PAŘENICA, Jiří, Petr KALA, Monika PÁVKOVÁ GOLDBERGOVÁ, Josef TOMANDL, Jindřich ŠPINAR, Simona LITTNEROVÁ, Jiří JARKOVSKÝ, A. MEBAZAA, Marie TOMANDLOVÁ, Milan DASTYCH, Jana GOTTWALDOVÁ and E. GAYAT. Natriuretic peptides, nitrite/nitrate and superoxide dismutase have additional value on top of the GRACE score in prediction of one-year mortality and rehospitalisation for heart failure in STEMI patients - Multiple biomarkers prospective cohort study. International Journal of Cardiology. Clare (Ireland): Elsevier Ireland Ltd., 2016, vol. 211, MAY 15 2016, p. 96-104. ISSN 0167-5273. Available from: https://dx.doi.org/10.1016/j.ijcard.2016.02.135.
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Basic information
Original name Natriuretic peptides, nitrite/nitrate and superoxide dismutase have additional value on top of the GRACE score in prediction of one-year mortality and rehospitalisation for heart failure in STEMI patients - Multiple biomarkers prospective cohort study
Authors PAŘENICA, Jiří (203 Czech Republic, belonging to the institution), Petr KALA (203 Czech Republic, belonging to the institution), Monika PÁVKOVÁ GOLDBERGOVÁ (203 Czech Republic, belonging to the institution), Josef TOMANDL (203 Czech Republic, belonging to the institution), Jindřich ŠPINAR (203 Czech Republic, belonging to the institution), Simona LITTNEROVÁ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), A. MEBAZAA (250 France), Marie TOMANDLOVÁ (203 Czech Republic, belonging to the institution), Milan DASTYCH (203 Czech Republic, belonging to the institution), Jana GOTTWALDOVÁ (203 Czech Republic, belonging to the institution) and E. GAYAT (250 France).
Edition International Journal of Cardiology, Clare (Ireland), Elsevier Ireland Ltd. 2016, 0167-5273.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Ireland
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 6.189
RIV identification code RIV/00216224:14110/16:00092115
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.ijcard.2016.02.135
UT WoS 000373918100024
Keywords in English Biomarker; Natriuretic peptide; ST-segment elevation myocardial infarction; Prognosis
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 2/12/2016 10:33.
Abstract
Background: Blood-based biomarkers have a prognostic value in patients with myocardial infarction. The aim of our prospective observational cohort study was to evaluate the prognostic value of biomarkers of different pathophysiological pathways for the occurrence of 1-year all-cause mortality and hospitalisation due to acute heart failure. Methods and results: In 593 patients with ST-segment elevation MI (STEMI) treated by primary PCI, biomarkers were evaluated at 24 h after MI onset. A minimum of three-year follow-up was achieved in all patients. The combination of 1-year all-cause mortality and hospitalisation due to heart failure was the primary endpoint. A cohort for validation of our combined GRACE-natriuretic peptide (NP) score included 667 STEMI patients. The primary endpoint was reached in 9.3% of patients. Among 21 biomarkers, only B-type natriuretic peptide (BNP), NT-proBNP, superoxide dismutase and nitrite/nitrate, added to clinical GRACE score led to a significant increase in the area under the curve of C statistics, in comparison to GRACE alone (tested by Delong's test). Continuous net reclassification improvement and integrated discrimination index demonstrated an improved reclassification and discrimination of the GRACE model for SOD, BNP and NT-proBNP, and improved reclassification for nitrite/nitrate. Consistent results for this new combined prognostic model GRACE-NP were found also for a validation cohort. Conclusions: The levels of NP have an additional value to the prognostic properties of the GRACE score for the prediction of the combined endpoint of one-year mortality or hospitalisation for AHF. Nitrite/nitrate and SOD are strong prognostic factors, even on top of the GRACE score.
Links
MUNI/A/1362/2015, interní kód MUName: Neurohumorální profil a prognóza pacientů s chronickým srdečním selháním
Investor: Masaryk University, Category A
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