The role of VEGF in the diabetic patients undergoing endovascular therapy of symptomatic aortic valve stenosis.

Abstract:

:The aim of this study was to explore changes in plasma vascular endothelial growth factor (VEGF) in aged patients who undergone transcatheter aortic valve implantation or balloon angioplasty for the treatment of aortic stenosis. Plasma VEGF was measured in subjects with diabetes mellitus type 2 (DM) (n=21, age 79.2+/-1.6 years) and in non-diabetic subjects (non-DM) (n=23, age 84.4+/-0.7 years), using an ELISA kit. Before the procedure plasma levels of VEGF were significantly lower in DM than in non-DM patients (P<0.05). Plasma VEGF significantly increased in both groups (DM and non-DM) 24 h (387+/-64 vs. 440+/-30 pg/ml, P<0.05) and 72 h (323+/-69 vs. 489+/-47 pg/ml, P<0.05) after the endovascular procedure. However, the VEGF in DM patients was significantly lower compared to non-DM subjects up to one month after the endovascular procedure (283+/-47 vs. 386+/-38 pg/ml, P<0.05). We conclude that increased plasma VEGF in aged patients associates with atherosclerotic aortic valve stenosis. In spite of that plasma VEGF in DM was constantly significantly lower than in non diabetic patients, both before and after the endovascular procedure, possibly reflecting a disturbance of angiogenic/anti-angiogenic balance in diabetes.

journal_name

Physiol Res

journal_title

Physiological research

authors

Bláha V,Šťásek J,Bis J,Fortunato J,Andrýs C,Pavlík V,Polanský P,Brtko M,Sobotka L

doi

10.33549/physiolres.932857

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

S351-9

issue

Suppl 3

eissn

0862-8408

issn

1802-9973

pii

932857

journal_volume

63

pub_type

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