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January 1, 2010International Journal of Vascular MedicineOpen Access

Leukocyte Counts, Myeloperoxidase, and Pregnancy-Associated Plasma Protein A as Biomarkers for Cardiovascular Disease: Towards a Multi-Biomarker Approach

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Key result

Combining leukocyte counts, MPO, and PAPP-A correctly identifies ~83% of acute coronary events.

Why the study?

The potential of leukocyte counts, MPO, and PAPP-A as combined biomarkers to classify acute coronary events and assess cardiovascular risk was evaluated.

Does a multi-biomarker panel including leukocyte counts, MPO, and PAPP-A correctly classify acute coronary events in patients with angina or MI compared to healthy controls?

Population

Patients with stable and unstable angina pectoris, acute myocardial infarction, and healthy controls

Comparison

Leukocyte counts, CRP, fibrinogen, MPO, and PAPP-A levels vs healthy controls

Design

Observational study

Follow-up

6 months

Authors

MLMarc B. I. LobbesMaastricht University Medical CentreMKM. Eline KooiCardiac ImagingELEsther LutgensMayo Clinic

Discussion

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Implication

Biomarker rises in AMI may signal inflammation; leaves open prognostic or therapeutic utility pending larger prospective studies.

Study Design

Type

Observational

Structured PICO

Does a multi-biomarker panel including leukocyte counts, MPO, and PAPP-A correctly classify acute coronary events in patients with angina or MI compared to healthy controls?

P
Population
Patients with stable and unstable angina pectoris, acute myocardial infarction, and healthy controls, followed for 6 months.
E
Exposure
Measurement of leukocyte counts, C-reactive protein (CRP), fibrinogen, myeloperoxidase (MPO), and pregnancy-associated plasma protein A (PAPP-A)
C
Comparator
Healthy controls
O
Outcome
Classification accuracy for acute coronary events based on biomarker concentrationssurrogate

A multi-biomarker panel of leukocyte counts, MPO, and PAPP-A shows promise for assessing cardiovascular risk by accurately classifying acute coronary events.

Cite This Study

Lobbes et al. (2010) conducted an observational in Stable and unstable angina pectoris, acute myocardial infarction. Leukocyte counts, MPO, and PAPP-A vs. Healthy controls was evaluated on Correct classification of acute coronary events. Combined assessment of leukocyte counts, MPO, and PAPP-A correctly classified study group designation for acute coronary events in 83% of cases.

synapsesocial.com/papers/6ab31f7ebb0f360766b39760https://doi.org/10.1155/2010/726207
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Also Consider

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  1. 1Soluble CD40L2003 · 385 citations
  2. 2High-Sensitivity C-Reactive Protein2001 · 1,410 citations
  3. 3Prognostic Value of Myeloperoxidase in Patients with Chest Pain2003 · 1,080 citations
  4. 4Plasma Fibrinogen Level and the Risk of Major Cardiovascular Diseases and Nonvascular Mortality2005 · 1,116 citations
  5. 5Association of Fibrinogen, C-reactive Protein, Albumin, or Leukocyte Count With Coronary Heart Disease1998 · 2,040 citations