Document Detail


Prognostic significance of plasma osteopontin levels in patients with chronic stable angina.
MedLine Citation:
PMID:  16421174     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Levels of the secreted glycophosphoprotein osteopontin (OPN) have been associated with the presence and extent of coronary artery disease (CAD). The present study assessed the relationship between plasma OPN concentrations and prognosis in patients with chronic stable angina (CSA). METHODS AND RESULTS: OPN was measured in baseline plasma samples from 799 patients with stable angina pectoris and angiographically documented CAD. Participants were prospectively followed-up for a median of 2.7 years (maximum 4.1 years). The primary study endpoint was the composite of non-fatal myocardial infarction and death from cardiovascular causes. In the univariate Cox proportional hazard analysis, the log-transformed OPN level [hazard ratio (HR) 1.79, 95% CI 1.35-2.36, P < 0.001] was significantly related to adverse outcome. In addition, hypertension, levels of C-reactive protein, and statin use were associated with future adverse events. Levels of OPN (HR, 1.88; P < 0.001) and C-reactive protein (HR, 1.42; P = 0.003), as well as the presence of hypertension (HR, 2.39; P = 0.008) remained statistically significant, independent predictors of adverse cardiovascular outcome in a multivariable Cox proportional hazard analysis. CONCLUSION: Baseline levels of OPN are an independent predictor of future adverse cardiac events in patients with CSA and may be useful for risk stratification.
Authors:
Piercarlo Minoretti; Colomba Falcone; Margherita Calcagnino; Enzo Emanuele; Maria P Buzzi; Enrico Coen; Diego Geroldi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2006-01-18
Journal Detail:
Title:  European heart journal     Volume:  27     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-16     Completed Date:  2006-07-31     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  England    
Other Details:
Languages:  eng     Pagination:  802-7     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Alessandro Manzoni Hospital of Lecco, Italy.
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / blood*,  mortality
Chronic Disease
Coronary Artery Disease / blood*
Female
Humans
Male
Middle Aged
Osteopontin
Prognosis
Prospective Studies
Risk Assessment
Risk Factors
Sialoglycoproteins / blood*
Chemical
Reg. No./Substance:
0/SPP1 protein, human; 0/Sialoglycoproteins; 106441-73-0/Osteopontin
Comments/Corrections
Comment In:
Eur Heart J. 2006 Apr;27(7):766-7   [PMID:  16434412 ]

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