Document Detail


A pilot study of the clinical relevance of the relationship between the serum level of pregnancy-associated plasma protein A and the degree of acute coronary syndrome.
MedLine Citation:
PMID:  20515576     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Serum levels of pregnancy-associated plasma protein-A (PAPP-A), high-sensitivity C-reactive protein (hs-CRP) and tumour necrosis factor-alpha (TNF-alpha) were measured in 70 patients with acute coronary syndrome (ACS), comprising 18 with unstable angina (UA), 37 with acute myocardial infarction (AMI) and 15 with stable angina (SA); 15 healthy controls were also included. Levels of PAPP-A were significantly higher in the UA and AMI groups than in the SA and control groups. Levels of PAPP-A were similar in the SA and control groups, and higher in the ACS patients who were cardiac troponin T-negative (comprising UA and AMI patients) than in the control and SA groups. Levels of hs-CRP and TNF-alpha were significantly higher in the SA group than in the control group, significantly higher in the UA group than in the SA and control groups, and significantly higher in the AMI group than in all other groups. Levels of PAPP-A in ACS patients were positively correlated with levels of hs-CRP and TNF-alpha. It would seem, therefore, that PAPP-A is associated with inflammation and might be used to detect plaque instability and rupture before an increase in cardiac troponin T is detectable.
Authors:
L You; L Li; F Zhang; Q Xu; J Ren
Related Documents :
11247616 - What are appropriate rates of invasive procedures following acute myocardial infarction...
1598866 - Echocardiographic algorithms for admission and predischarge prediction of mortality in ...
20586826 - The p-selectin gene polymorphism val168met: a novel risk marker for the occurrence of p...
20864196 - Carvedilol administration in acute myocardial infarction results in stronger inhibition...
21128936 - Lymphatic vasculature is increased in heart valves, ischaemic and inflamed hearts and i...
2203556 - Circadian variation of acute myocardial infarction and the effect of low-dose aspirin i...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of international medical research     Volume:  38     ISSN:  0300-0605     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-06-02     Completed Date:  2010-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  625-32     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Medicine, Affiliated Zhongnan Hospital of Wuhan University, Wuhan, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Coronary Syndrome / blood*,  pathology
Angina, Unstable / blood*,  pathology
C-Reactive Protein / metabolism
Enzyme-Linked Immunosorbent Assay
Female
Humans
Male
Middle Aged
Pilot Projects
Pregnancy
Pregnancy-Associated Plasma Protein-A / metabolism*
Prognosis
Survival Rate
Tumor Markers, Biological / blood*
Tumor Necrosis Factor-alpha / metabolism
Chemical
Reg. No./Substance:
0/Tumor Markers, Biological; 0/Tumor Necrosis Factor-alpha; 9007-41-4/C-Reactive Protein; EC 3.4.24.-/Pregnancy-Associated Plasma Protein-A

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


Previous Document:  Significance of nm23 Immunoexpression in the Prognosis of Renal Cell Carcinoma.
Next Document:  Incidental Non-secreting Adrenal Masses in Cancer Patients: Intra-individual Comparison of (18)F-Flu...