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Bening C, Genser B, Keller D, Müller-Altrock S, Radakovic D, Penov K, Hassan M, Aleksic I, Leyh R, Madrahimov N. Impact of estradiol, testosterone and their ratio on left and right auricular myofilament function in male and female patients undergoing coronary artery bypass grafting. BMC Cardiovasc Disord 2023; 23:538. [PMID: 37925416 PMCID: PMC10625250 DOI: 10.1186/s12872-023-03582-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Accepted: 10/26/2023] [Indexed: 11/06/2023] Open
Abstract
BACKGROUND The impact of sex hormones on right and left auricular contractile apparatus function is largely unknown. We evaluated the impact of sex hormones on left and right heart contractility at the level of myocardial filaments harvested from left and right auricles during elective coronary artery bypass surgery. METHODS 150 patients (132 male; 18 female) were enrolled. Preoperative testosterone and estradiol levels were measured with Immunoassay. Calcium induced force measurements were performed with left- and right auricular myofilaments in a skinned fiber model. Correlation analysis was used for comparison of force values and levels of sex hormones and their ratio. RESULTS Low testosterone was associated with higher top force values in right-sided myofilaments but not in left-sided myofilaments for both sexes (p = 0.000 in males, p = 0.001 in females). Low estradiol levels were associated with higher top force values in right-sided myofilaments (p 0.000) in females and only borderline significantly associated with higher top force values in males (p 0.056). In females, low estradiol levels correlated with higher top force values in left sided myofilaments (p 0.000). In males, higher Estradiol/Testosterone ratio (E/T ratio) was only associated with higher top force values from right auricular myofilaments (p 0.04) In contrast, in females higher E/T ratio was associated with lower right auricular myofilament top force values (p 0.03) and higher top force values in left-sided myofilaments (p 0.000). CONCLUSIONS This study shows that patients' comorbidities influence left and right sided contractility and may blur results concerning influence of sex hormones if not eliminated. A sex hormone dependent influence is obvious with different effects on the left and right ventricle. The E/T ratio and its impact on myofilament top force showed divergent results between genders, and may partially explain gender differences in patients with cardiovascular disease.
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Affiliation(s)
- C Bening
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany.
| | - B Genser
- Medical Faculty Mannheim, Center for Preventive Medicine, Heidelberg University, Digital Health Baden-Württemberg (CPD-BW), Heidelberg , Germany
| | - D Keller
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - S Müller-Altrock
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - D Radakovic
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - K Penov
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - M Hassan
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - I Aleksic
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - R Leyh
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
| | - N Madrahimov
- Department of Thoracic and Cardiovascular Surgery, University Hospital Wuerzburg Zentrum Operative Medizin, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany
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Penov K, Merz T, Radakovic D, Madrahimov N, Hamouda K, Gorski A, Leyh R, Bening C. 15 Years of Experience with 231 Ross Procedures in Adults: A Single-Center Study. Thorac Cardiovasc Surg 2023. [DOI: 10.1055/s-0043-1761767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/22/2023]
Affiliation(s)
- K. Penov
- University Hospital Würzburg, Würzburg, Deutschland
| | - T. Merz
- University Hospital Würzburg, Würzburg, Deutschland
| | - D. Radakovic
- University Hospital Würzburg, Würzburg, Deutschland
| | | | - K. Hamouda
- University Hospital Würzburg, Würzburg, Deutschland
| | - A. Gorski
- University Hospital Würzburg, Würzburg, Deutschland
| | - R. Leyh
- University Hospital Würzburg, Würzburg, Deutschland
| | - C. Bening
- University Hospital Würzburg, Würzburg, Deutschland
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Radakovic D, Penov K, Madrahimov N, Von Bosse F, Keller D, Hassan M, Bening C, Leyh R, Aleksic I. Risk Factors for Perioperative Mortality in Postcardiotomy Patients with Extracorporeal Life Support. Thorac Cardiovasc Surg 2022. [DOI: 10.1055/s-0042-1742847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- D. Radakovic
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
| | - K. Penov
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
| | - N. Madrahimov
- Department of Thoracic and Cardiovascular Surgery, University Clinic Würzburg, Würzburg, Deutschland
| | | | - D. Keller
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
| | - M. Hassan
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
| | - C. Bening
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
| | - R. Leyh
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
| | - I. Aleksic
- Department of Thoracic and Cardiovascular Surgery, University Hospital Würzburg, Würzburg, Deutschland
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Madrahimov N, Cristaldo RB, Du S, Keller D, Malikov M, Zaiatc E, Klapproth A, Penov K, Hamouda K, Leyh R, Bening C. Novel Post Mortal Organ Preserving ECMO in Non–Heart‐Beating Mouse. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bening C, Alhussini K, Cristaldo RB, Madrahimov N, Radakovic D, Magyar A, Hassan M, Penov K, Leyh R. Correlation of DHEA as a Precursor for Androgens and Estrogens with Echocardiographic Function and Dimensions of the Heart. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Madrahimov N, Du S, Cristaldo RB, Keller D, Malikov M, Zaiatc E, Klapproth A, Penov K, Hamouda K, Leyh R, Bening C. Mouse Model of Heart Organ Care System to Study Ex Vivo Cardio Protection and Reperfusion in Cadaveric Heart Donation. Thorac Cardiovasc Surg 2021. [DOI: 10.1055/s-0041-1725618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Sales V, Wendel J, Gorski A, Alhussini K, Madrahimov N, Penov K, Radakovic D, Magyar A, Leyh R, Bening C. Single Carotid Cannulation for Selective Antegrade Cerebral Perfusion: A Safe and Effective Tailored Approach in Moderate-Risk Patients undergoing Contemporary Minimally Invasive Primary Aortic Arch Repair. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Madrahimov N, Alhussini K, Sales V, Radakovic D, Penov K, Benitez Cristaldo R, Hoffmann J, Hassan M, Leyh R, Bening C. First-Ever Built Magnetically Driven Micropump Using 3D Technology for VAD and ECMO Studies in a Mouse Model. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Madrahimov N, Bening C, Alhussini K, Sales V, Radakovic D, Penov K, Benitez Cristaldo R, Magyar A, Hoffmann J, Leyh R. The Potential Role of Magnetorheological Elastomers as “Smart Materials” in the Future Design of the Artificial Heart and Circulatory Support. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Alhussini K, Sales V, Benitez Cristaldo R, Penov K, Madrahimov N, Radakovic D, Magyar A, Hassan M, Leyh R, Bening C. Comparison of Half Relaxation Time and Peak Force of Intact Muscle Fibers of Elective CABG Patients with Diastolic Dysfunction Grade I–III. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Penov K, Westarp E, Radakovic D, Sales V, Madrahimov N, Alhussini K, Gorski A, Aleksic I, Bening C, Leyh R. Surgery for Aortic and Aortic Valve Pathology in Bicuspid and Tricuspid Valves Has Excellent Short- and Long-Term Outcomes: A Single-Center Experience. Thorac Cardiovasc Surg 2020. [DOI: 10.1055/s-0040-1705405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Penov K, Cordova-Palomera A, Bening C, Pariani M, Zhou Z, Priest J, Leyh R, Fischbein M. Transcriptomic Sequencing of Primary Tissue Improves Genetic Diagnosis in Bicuspid Aortopathy by Identification and Validation of Splicing Variants. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- K. Penov
- University Clinic Wuerzburg, Wuerzburg, Germany
- Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, United States
| | - A. Cordova-Palomera
- Department of Pediatrics, Stanford University School of Medicine, Stanford, California, United States
| | - C. Bening
- University Clinic Wuerzburg, Wuerzburg, Germany
| | - M. Pariani
- Stanford University School of Medicine, Stanford, California, Stanford Center for Inherited Cardiovascular Disease, Palo Alto, United States
| | - Z. Zhou
- National Center for Cardiovascular Diseases, Fuwai Hospital, Beijing, China
| | - J. Priest
- Department of Pediatrics, Stanford University School of Medicine, Stanford, California, United States
| | - R. Leyh
- University Clinic Wuerzburg, Wuerzburg, Germany
| | - M. Fischbein
- Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, United States
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Emrich F, Barac Y, Steinbach S, Kellermann K, Dieterlen M, Lehmann S, Noack T, Penov K, Aravot D, Ciechanover A, Mohr F, Garbade J. The Ubiquitin Proteasome System as Potential Therapeutic Target in Dilated and Ischemic Cardiomyopathy. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.1090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Emrich F, Barac Y, Steinbach S, Kellermann K, Dieterlen M, Lehmann S, Noack T, Penov K, Aravot D, Mohr F, Garbade J. The Ubiquitin Proteasome System in Dilated and Ischemic Cardiomyopathy: Is there a Potential Therapeutic Target? Thorac Cardiovasc Surg 2017. [DOI: 10.1055/s-0037-1598721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- F. Emrich
- Universität Leipzig, Herzzentrum, Leipzig, Germany
| | - Y.D. Barac
- The Cardiothoracic Surgery Department, Rabin Medical Center, Petach Tikva, Israel
| | - S. Steinbach
- Universität Leipzig, Herzzentrum, Leipzig, Germany
| | | | | | - S. Lehmann
- Universität Leipzig, Herzzentrum, Leipzig, Germany
| | - T. Noack
- Universität Leipzig, Herzzentrum, Leipzig, Germany
| | - K. Penov
- Department of Cardiothoracic Surgery, Stanford University, Stanford, United States
| | - D. Aravot
- The Cardiothoracic Surgery Department, Rabin Medical Center, Petach Tikva, Israel
| | - F.W. Mohr
- Universität Leipzig, Herzzentrum, Leipzig, Germany
| | - J. Garbade
- Universität Leipzig, Herzzentrum, Leipzig, Germany
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Davierwala P, Penov K, Baiocchi M, Aydin M, Zoric M, Emrich F, Bakhtiary F, Misfeld M, Mohr FW. Total Arterial Revascularization with Bilateral Internal Thoracic Artery: A long-term, Propensity Score-matched Comparison of Composite Y - BITA - Grafts to BITA - in situ Grafting. Thorac Cardiovasc Surg 2016. [DOI: 10.1055/s-0036-1571500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Emrich F, Okamura H, Arakawa M, Dalal A, Penov K, Merk D, Raaz U, Hennigs J, Chin J, Miller M, Blankenberg F, Connolly A, Mohr F, Fischbein M. Apoptosis in Marfan Syndrome Aneurysms - it's not Only the Loss of Cells. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Davierwala P, Penov K, Mende M, Amorim P, Ferreira B, Misfeld M, Borger M, Mohr FW. Total Arterial Revascularization with Composite Y/T Grafts: Comparison of Early and Long-Term Outcomes of Bilateral Internal Mammary Arteries with Left Internal Mammary-Radial Artery Composite Grafts. Thorac Cardiovasc Surg 2015. [DOI: 10.1055/s-0035-1544345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Penov K, Busch C, Amorim P, Garbade J, Rastan A, Borger M, Schuler G, Mohr FW. Risk factors of poor outcome after surgical treatment of chronic constrictive pericarditis in a single-centre cohort. Thorac Cardiovasc Surg 2014. [DOI: 10.1055/s-0034-1367149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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