Key result
Higher plasma MPO and total sialic acid levels on admission in patients with suspected ACS predicted the development of in-hospital complications (p<0.011 and p<0.006, respectively).
Why the study?
Do plasma myeloperoxidase and total sialic acid levels on admission predict in-hospital complications in patients with suspected acute coronary syndrome?
Observational (n=93)
Do plasma myeloperoxidase and total sialic acid levels on admission predict in-hospital complications in patients with suspected acute coronary syndrome?
Elevated plasma myeloperoxidase and total sialic acid levels on admission may serve as prognostic indicators for the development of in-hospital complications in patients with acute coronary syndrome.
INTRODUCTION: Acute Coronary Syndrome (ACS) is the leading cause of death worldwide. Oxidative stress and inflammation play important role in the destabilization of plaques leading to ACS. Markers which reflect this pathophysiologic mechanism may have prognostic value. Myeloperoxidase (MPO) and Sialic acid are markers of inflammation and oxidative stress. Both these markers are increased in patients with ACS. Their prognostic value in ACS is not well established. AIM: To analyse the prognostic value of plasma myeloperoxidase and total sialic acid levels in patients with suspected acute coronary syndrome. MATERIALS AND METHODS: A prospective study was conducted on 93 consecutively admitted patients with chest pain from July 2011 to September 2011. Plasma MPO and total sialic acid levels on admission were estimated spectrophotometrically. These were compared with extent of disease, development of complications during the hospital stay, left ventricular ejection fraction and mean duration of stay in hospital. RESULTS: Plasma MPO and total sialic acid levels were significantly higher in patients with myocardial infarction than those with unstable and stable angina (p<0.001 and p<0.007 respectively). The levels of plasma MPO and sialic acid levels were significantly higher in patients who developed complications like heart failure, arrhythmias, renal failure during their stay in hospital (p<0.011 and p<0.006 respectively). Ejection fraction was significantly low in patients with high MPO levels (p<0.011). CONCLUSION: In patients with ACS, plasma MPO and total sialic acid levels on admission could predict the development of complications during their hospital stay. MPO levels correlated with ejection fraction in patients with ACS.
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Sumitra Govindarajan (2016) conducted an observational in Acute Coronary Syndrome (n=93). Plasma myeloperoxidase (MPO) and total sialic acid was evaluated on Development of complications during the hospital stay (p=<0.011). Higher plasma MPO and total sialic acid levels on admission in patients with suspected ACS predicted the development of in-hospital complications (p<0.011 and p<0.006, respectively).
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