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July 1, 2007Pathology InternationalOpen Access

Increase of scavenger receptor A‐positive monocytes in patients with acute coronary syndromes

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Key result

An abnormally high scavenger receptor A index (≥30) was observed in 82.4% of AMI, 75.9% of UA, and 70.3% of SA patients at hospitalization, indicating disrupted, fissured, or eroded plaque.

Why the study?

Is an abnormally high scavenger receptor A (SRA) index a useful indicator of disrupted, fissured, or eroded plaque in patients with acute coronary syndromes?

Population

395 patients, including 225 with acute myocardial infarction, 79 with unstable angina, and 91 with stable…

Design

Cross-sectional

Follow-up

up to 2 days post-hospitalization for a subset

Authors

IEIwao EmuraNagaoka Red Cross HospitalHUHiroyuki UsudaNagaoka Red Cross HospitalTFToshio FujitaNagaoka Red Cross Hospital

Discussion

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Implication

Supports SRA index as potential ACS biomarker; leaves open clinical utility pending prospective validation.

Study Design

Type

Observational (n=395)

Structured PICO

Is an abnormally high scavenger receptor A (SRA) index a useful indicator of disrupted, fissured, or eroded plaque in patients with acute coronary syndromes?

P
Population
395 patients with acute myocardial infarction, unstable angina, or stable angina evaluated for scavenger receptor A index at hospitalization.
E
Exposure
Measurement of scavenger receptor A (SRA) index (number of SRA(+) monocytes observed in 10 high-power fields of peripheral blood smear samples).
O
Outcome
SRA index levels and association with thrombus type (platelets, mixed, residual mural thrombus).surrogate

An abnormally high SRA index (≥30) in peripheral blood monocytes may serve as a useful biomarker for disrupted, fissured, or eroded plaques in patients with acute coronary syndromes.

Cite This Study

Emura et al. (2007) conducted an observational in Acute coronary syndromes (n=395). Scavenger receptor A (SRA) index was evaluated on SRA index ≥30 at hospitalization. An abnormally high scavenger receptor A index (≥30) was observed in 82.4% of AMI, 75.9% of UA, and 70.3% of SA patients at hospitalization, indicating disrupted, fissured, or eroded plaque.

synapsesocial.com/papers/6a1ff9a42065d284090dbbe2https://doi.org/10.1111/j.1440-1827.2007.02131.x
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