Prognostic information of glycogen phosphorylase isoenzyme BB in patients with suspected acute coronary syndrome
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Prognostic information of glycogen phosphorylase isoenzyme BB in patients with suspected acute coronary syndrome. / Lillpopp, Lars; Tzikas, Stergios; Ojeda, Francisco; Zeller, Tanja; Baldus, Stephan; Bickel, Christoph; Sinning, Christoph R; Wild, Philipp S; Genth-Zotz, Sabine; Warnholtz, Ascan; Lackner, Karl J; Münzel, Thomas; Blankenberg, Stefan; Keller, Till.
in: AM J CARDIOL, Jahrgang 110, Nr. 9, 01.11.2012, S. 1225-1230.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Prognostic information of glycogen phosphorylase isoenzyme BB in patients with suspected acute coronary syndrome
AU - Lillpopp, Lars
AU - Tzikas, Stergios
AU - Ojeda, Francisco
AU - Zeller, Tanja
AU - Baldus, Stephan
AU - Bickel, Christoph
AU - Sinning, Christoph R
AU - Wild, Philipp S
AU - Genth-Zotz, Sabine
AU - Warnholtz, Ascan
AU - Lackner, Karl J
AU - Münzel, Thomas
AU - Blankenberg, Stefan
AU - Keller, Till
N1 - Copyright © 2012 Elsevier Inc. All rights reserved.
PY - 2012/11/1
Y1 - 2012/11/1
N2 - Early and adequate risk stratification is essential in patients with suspected acute coronary syndrome (ACS). The aim of the present study was to investigate whether glycogen phosphorylase BB (GPBB) could add prognostic information in the context of contemporary sensitive troponin I determination and B-type natriuretic peptide (BNP). Patients with suspected ACS were consecutively enrolled at 3 German study centers from January 2007 through December 2008. Troponin I, GPBB, and BNP were determined at admission. Follow-up information on the combined end point of death, myocardial infarction, revascularization, and hospitalization owing to a cardiovascular cause was obtained 6 months after enrollment. In total 1,818 patients (66% men) were enrolled of whom 413 (23%) were diagnosed as having acute myocardial infarction and 240 (13%) as having unstable angina pectoris, whereas in 1,165 patients (64%) an ACS could be excluded. Follow-up information was available in 98% of patients; 203 events were registered. GPBB measured on admission predicted an unfavorable outcome with a hazard ratio of 1.24 (p <0.05) in an unadjusted Cox regression model and showed a tendency with a hazard ratio of 1.13 (p = 0.07) in a fully adjusted model. Kaplan-Meier analysis revealed a poorer outcome in patients with increased GPBB levels amendatory to the information provided by troponin I or BNP. In conclusion, GPBB measurement provides predictive information on midterm prognosis in patients with chest pain in addition to BNP and troponin I.
AB - Early and adequate risk stratification is essential in patients with suspected acute coronary syndrome (ACS). The aim of the present study was to investigate whether glycogen phosphorylase BB (GPBB) could add prognostic information in the context of contemporary sensitive troponin I determination and B-type natriuretic peptide (BNP). Patients with suspected ACS were consecutively enrolled at 3 German study centers from January 2007 through December 2008. Troponin I, GPBB, and BNP were determined at admission. Follow-up information on the combined end point of death, myocardial infarction, revascularization, and hospitalization owing to a cardiovascular cause was obtained 6 months after enrollment. In total 1,818 patients (66% men) were enrolled of whom 413 (23%) were diagnosed as having acute myocardial infarction and 240 (13%) as having unstable angina pectoris, whereas in 1,165 patients (64%) an ACS could be excluded. Follow-up information was available in 98% of patients; 203 events were registered. GPBB measured on admission predicted an unfavorable outcome with a hazard ratio of 1.24 (p <0.05) in an unadjusted Cox regression model and showed a tendency with a hazard ratio of 1.13 (p = 0.07) in a fully adjusted model. Kaplan-Meier analysis revealed a poorer outcome in patients with increased GPBB levels amendatory to the information provided by troponin I or BNP. In conclusion, GPBB measurement provides predictive information on midterm prognosis in patients with chest pain in addition to BNP and troponin I.
KW - Acute Coronary Syndrome/blood
KW - Aged
KW - Angina, Unstable/blood
KW - Biomarkers/blood
KW - Case-Control Studies
KW - Chest Pain/blood
KW - Cohort Studies
KW - Female
KW - Glycogen Phosphorylase, Brain Form/blood
KW - Humans
KW - Kaplan-Meier Estimate
KW - Male
KW - Middle Aged
KW - Myocardial Infarction/blood
KW - Natriuretic Peptide, Brain/blood
KW - Predictive Value of Tests
KW - Prognosis
KW - Risk Assessment
KW - Sensitivity and Specificity
KW - Severity of Illness Index
KW - Survival Analysis
KW - Troponin T/blood
U2 - 10.1016/j.amjcard.2012.06.020
DO - 10.1016/j.amjcard.2012.06.020
M3 - SCORING: Journal article
C2 - 22818785
VL - 110
SP - 1225
EP - 1230
JO - AM J CARDIOL
JF - AM J CARDIOL
SN - 0002-9149
IS - 9
ER -