Document Detail


Can ischemia-modified albumin be a valuable indicator of tissue ischemia in polycythemia vera?
MedLine Citation:
PMID:  20557673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The red cell expansion in polycythemia vera (PV) causes hyperviscosity affecting blood flow, which plays a major role in the pathogenesis of both microcirculatory disturbances and ultimately thromboses. Ischemia-modified albumin (IMA) is produced during an ischemic states and is present in blood in early and easily detectable levels. This study investigated whether IMA is a useful adjunct in the determination of ischemia in patients with PV, prior to them exhibiting clinical evidence of thrombotic complications. Blood IMA levels were determined in 20 PV patients and in 20 healthy individuals using a method described by Bar-Or. Mean IMA levels in the PV group were significantly higher than those of the control group (P<0.05). At the optimum cutoff point (0.193 absorbance units), the sensitivity and specificity of IMA were 80 and 100% to ischemia, respectively. In conclusion, IMA may be a valuable biochemical marker in predicting tissue ischemia in PV before the signs of vascular disturbances occur.
Authors:
S Caner Karahan; Mehmet Sonmez; Fatma Saglam; Ahmet Mentese; Nergiz Erkut; Murat Topbas; Muge Kopuz; Umit Cobanoglu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hematology (Amsterdam, Netherlands)     Volume:  15     ISSN:  1607-8454     ISO Abbreviation:  Hematology     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-18     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9708388     Medline TA:  Hematology     Country:  England    
Other Details:
Languages:  eng     Pagination:  151-6     Citation Subset:  IM    
Affiliation:
Department of Biochemistry, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Biological Markers / blood
Female
Humans
Ischemia / blood*,  pathology
Male
Middle Aged
Polycythemia Vera / blood*,  pathology
Serum Albumin / metabolism*
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Serum Albumin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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