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Published on: January 28, 2020
Plasma P-selectin level is associated with severity of coronary heart disease in Chinese Han population
Chunhui Song1,2, Guohai Wu2, Sheng Chang2
1Department of Cardiology, the Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Insights
Plasma P-selectin levels are elevated in Chinese Han patients with coronary heart disease (CHD). Higher P-selectin indicates greater CHD severity and identifies it as an independent risk factor.
Area of Science:
- Cardiovascular Medicine
- Biomarkers
- Clinical Research
Background:
- Coronary heart disease (CHD) poses a significant health burden.
- Identifying reliable biomarkers for CHD severity is crucial for patient management.
Purpose of the Study:
- To investigate the association between plasma P-selectin levels and CHD severity.
- To assess P-selectin as a potential biomarker in a Chinese Han population.
Main Methods:
- Enzyme-linked immunosorbent assay (ELISA) was used to quantify plasma P-selectin.
- Coronary stenosis was assessed by the number of diseased arteries and Gensini score.
- Comparative analysis was performed between 219 CHD patients and 168 healthy controls.
Main Results:
- P-selectin levels were significantly higher in CHD patients versus controls.
- P-selectin levels correlated positively with the number of diseased vessels and Gensini score.
- Elevated P-selectin was identified as an independent risk factor for CHD.
Conclusions:
- Plasma P-selectin is elevated in Chinese Han patients with CHD.
- P-selectin levels reflect CHD severity and serve as an independent risk factor.
- P-selectin may be a valuable biomarker for assessing CHD severity in this population.
Objective:
This study aimed to evaluate the association between plasma P-selectin levels and the severity of coronary heart disease (CHD) in a Chinese Han population.
Methods:
We enrolled 219 patients with CHD and 168 healthy individuals without CHD as a control group. Coronary stenosis was evaluated based on the number of diseased coronary arteries and the Gensini scoring system. P-selectin levels were quantified by enzyme-linked immunosorbent assay and the association between CHD and plasma P-selectin level was analyzed.
Results:
P-selectin levels were significantly higher in CHD patients compared with controls. Levels were highest in patients with three-vessel disease and lowest in those with one-vessel disease, with significant differences among the groups. P-selectin levels were also highest in the high-score and lowest in the low-score group according to Gensini score, with significant differences among the groups. P-selectin level was significantly positively correlated with Gensini score and C-reactive protein level. Elevated P-selectin was identified as an independent risk factor for CHD.
Conclusion:
P-selectin levels were increased in Chinese Han patients with CHD. P-selectin level is an independent risk factor for CHD and may serve as a biomarker reflecting the severity of CHD in the Chinese Han population.
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