Selenoprotein P-1 (SEPP1) as an Early Biomarker of Myocardial Injury in Patients Undergoing Cardiopulmonary Bypass

  • 0Department of Experimental and Clinical Medicine, University "Magna Graecia" of Catanzaro, 88100 Catanzaro, Italy.

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Summary

This summary is machine-generated.

Early measurement of selenoprotein 1 (SEPP1) after cardiac surgery shows potential for identifying patients at risk of myocardial injury. SEPP1 levels correlate with established cardiac injury markers, aiding prognostication.

Area Of Science

  • Cardiology
  • Biomarker Research
  • Cardiac Surgery

Background

  • Perioperative myocardial disease prediction is vital for advancing cardiac surgery treatment.
  • Developing reliable biomarkers for prognostication and prediction is crucial.
  • Selenoprotein 1 (SEPP1) is explored as a potential biomarker for myocardial injury.

Purpose Of The Study

  • To investigate the role of circulating SEPP1 as a biomarker for myocardial injury risk after cardiac surgery.
  • To assess the correlation of SEPP1 levels with established cardiac injury markers.

Main Methods

  • Prospective monocentric study involving 45 cardiac surgery patients.
  • Circulating SEPP1 levels measured via ELISA before and at 4, 8, and 12 hours after cardiopulmonary bypass (CPB).
  • Correlation analysis with creatine kinase-MB (CK-MB), high-sensitivity cardiac troponin (Hs-c troponin), CPB time, and cross-clamp time.

Main Results

  • SEPP1 levels at 4 hours post-surgery strongly correlated with CK-MB at 48 and 72 hours.
  • Significant correlations were observed between 4-hour SEPP1 and Hs-c troponin at 24, 48, and 72 hours.
  • SEPP1 levels also correlated with cardiopulmonary bypass and cross-clamp durations.

Conclusions

  • Early SEPP1 measurement post-cardiac surgery shows promise for identifying patients at risk of myocardial injury.
  • SEPP1 may serve as an early predictive biomarker in the perioperative setting.
  • Further research can validate SEPP1's role in managing cardiac surgery patients.