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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
[Predictive value of inflammation and myocardial necrosis markers in acute coronary syndrome]
1Institut "Hemofarm", Beograd. vesnav.radovic@hemofarm.com
Insights
Cardiac troponins are ideal for early detection of acute coronary syndrome. Inflammation markers help diagnose and assess the severity of inflammation in these patients.
Area of Science:
- Biochemistry
- Cardiology
- Biomarkers
Context:
- Acute coronary syndrome (ACS) diagnosis and treatment rely on biochemical cardiac markers.
- Myocyte necrosis markers, particularly troponins, are recommended for myocardial infarction and unstable angina.
- Inflammation and cardiac function markers are increasingly important in cardiovascular disease assessment.
Purpose:
- To stratify risk and identify patients with coronary syndrome who may benefit from monitoring serum cardiac marker changes.
- To evaluate the role of troponins and inflammation markers in acute coronary syndrome.
Summary:
- Troponins are ideal markers for early detection of acute coronary syndrome.
- Inflammation markers, such as C-reactive protein, IL-2, erythrocyte sedimentation, and fibrinogen, aid in diagnosing and assessing inflammation severity.
- The study reviewed literature and databases (MEDLINE, PubMed, KOBSON) for analysis.
Impact:
- Improved risk stratification for patients with acute coronary syndrome.
- Enhanced diagnostic capabilities through the combined use of necrosis and inflammation markers.
- Potential for personalized treatment strategies based on dynamic marker changes.
Introduction:
Biochemical cardiac markers play an important role in diagnosing and treatment of patients with acute coronary syndrome. Markers of myocytes necrosis, troponins, have been recommended for diagnosing and treatment of myocardial infarction with ST segment elevation, myocardial infarction without ST segment elevation and unstable angina pectoris. Two more groups of cardiac markers have been gaining in importance: inflammation markers and cardiac function markers.The objective of this study was the risk stratification and identification of patients with coronary syndrome, who could take advantage from evolutionary, changes of serum cardiac markers.
Material And Methods:
The method of the analysis sums up the results of independently published studies and literature and data base review, such as MEDLINE, PubMed and KOBSON. INFLAMMATION MARKERS: Systemic and localized inflammation plays an important role in the development of acute coronary syndrome. The following inflammation markers are available: C-reactive protein. IL-2, sedimentation of erythrocytes and fibrinogen; as well as myocardial necrosis markers: creatine kinase MB, myoglobin and cardiac troponins.
Conclusion:
Tropinins are ideal markers which enable early detection of patients with acute coronary syndrome, whereas inflammation markers are helpful in diagnosing and assessing the severity of inflammation.
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