Serum Endothelin-1 Correlates with Myocardial Injury and Independently Predicts Adverse Cardiac Events in Non-ST-Elevation Acute Myocardial Infarction
Joint Authors
Setianto, Budi Yuli
Sukmasari, Indah
Puspitawati, Ira
Hartopo, Anggoro Budi
Source
International Journal of Vascular Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-04
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
Serum endothelin-1 is increasingly released in acute myocardial infarction, by necrotic cardiomyocytes.
In non-ST-elevation acute myocardial infarction (Non-STEMI), increased serum endothelin-1 on-admission may have clinical significance during acute hospitalisation events.
Objective.
The purpose of this study is to investigate whether increased serum endothelin-1 level predict adverse cardiac events in patients hospitalized with Non-STEMI.
Methods.
The design of this research was a prospective cohort study.
Consecutive subjects with Non-STEMI undergoing symptom onset ≤24 hour were enrolled and observed during intensive hospitalization.
Serum endothelin-1, troponin-I, and hs-C reactive protein were measured from peripheral blood taken on-admission.
In-hospital adverse cardiac events were a composite of death, acute heart failure, cardiogenic shock, reinfarction, and resuscitated VT/VF.
Results.
We enrolled 66 subjects.
The incidence of in-hospital adverse cardiac events is 13.6% (10 out of 66 subjects).
Serum endothelin-1 level was significantly higher in subjects with in-hospital adverse cardiac events.
Subjects with endothelin-1 level >2.59 pg/mL independently predicted adverse cardiac events in hospitalised Non-STEMI patients (adjusted odds ratio 44.43, 95% confidence interval: 1.44-1372.99, p value 0.03).
The serum endothelin-1 level was correlated with serum troponin I level (correlation coefficient of 0.413, p value 0.012).
Conclusion.
Increased serum endothelin-1 on-admission correlated with increased troponin-I and independently predicted in-hospital adverse cardiac events in patients with Non-STEMI.
American Psychological Association (APA)
Hartopo, Anggoro Budi& Sukmasari, Indah& Puspitawati, Ira& Setianto, Budi Yuli. 2020. Serum Endothelin-1 Correlates with Myocardial Injury and Independently Predicts Adverse Cardiac Events in Non-ST-Elevation Acute Myocardial Infarction. International Journal of Vascular Medicine،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1174239
Modern Language Association (MLA)
Hartopo, Anggoro Budi…[et al.]. Serum Endothelin-1 Correlates with Myocardial Injury and Independently Predicts Adverse Cardiac Events in Non-ST-Elevation Acute Myocardial Infarction. International Journal of Vascular Medicine No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1174239
American Medical Association (AMA)
Hartopo, Anggoro Budi& Sukmasari, Indah& Puspitawati, Ira& Setianto, Budi Yuli. Serum Endothelin-1 Correlates with Myocardial Injury and Independently Predicts Adverse Cardiac Events in Non-ST-Elevation Acute Myocardial Infarction. International Journal of Vascular Medicine. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1174239
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1174239