Novel markers in chronic heart failure Lok, Dirk Jan Arend

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1 Novel markers in chronic heart failure Lok, Dirk Jan Arend IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2013 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Lok, D. J. A. (2013). Novel markers in chronic heart failure Groningen: s.n. Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): For technical reasons the number of authors shown on this cover page is limited to 10 maximum. Download date:

2 A buoy is a marker at sea. Coming from sea to shore, red buoys are located on the left side of the shipping lane. The heart from a sailor, situated on the left side of the body, is bleeding when leaving sea. The wake behind the buoy tells the sailor where the current is coming from, if it is high or low tide. At sea a buoy guides me. At work biomarkers are my buoy to show me the way. Op zee is een boei een marker. Komende van zee zijn rode boeien geplaatst aan de linker kant van de vaarweg. Het hart van een zeeman bevindt zich aan de linker kant van het lichaam, het bloedt als de zee verlaten wordt. Het zog achter de boei laat de zeeman weten waar de stroom vandaan komt, of het eb of vloed is. Op zee begeleiden boeien mij. Als ik aan het werk ben, zijn biomarkers de boeien die mij de weg wijzen. Novel markers in chronic heart failure Rijksuniversiteit Groningen Publisher Dirk Jan Arend Lok ISBN: Author: Dirk Jan Arend Lok Lay-out: Raimond Hof - Hofcommunicatie Photographs: Dirk Jan Arend Lok Cover: Raimond Hof - Hofcommunicatie Printed by: Gildeprint bv, Enschede Dirk Jan Arend Lok 2013 Niets uit deze uitgave mag worden vermenigvuldigd en/of openbaar gemaakt zonder voorafgaande toestemming van de auteur. No part of this book may be reproduced in any form, by print, photoprint, 2

3 Novel markers in chronic heart failure Proefschrift ter verkrijging van het doctoraat in de Medische Wetenschappen aan de Rijksuniversiteit Groningen op gezag van de in het openbaar te verdedigen op woensdag 22 mei 2013 om uur door Dirk Jan Arend Lok geboren op 28 maart 1953 te Groningen 3

4 Promotor: Copromotor: Beoordelingscommissie: Paranimfen: Prof. dr. D.J. van Veldhuisen Dr. P. van der Meer Prof. dr. W.H. van Gilst Prof. dr. A.W. Hoes Prof. dr. A.A. Voors Drs. Sjoukje Lok Dr. Pieta Bruggink- André de la Porte Amgen Bayer Merck Novartis Roche diagnostics Roche medical Withering Stichting Nederland 4

5 Aan: mijn ouders, Teti en Knabbel Titia, Sjoukje, Anne, Maartje, Pieter en Jaap. 5

6 6

7 Contents CHAPTER 1 Introduction and aims of this thesis. 9 CHAPTER 2 Added value of a physician-and-nurse-directed 23 heart failure clinic: results from the Deventer- Alkmaar heart failure study. CHAPTER 3 Prognostic value of Galectin-3, a novel 43 chronic heart failure: data from the DEAL-HF study. CHAPTER 4 Predictive value of plasma Galectin-3 levels 57 in heart failure with reduced and preserved ejection fraction. CHAPTER 5 Galectin-3 is an independent marker for 81 ventricular remodeling and mortality in patients with chronic heart failure. CHAPTER 6 The incremental prognostic power of 97 novel biomarkers in patients with severe chronic heart failure. CHAPTER 7 Prognostic value of NT-pro-C-type natriuretic 115 peptide (NT-proCNP) in heart failure patients with preserved and reduced ejection fraction. CHAPTER 8 Summary, conclusions and future perspectives. 131 Samenvatting Dankwoord 153 Bibliography 161 7

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