OperaV1, Main, Exploration, bibRecord, 001049

Relation of high concentrations of plasma carboxy-terminal telopeptide of collagen type I with outcome in acute myocardial infarction.

Identifieur interne : 001049 ( Main/Exploration ); précédent : 001048; suivant : 001050

Relation of high concentrations of plasma carboxy-terminal telopeptide of collagen type I with outcome in acute myocardial infarction.

Auteurs : Olivier Barthélémy [France] ; Farzin Beygui ; Eric Vicaut ; Stephanie Rouanet ; Eric Van Belle ; Cathrine Baulac ; Alexia Degrandsart ; Jean Dallongeville ; Gilles Montalescot

Source :

The American journal of cardiology ; 2009.

RBID : pubmed:19766754

Descripteurs français

Wicri :
- geographic : France.

English descriptors

KwdEn :
- Aged, Angioplasty, Balloon, Coronary (methods), Angioplasty, Balloon, Coronary (mortality), Biomarkers (blood), Cohort Studies, Collagen Type I (blood), Confidence Intervals, Coronary Angiography, Electrocardiography, Female, Follow-Up Studies, France, Humans, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Myocardial Infarction (blood), Myocardial Infarction (diagnosis), Myocardial Infarction (mortality), Myocardial Infarction (therapy), Natriuretic Peptide, Brain (blood), Odds Ratio, Peptide Fragments (blood), Predictive Value of Tests, Probability, Procollagen (blood), Prospective Studies, Risk Assessment, Severity of Illness Index, Survival Rate, Treatment Outcome, Ventricular Remodeling (physiology).
MESH :
- chemical , blood : Biomarkers, Collagen Type I, Natriuretic Peptide, Brain, Peptide Fragments, Procollagen.
- geographic : France.
- blood : Myocardial Infarction.
- diagnosis : Myocardial Infarction.
- methods : Angioplasty, Balloon, Coronary.
- mortality : Angioplasty, Balloon, Coronary, Myocardial Infarction.
- physiology : Ventricular Remodeling.
- therapy : Myocardial Infarction.
- Aged, Cohort Studies, Confidence Intervals, Coronary Angiography, Electrocardiography, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Multivariate Analysis, Odds Ratio, Predictive Value of Tests, Probability, Prospective Studies, Risk Assessment, Severity of Illness Index, Survival Rate, Treatment Outcome.

Abstract

Acute myocardial infarction (AMI) is associated with matrix metalloproteinase activation. The plasma concentrations of carboxy-terminal telopeptide of collagen type I (CITP) reflect collagen type I degradation due to matrix metalloproteinase activation. We assessed the role of CITP as an early marker of outcome in AMI. Plasma CITP was measured 72 hours after hospital admission in 432 patients presenting with AMI. The 2 composite end points of the study (death, resuscitated cardiac arrest, recurrent AMI or ischemia, and heart failure or stroke; and death, resuscitated cardiac arrest, or heart failure) and mortality were assessed at 1 year in 4 patient groups stratified by the CITP quartiles. Patients with ST-segment elevation MI represented 75.7% of the population. In-hospital percutaneous coronary intervention was performed in 70.4% of the patients. The mean left ventricular ejection fraction was 53.9 +/- 12.5%. At 1 year of follow-up, high levels of CITP were associated with the occurrence of both composite end points and mortality (p <0.01 for all). Stepwise logistic regression analysis identified CITP as an independent predictor of both composite end points (odds ratio 2.14, 95% confidence interval 1.34 to 3.42, p = 0.001; and odds ratio 3.19, 95% confidence interval 1.50 to 6.81, p = 0.003), along with the Killip class and brain natriuretic peptide levels. In conclusion, high hospital levels of CITP, a marker of collagen degradation and ventricular remodeling, are associated with late mortality and other serious clinical events after AMI.

DOI: 10.1016/j.amjcard.2009.05.029
PubMed: 19766754

Affiliations:

France
Paris

Le document en format XML

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<wicri:regionArea>Institut de Cardiologie (APHP), INSERM U856 and University of Paris 6, Pitié-Salpétrière Hospital, Paris</wicri:regionArea>
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<author><name sortKey="Vicaut, Eric" sort="Vicaut, Eric" uniqKey="Vicaut E" first="Eric" last="Vicaut">Eric Vicaut</name>
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<author><name sortKey="Dallongeville, Jean" sort="Dallongeville, Jean" uniqKey="Dallongeville J" first="Jean" last="Dallongeville">Jean Dallongeville</name>
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<series><title level="j">The American journal of cardiology</title>
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<term>Angioplasty, Balloon, Coronary (methods)</term>
<term>Angioplasty, Balloon, Coronary (mortality)</term>
<term>Biomarkers (blood)</term>
<term>Cohort Studies</term>
<term>Collagen Type I (blood)</term>
<term>Confidence Intervals</term>
<term>Coronary Angiography</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>France</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Myocardial Infarction (blood)</term>
<term>Myocardial Infarction (diagnosis)</term>
<term>Myocardial Infarction (mortality)</term>
<term>Myocardial Infarction (therapy)</term>
<term>Natriuretic Peptide, Brain (blood)</term>
<term>Odds Ratio</term>
<term>Peptide Fragments (blood)</term>
<term>Predictive Value of Tests</term>
<term>Probability</term>
<term>Procollagen (blood)</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
<term>Severity of Illness Index</term>
<term>Survival Rate</term>
<term>Treatment Outcome</term>
<term>Ventricular Remodeling (physiology)</term>
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<term>Collagen Type I</term>
<term>Natriuretic Peptide, Brain</term>
<term>Peptide Fragments</term>
<term>Procollagen</term>
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<term>Myocardial Infarction</term>
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<term>Confidence Intervals</term>
<term>Coronary Angiography</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multivariate Analysis</term>
<term>Odds Ratio</term>
<term>Predictive Value of Tests</term>
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<term>Prospective Studies</term>
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<front><div type="abstract" xml:lang="en">Acute myocardial infarction (AMI) is associated with matrix metalloproteinase activation. The plasma concentrations of carboxy-terminal telopeptide of collagen type I (CITP) reflect collagen type I degradation due to matrix metalloproteinase activation. We assessed the role of CITP as an early marker of outcome in AMI. Plasma CITP was measured 72 hours after hospital admission in 432 patients presenting with AMI. The 2 composite end points of the study (death, resuscitated cardiac arrest, recurrent AMI or ischemia, and heart failure or stroke; and death, resuscitated cardiac arrest, or heart failure) and mortality were assessed at 1 year in 4 patient groups stratified by the CITP quartiles. Patients with ST-segment elevation MI represented 75.7% of the population. In-hospital percutaneous coronary intervention was performed in 70.4% of the patients. The mean left ventricular ejection fraction was 53.9 +/- 12.5%. At 1 year of follow-up, high levels of CITP were associated with the occurrence of both composite end points and mortality (p <0.01 for all). Stepwise logistic regression analysis identified CITP as an independent predictor of both composite end points (odds ratio 2.14, 95% confidence interval 1.34 to 3.42, p = 0.001; and odds ratio 3.19, 95% confidence interval 1.50 to 6.81, p = 0.003), along with the Killip class and brain natriuretic peptide levels. In conclusion, high hospital levels of CITP, a marker of collagen degradation and ventricular remodeling, are associated with late mortality and other serious clinical events after AMI.</div>
</front>
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<name sortKey="Dallongeville, Jean" sort="Dallongeville, Jean" uniqKey="Dallongeville J" first="Jean" last="Dallongeville">Jean Dallongeville</name>
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Relation of high concentrations of plasma carboxy-terminal telopeptide of collagen type I with outcome in acute myocardial infarction.

Relation of high concentrations of plasma carboxy-terminal telopeptide of collagen type I with outcome in acute myocardial infarction.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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