Clinical significance of serum Helicobacter pylori antibody cytotoxin-associated gene A levels in patients with unstable angina

被引:0
作者
Jia, Haizhen [1 ]
Fan, Huajun [2 ]
Zhao, Jinhe [1 ]
Peng, Jun [1 ]
Pan, Yunhong [1 ]
Peng, Hongyan [3 ]
机构
[1] Wuhan Univ Sci & Technol, Tianyou Hosp, Cardiovasc Dept, Wuhan 430064, Hubei, Peoples R China
[2] Wuhan Univ, Renmin Hosp, Dept Plast Surg, Wuhan 430060, Hubei, Peoples R China
[3] Taikang Tongji Wuhan Hosp, Dept Ultrasound Imaging, 322 North Sixin Rd, Wuhan 430050, Hubei, Peoples R China
关键词
Helicobacter pylori; Cytotoxin-associated gene A; Unstable angina; SYNTAX; CAGA; GUIDELINES; DISEASE;
D O I
10.1186/s40001-024-02208-5
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
ObjectivesWe investigated the clinical significance of serum Helicobacter pylori cytotoxin-associated gene A (CagA) antibody levels in 768 patients with unstable angina (UA).MethodsSerum CagA levels were measured using ELISA. Demographic data, serum biomarkers, and SYNTAX scores were collected. Patients were followed up for 1 year for major adverse cardiac events (MACE).ResultsCagA-positive UA patients had higher total cholesterol and hsCRP levels, and SYNTAX scores. CagA levels correlated positively with TC, hsCRP, and SYNTAX scores. Kaplan-Meier analysis showed shorter MACE-free survival in CagA-positive UA patients. CagA levels predicted MACE occurrence within 1 year, along with SYNTAX scores.ConclusionsSerum H. pylori CagA antibody positivity is associated with worse prognosis in UA patients. CagA levels correlate with lipid metabolism and inflammatory markers.
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页数:8
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