评估可溶性P-选择素作为急性症状性肺栓塞的预测生物标志物:来自前性观察研究的见解
Crhistian-Mario Oblitas1,2,3, Pablo Demelo-Rodríguez1,2,3, Marina López-Rubio1,2,3
1Venous Thromboembolism Unit. Internal Medicine Department, General University Hospital Gregorio Marañón, Madrid, Spain.
European journal of haematology
|April 24, 2024
概括
溶性P-selectin (sP-selectin) 不能预测肺栓塞 (PE) 患者的早期死亡或严重出血. 这项研究发现没有显著的关联,这表明sP-选择素不是PE结果的可靠预后生物标志物.
科学领域:
- 心脏病学 心脏病学
- 生物标志物研究 生物标志物研究
- 血栓塞栓症研究 研究血栓塞栓症
背景情况:
- 可溶性P-selectin (sP-selectin) 已被证明是静脉血栓塞栓症 (VTE) 诊断的生物标志物.
- 它在预测肺栓塞 (PE) 早期死亡率方面的实用性以前没有被研究过.
研究的目的:
- 评估sP-selectin在急性症状PE患者的短期死亡率和重大出血的预后能力.
- 评估诊断时的sP-选择因水平是否可以预测30天内不良结果.
主要方法:
- 一项观察性,前性,单中心研究包括196名已确认急性症状PE的成年患者,并且没有先前的抗凝药.
- 在PE诊断时测量了sP-选择因水平.
- 评估的结果包括30天全因死亡率和重大出血事件.
主要成果:
- 该研究包括196名患者 (平均年龄69.1岁,52.6%是男性).
- 30天死亡率为9.7%,主要出血发生在5.1%的患者中.
- 幸存者和非幸存者之间平均sP-选择素水平相似 (p=0.9),AUC为0.49的死亡率和0.46的出血.
结论:
- 在急性症状性PE患者中,sP-选择素不是短期死亡率或重大出血的有用预测指标.
- 需要进一步的研究,以充分阐明sP-选择素在VTE和PE预后中的作用.
相关概念视频
Selectins
Cell adhesion is an essential aspect of multicellularity. While stable cell interactions usually occur between cells of the same type, transient cell interactions occur between cells of different tissue types, such as between neutrophils and endothelial cells. Selectins are one class of cell adhesion molecules (CAMs) that bind carbohydrate ligands to form transient cell adhesion. They are rod-like proteins with a long extracellular part of variable length ending with the lectin domain, which...
Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism I: Introduction
A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...


