar inflammatory, endothelial function or tissue remodelling profiles. This study suggests a lack of an impact of different ethnicity in these populations in terms of thrombogenic risk.
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spelling doaj.art-ae9783af92994782823ccca701cefde32022-12-21T19:30:32ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922018-01-011811510.1016/j.ipej.2017.08.002Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodellingCarlee D. Ruediger0Bobby John1Sathesh Kumar2Han S. Lim3Geetanjali Rangnekar4Kurt C. Roberts-Thomson5Glenn D. Young6David Chase7Prashanthan Sanders8Scott R. Willoughby9Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaDepartment of Cardiology, Christian Medical College, Vellore, IndiaDepartment of Cardiology, Christian Medical College, Vellore, IndiaCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaDepartment of Cardiology, Christian Medical College, Vellore, IndiaCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaCentre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, AustraliaBackground: It has been suggested that ethnicity can make a significant difference to the likelihood of thromboembolic stroke related to atrial fibrillation. Ethnic differences have been shown to alter inflammatory and haemostatic factors; however, this may all be confounded by differences in cardiovascular risk factors between different ethnicity. The impact of different ethnicities on the thrombogenic profile is not known. The aim of this study was to investigate differences in markers of inflammation, endothelial function and tissue remodelling between Caucasian and Indian populations with supraventricular tachycardia (SVT). Methods: Patients with structurally normal hearts undergoing catheter ablation for SVT were studied. This study included 23 Australian (Caucasian) patients from the Royal Adelaide Hospital, Adelaide, Australia and 24 Indian (Indian) patients from the Christian Medical College, Vellore, India. Blood samples were collected from the femoral vein, and right and left atria. Blood samples were analysed for the markers of endothelial function (ADMA, ET-1), inflammation (CD40L, VCAM-1, ICAM-1), and tissue remodelling (MMP-9, TIMP-1) using ELISA. Results: The study populations were well matched for cardiovascular risk factors and the absence of structural heart disease. No difference in the echocardiographic measurements between the two ethnicities was found. In this context, there was no difference in markers of inflammation, endothelial function or tissue remodelling between the two SVT populations. Conclusion: Caucasian and Indian populations demonstrate similar inflammatory, endothelial function or tissue remodelling profiles. This study suggests a lack of an impact of different ethnicity in these populations in terms of thrombogenic risk.http://www.sciencedirect.com/science/article/pii/S097262921730092XSupraventricular tachycardiaThrombogenesisEthnicityEndothelial functionInflammation
spellingShingle Carlee D. Ruediger
Bobby John
Sathesh Kumar
Han S. Lim
Geetanjali Rangnekar
Kurt C. Roberts-Thomson
Glenn D. Young
David Chase
Prashanthan Sanders
Scott R. Willoughby
Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling
Indian Pacing and Electrophysiology Journal
Supraventricular tachycardia
Thrombogenesis
Ethnicity
Endothelial function
Inflammation
title Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling
title_full Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling
title_fullStr Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling
title_full_unstemmed Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling
title_short Influence of ethnic background on left atrial markers of inflammation, endothelial function and tissue remodelling
title_sort influence of ethnic background on left atrial markers of inflammation endothelial function and tissue remodelling
topic Supraventricular tachycardia
Thrombogenesis
Ethnicity
Endothelial function
Inflammation
url http://www.sciencedirect.com/science/article/pii/S097262921730092X
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