Comparative study of high sensitivity troponin T and heart-type fatty acid-binding protein in STEMI patients
Joint Authors
Banu, Shahina
Tanveer, Sayyid
Manjunath, C .N.
Source
Saudi Journal of Biological Sciences
Issue
Vol. 22, Issue 1 (31 Mar. 2015), pp.56-61, 6 p.
Publisher
Publication Date
2015-03-31
Country of Publication
Saudi Arabia
No. of Pages
6
Main Subjects
Topics
Abstract EN
Aim and background : Heart-type fatty acid-binding proteins (H-FABP) which are detected within 2-3 h of acute myocardial infarction are involved in uptake of free fatty acids in the myocardium.
Our aim in the present study is to compare window periods of H-FABP to high sensitivity troponin T (hs-Trop T) in acute ST elevation myocardial infarction (STEMI).
Methods : 160 STEMI diagnosed patient’s serum samples are analyzed for hs-Trop T and H-FABP.
Different window periods of chest pain onset (< 3 h, 3-6 h and > 6 h) are compared with complications, in-hospital mortality and statistically analyzed.
Results : From 160 patients, 53 (33 %) cases are presented in < 3 h, 75 (47 %) in 3-6, and 32 (20 %) after > 6 h respectively.
Accordingly sensitivity of hs-Trop T was 92 %, 94 % and 97 % while H-FABP was 75 %, 88 % and 84 %, respectively.
Overall sensitivity was 94 % and 82 % respectively.
Statistically significant difference between mean hs-Trop T values with respect to window period < 3, 3-6 and > 6 h was 0.21, 0.35 and 0.80 ng / ml respectively, p value < 0.0001.
No significant difference in H-FABP values was observed.
Hs-Trop T positively correlated with age (r = 0.153, P = 0.05), window period (r = 0.363, P < 0.0001), TIMI score (r = 0.208, P = 0.008), ejection fraction (r = 0.191, P = 0.008), serum H-FABP (r = 0.229, P = 0.004), and serum hs-CRP (r = 0.326, p < 0.001).
There was a statistically significant difference of mean hs-Trop T values with or without in hospital mortality (0.35 vs.
0.85 ng / ml, respectively, p = 0.008).
No significant correlation to age, TIMI score, ejection fraction and hs-CRP values for H-FABP was observed.
Conclusion : It appears that hs-Trop T is a more sensitive marker than H-FABP in early hours of AMI and higher hs-Trop T predicts increase in-hospital mortality.
American Psychological Association (APA)
Banu, Shahina& Tanveer, Sayyid& Manjunath, C .N.. 2015. Comparative study of high sensitivity troponin T and heart-type fatty acid-binding protein in STEMI patients. Saudi Journal of Biological Sciences،Vol. 22, no. 1, pp.56-61.
https://search.emarefa.net/detail/BIM-437311
Modern Language Association (MLA)
Banu, Shahina…[et al.]. Comparative study of high sensitivity troponin T and heart-type fatty acid-binding protein in STEMI patients. Saudi Journal of Biological Sciences Vol. 22, no. 1 (2015), pp.56-61.
https://search.emarefa.net/detail/BIM-437311
American Medical Association (AMA)
Banu, Shahina& Tanveer, Sayyid& Manjunath, C .N.. Comparative study of high sensitivity troponin T and heart-type fatty acid-binding protein in STEMI patients. Saudi Journal of Biological Sciences. 2015. Vol. 22, no. 1, pp.56-61.
https://search.emarefa.net/detail/BIM-437311
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 61
Record ID
BIM-437311