Prognostic role of copeptin with all-cause mortality after heart failure: a systematic review and meta-analysis

Peng Zhang, Xiaomei Wu, Guangxiao Li, Hao Sun, Jingpu Shi Department of Clinical Epidemiology, Center of Evidence-Based Medicine, Institute of Cardiovascular Disease, The First Hospital of China Medical University, Shenyang, People’s Republic of China Background: As the C-terminal section...

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Main Authors: Zhang P (Author), Wu X (Author), Li G (Author), Sun H (Author), Shi J (Author)
Format: Book
Published: Dove Medical Press, 2017-01-01T00:00:00Z.
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100 1 0 |a Zhang P  |e author 
700 1 0 |a Wu X  |e author 
700 1 0 |a Li G  |e author 
700 1 0 |a Sun H  |e author 
700 1 0 |a Shi J  |e author 
245 0 0 |a Prognostic role of copeptin with all-cause mortality after heart failure: a systematic review and meta-analysis 
260 |b Dove Medical Press,   |c 2017-01-01T00:00:00Z. 
500 |a 1178-203X 
520 |a Peng Zhang, Xiaomei Wu, Guangxiao Li, Hao Sun, Jingpu Shi Department of Clinical Epidemiology, Center of Evidence-Based Medicine, Institute of Cardiovascular Disease, The First Hospital of China Medical University, Shenyang, People’s Republic of China Background: As the C-terminal section of vasopressin precursor, copeptin has been recently suggested as a new prognostic biomarker after heart failure (HF). Thus, the aim of this study was to evaluate the prognostic value of plasma copeptin level with all-cause mortality in patients with HF.Methods: Comprehensive strategies were used to search relevant studies from electronic databases. Pooled hazard ratios (HRs) and standardized mean differences (SMDs) together with their 95% confidence intervals (CIs) were calculated. Subgroup analysis and sensitivity analysis were performed to find the potential sources of heterogeneity.Results: A total of 5,989 participants from 17 prospective studies were included in this meta-analysis. A significant association was observed between circulating copeptin levels and risk of all-cause mortality in patients with HF (categorical copeptin: HR =1.69, 95% CI =1.42–2.01; per unit copeptin: HR =1.03, 95% CI =1.00–1.07; log unit copeptin: HR =3.26, 95% CI =0.95–11.25). Pooled SMD showed that copeptin levels were significantly higher in patients with HF who died during the follow-up period than in survivors (SMD =1.19, 95% CI =0.81–1.57). Subgroup analyses also confirmed this significant association, while sensitivity analyses indicated that the overall results were stable.Conclusion: This study demonstrated that circulating copeptin seemed to be a novel biomarker to provide better prediction of all-cause mortality in patients with HF. Keywords: heart failure, copeptin, all-cause mortality, meta-analysis 
546 |a EN 
690 |a Heart failure (HF) 
690 |a copeptin 
690 |a all-cause mortality 
690 |a meta-analysis 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Therapeutics and Clinical Risk Management, Vol Volume 13, Pp 49-58 (2017) 
787 0 |n https://www.dovepress.com/prognostic-role-of-copeptin-with-all-cause-mortality-after-heart-failu-peer-reviewed-article-TCRM 
787 0 |n https://doaj.org/toc/1178-203X 
856 4 1 |u https://doaj.org/article/c295ae90c4d24cea9ab745ed1df16a68  |z Connect to this object online.