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Serum malondialdehyde levels at admission as a predictor of inhospital mortality in patients with acute coronary syndrome    
Yazarlar
Dr. Öğr. Üyesi Muammer KARAKAYALI Dr. Öğr. Üyesi Muammer KARAKAYALI
Kafkas Üniversitesi, Türkiye
Metin Ogun
Kafkas Üniversitesi, Turkey
Inanç Artac
Kafkas Üniversitesi, Turkey
Doǧan Ilis
Kafkas Üniversitesi, Turkey
Ayca Arslan
Kafkas Üniversitesi, Turkey
Timor Omar
Kafkas Üniversitesi, Turkey
Öztürk Demir
Kafkas Üniversitesi, Turkey
Talha Karahan
Kafkas Üniversitesi, Turkey
Soner Kina
Kafkas Üniversitesi, Turkey
Ibrahim Rencuzogullari
Kafkas Üniversitesi, Turkey
Yavuz Karabag
Kafkas Üniversitesi, Turkey
Özet
Introduction and objective Malondialdehyde (MDA) is a predictive marker of cardiovascular events in patients with stable angina pectoris. However, there is limited information available regarding this marker in patients with acute coronary syndrome (ACS). The aim of the study was to explore the association of MDA levels with inhospital mortality among patients with ACS. Materials and Methods The study sample consisted of 556 ACS patients. The leftover plasma samples collected in EDTA vials for troponin T estimation within 24 h of chest pain were used for analysis. Blood samples were collected into tubes for MDA, nitric oxide (NO), inducible nitric oxide synthase (i-NOS), endothelial nitric oxide synthase (e-NOS), total sialic acid (TSA), NT-proBNP, ANP, homocysteine, and cardiac troponin I (cTnI). The blood samples were centrifuged (4000g, 4 °C) for 10 min, and the obtained serum then kept at -25 °C until the analyses were carried out. The relationship between these markers and inhospital mortality of ACS patients was investigated. Results Univariate logistic regression analysis revealed significant correlations among sex, age, creatine, MDA, NT-proBNP, ANP, homocysteine, cTnI, NO, e-NOS, i-NOS, and TSA. Further analysis of these variables using the multivariate logistic regression analysis indicated that age, creatine, MDA, and NT-proBNP were independent predictors. Optimal MDA cutoff value of >33.1 predicted inhospital mortality with 85% sensitivity and 88.17% specificity [AUC: 0.905 (95% CI: 0.878-0.928, P < 0.001)]. Conclusion We demonstrated that MDA levels were elevated in cases of inhospital mortality among ACS patients and the optimal MDA cutoff value of >33.1 predicted inhospital mortality with 85% sensitivity and 88.17% specificity.
Anahtar Kelimeler
acute coronary syndrome | coronary artery disease | malondialdehyde | mortality
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Coronary Artery Disease
Dergi ISSN 0954-6928
Dergi Grubu Q3
Makale Dili İngilizce
Basım Tarihi 01-2024
Sayı 1
Doi Numarası 10.1097/MCA.0000000000001469