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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Long-term prognostic value of elevated pentraxin 3 in patients undergoing primary angioplasty for ST-elevation
Ozgur Akgul1, Omer Faruk Baycan, Umit Bulut
1aDepartment of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Training and Research Hospital bDepartment of Cardiology, School of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Insights
High pentraxin 3 (PTX3) levels predict worse outcomes in ST-segment elevation myocardial infarction (STEMI) patients after primary percutaneous coronary intervention (PCI). This indicates PTX3 is a valuable prognostic marker for long-term mortality in STEMI.
Area of Science:
- Cardiology
- Biomarkers
- Myocardial Infarction Research
Background:
- Pentraxin 3 (PTX3) is a known prognostic marker in acute coronary syndromes.
- The long-term prognostic significance of PTX3 in ST-segment elevation myocardial infarction (STEMI) requires further investigation.
Purpose of the Study:
- To assess the prognostic value of PTX3 in patients with STEMI undergoing primary percutaneous coronary intervention (PCI).
Main Methods:
- Prospective enrollment of 499 STEMI patients undergoing primary PCI.
- Classification into high-PTX3 (≥3.2 ng/ml) and low-PTX3 (<3.2 ng/ml) groups based on admission PTX3 levels.
- Follow-up for in-hospital cardiovascular mortality and 2-year all-cause mortality.
Main Results:
- The high-PTX3 group was older and exhibited higher in-hospital cardiovascular mortality (9.9% vs. 2.8%) and 2-year all-cause mortality (21% vs. 6.2%).
- High admission PTX3 levels were independently associated with increased 2-year all-cause mortality (OR: 2.3, P=0.025).
Conclusions:
- Elevated admission PTX3 levels are linked to increased in-hospital cardiovascular mortality.
- High PTX3 levels serve as an independent predictor of 2-year all-cause mortality in STEMI patients post-primary PCI.
Objectives:
The prognostic value of pentraxin 3 (PTX3) has been documented in patients with acute coronary syndrome. However, its long-term prognostic value in acute ST-segment elevation myocardial infarction (STEMI) remains unclear. The aim of this study was to evaluate the prognostic value of PTX3 in patients with STEMI undergoing a primary percutaneous coronary intervention (PCI).
Methods:
We prospectively enrolled 499 consecutive STEMI patients undergoing primary PCI. The high-PTX3 group (n=141) was defined as having values in the third tertile (≥3.2 ng/ml) and the low-PTX3 group (n=358) included patients with values in the lower two tertiles (<3.2 ng/ml).
Results:
The patients in the high-PTX3 group were older (mean age 54.3±11.8 vs. 58.5±13.1 years, P=0.002). Higher in-hospital cardiovascular mortality and 2-year all-cause mortality rates were observed in the high-PTX3 group (9.9 vs. 2.8%, respectively, P<0.001; 21 vs. 6.2%, respectively, P<0.001). In a Cox multivariate analysis, a high admission PTX3 value (>3.2 ng/ml) was found to be an independent predictor of 2-year all-cause mortality (odds ratio: 2.3, 95% confidence interval: 1.20-4.90, P=0.025).
Conclusion:
These results suggest that a high admission PTX3 level was associated with increased in-hospital cardiovascular mortality and 2-year all-cause mortality in patients with STEMI undergoing primary PCI.
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