Admission Endocan Level may be a Useful Predictor for In-Hospital Mortality and Coronary Severity Index in Patients With ST-Segment Elevation Myocardial Infarction

We assessed the prognostic role of serum endocan level in patients with ST-segment elevation myocardial infarction (STEMI) and compared the results with a normal coronary angiography group. A total of 133 patients were included in the study (88 patients with STEMI and 45 patients with normal coronar...

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Veröffentlicht in:Angiology 2017-01, Vol.68 (1), p.46-51
Hauptverfasser: Kundi, Harun, Balun, Ahmet, Cicekcioglu, Hulya, Karayigit, Orhan, Topcuoglu, Canan, Kilinckaya, Muhammed Fevzi, Kiziltunc, Emrullah, Cetin, Mustafa, Ornek, Ender
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container_end_page 51
container_issue 1
container_start_page 46
container_title Angiology
container_volume 68
creator Kundi, Harun
Balun, Ahmet
Cicekcioglu, Hulya
Karayigit, Orhan
Topcuoglu, Canan
Kilinckaya, Muhammed Fevzi
Kiziltunc, Emrullah
Cetin, Mustafa
Ornek, Ender
description We assessed the prognostic role of serum endocan level in patients with ST-segment elevation myocardial infarction (STEMI) and compared the results with a normal coronary angiography group. A total of 133 patients were included in the study (88 patients with STEMI and 45 patients with normal coronary arteries). The SYNTAX score was determined based on the baseline coronary angiogram. Multivariate logistic regression analysis indicated that endocan independently correlated with the presence of STEMI. Moreover, high-sensitivity C-reactive protein (hsCRP), peak troponin I, and left ventricular ejection fraction (LVEF) were found to be independently associated with STEMI. Endocan level correlated significantly with hsCRP and SYNTAX score. We analyzed the discriminatory capability of endocan level for the presence of STEMI using a receiver–operating characteristics curve. A cutoff endocan level of 1.7 (ng/mL) predicted the presence of STEMI with a sensitivity of 76.1% and specificity of 73.6%. In conclusion, a high endocan level on hospital admission is an independent predictor of a worse cardiovascular outcome and a high SYNTAX score in patients with STEMI.
doi_str_mv 10.1177/0003319716646932
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subjects Aged
Female
Hospital Mortality
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Myocardial Infarction - mortality
Neoplasm Proteins - blood
Percutaneous Coronary Intervention - mortality
Proteoglycans - blood
Risk Assessment - methods
ROC Curve
ST Elevation Myocardial Infarction - diagnosis
ST Elevation Myocardial Infarction - mortality
Ventricular Function, Left - physiology
title Admission Endocan Level may be a Useful Predictor for In-Hospital Mortality and Coronary Severity Index in Patients With ST-Segment Elevation Myocardial Infarction
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