Procalcitonin as a prognostic marker in patients with acute myocardial infarction

被引:48
|
作者
Kelly, Dominic [1 ]
Khan, Sohail Q. [1 ]
Dhillon, Onkar [1 ]
Quinn, Paulene [1 ]
Struck, Joachim [2 ]
Squire, Iain B. [1 ]
Davies, Joan E. [1 ]
Ng, Leong L. [1 ]
机构
[1] Univ Leicester, Leicester Royal Infirm, Dept Cardiovasc Sci, Leicester LE2 7LX, Leics, England
[2] BRAHMS AG, Berlin, Germany
关键词
Myocardial infarction; heart failure; biomarkers; procalcitonin; ACUTE CORONARY SYNDROME; SERUM PROCALCITONIN;
D O I
10.3109/13547501003675084
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Background: Procalcitonin is involved in the inflammatory response and is associated with adverse prognosis in certain conditions. Aims: To investigate the association between procalcitonin and major adverse cardiac events (MACE), left ventricular (LV) function and remodelling following acute myocardial infarction (AMI). Methods: Plasma procalcitonin was measured in 977 patients with AMI. Subjects were followed for MACE (median 671 days). A subgroup underwent echocardiography at discharge and follow-up LV function and volume assessment. Results: Procalcitonin was associated with MACE on uni- and multivariable analysis. Kaplan-Meier assessment revealed an adverse outcome in subjects with procalcitonin above the median. Procalcitonin was related to markers of LV dysfunction and remodelling. Conclusion: Procalcitonin is associated with MACE, LV dysfunction and remodelling post-AMI.
引用
收藏
页码:325 / 331
页数:7
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