Document Detail


High serum resistin level may be an indicator of the severity of coronary disease in acute coronary syndrome.
MedLine Citation:
PMID:  19848317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the correlation between serum resistin level, cardiovascular risk factors and severity of coronary disease in acute coronary syndrome (ACS). METHODS: After evaluated by clinical history, electrocardiography, exercise tolerance tests, laboratory tests, and coronary angiography, 220 consecutive patients with suspected chest pain were divided into normal control group, stable angina pectoris (SAP) group, and ACS group, respectively. Baseline clinical characteristics, including height, weight, waist circumference, hip circumference, white blood cell count, high-sensitive C-reactive protein (hsCRP), total cholesterol, triglyceride, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol, were compared among three groups. ELISA was used to detect serum resistin levels. Pearson's correlation coefficient analysis was used to assess association between resistin and other traditional cardiovascular risk factors. Multinomial logistic regression analyses were used to define the relationship between serum resistin level and SAP or ACS. RESULTS: Serum resistin level in ACS group (1.18+/-0.48 microg/L) was significantly higher than that in normal control and SAP groups (0.49+/-0.40 and 0.66+/-0.40 microg/L; P<0.01). Only in ACS group, increased serum resistin level was significantly correlated with hsCRP (r=0.262, P=0.004) and white blood cell count (r=0.347, P=0.001). Furthermore, serum resistin levels showed a stepwise increase with the number increase of > 50% stenosed coronary vessels. Multinomial logistic regression test demonstrated that serum resistin was a strong risk factor for ACS (OR=29.132, 95 % CI: 10.939-77.581, P<0.001). CONCLUSION: These findings suggested the potential role of resistin in atherosclerosis and especially its involvement in ACS.
Authors:
Hao Wang; De-You Chen; Jian Cao; Zuo-Yun He; Bing-Po Zhu; Min Long
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical sciences journal = Chung-kuo i hsüeh k'o hsüeh tsa chih / Chinese Academy of Medical Sciences     Volume:  24     ISSN:  1001-9294     ISO Abbreviation:  Chin. Med. Sci. J.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-23     Completed Date:  2009-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9112559     Medline TA:  Chin Med Sci J     Country:  China    
Other Details:
Languages:  eng     Pagination:  161-6     Citation Subset:  IM    
Affiliation:
Department of Geriatric Cardiology, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
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MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / blood*,  pathology,  physiopathology
Aged
Biological Markers / blood
Case-Control Studies
Coronary Disease / blood*,  pathology,  physiopathology
Female
Humans
Male
Middle Aged
Resistin / blood*
Risk Factors
Chemical
Reg. No./Substance:
0/Biological Markers; 0/RETN protein, human; 0/Resistin

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