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血清嗜铬粒蛋白 A 水平与冠状动脉疾病的 SYNTAX 评分相关。

Serum chromogranin A levels are associated with the SYNTAX score in coronary artery disease.

机构信息

Tekirdağ Namık Kemal Üniversitesi, Faculty of Medicine, Department of Medical Biochemistry - Tekirdağ, Turkey.

Tekirdağ Namık Kemal Üniversitesi, Faculty of Medicine, Department of Cardiology - Tekirdağ, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2023 Apr 14;69(4):e20221254. doi: 10.1590/1806-9282.20221254. eCollection 2023.

DOI:10.1590/1806-9282.20221254
PMID:37075445
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10176651/
Abstract

OBJECTIVE

In this article, we investigated the association of chromogranin A with coronary artery disease.

METHODS

Biochemical parameters and chromogranin A levels obtained from peripheral blood samples during coronary angiography were analyzed in 90 patients. Patients were classified into two groups, namely, SYNergy between PCI with TAXUS and Cardiac Surgery score ≥1 (n=45) and SYNergy between PCI with TAXUS and Cardiac Surgery score=0 (n=45). This is a cross-sectional, prospective study.

RESULTS

Serum chromogranin A levels were significantly higher in the group with SYNergy between PCI with TAXUS and Cardiac Surgery score ≥1 compared to the group with SYNergy between PCI with TAXUS and Cardiac Surgery score=0 (1381.5±418.9 ng/mL and 1121.2±290.7 ng/mL, respectively; p=0.002). Serum chromogranin A levels were correlated with SYNergy between PCI with TAXUS and Cardiac Surgery score (r=0.556, p<0.04). ROC analysis showed that the area under the curve for serum chromogranin A levels was 0.687 (p=0.007), and the best cutoff value of 1,131 ng/mL had a sensitivity of 67% and a specificity of 65% for the prediction of coronary artery disease.

CONCLUSION

Serum chromogranin A levels were increased in coronary artery disease patients with SYNergy between PCI with TAXUS and Cardiac Surgery score ≥1. Increasing serum chromogranin A levels are proportional to the SYNergy between PCI with TAXUS and Cardiac Surgery score.

摘要

目的

本文旨在探讨嗜铬粒蛋白 A 与冠状动脉疾病的相关性。

方法

对 90 例行冠状动脉造影术患者的外周血样本进行生化参数和嗜铬粒蛋白 A 水平检测,并根据 SYNergy between PCI with TAXUS and Cardiac Surgery 评分将患者分为两组:SYNergy between PCI with TAXUS and Cardiac Surgery 评分≥1 组(n=45)和 SYNergy between PCI with TAXUS and Cardiac Surgery 评分=0 组(n=45)。这是一项横断面前瞻性研究。

结果

SYNergy between PCI with TAXUS and Cardiac Surgery 评分≥1 组患者的血清嗜铬粒蛋白 A 水平明显高于 SYNergy between PCI with TAXUS and Cardiac Surgery 评分=0 组(分别为 1381.5±418.9 ng/mL 和 1121.2±290.7 ng/mL,p=0.002)。血清嗜铬粒蛋白 A 水平与 SYNergy between PCI with TAXUS and Cardiac Surgery 评分呈正相关(r=0.556,p<0.04)。ROC 分析显示,血清嗜铬粒蛋白 A 水平的曲线下面积为 0.687(p=0.007),最佳截断值为 1131ng/mL 时,对冠状动脉疾病的预测具有 67%的敏感性和 65%的特异性。

结论

SYNergy between PCI with TAXUS and Cardiac Surgery 评分≥1 的冠状动脉疾病患者血清嗜铬粒蛋白 A 水平升高,且血清嗜铬粒蛋白 A 水平升高与 SYNergy between PCI with TAXUS and Cardiac Surgery 评分呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51df/10176651/0828fe66f8b4/1806-9282-ramb-69-04-e20221254-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51df/10176651/0828fe66f8b4/1806-9282-ramb-69-04-e20221254-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51df/10176651/0828fe66f8b4/1806-9282-ramb-69-04-e20221254-gf01.jpg

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