pregnancy-associated plasma protein A;
specificity;
coronary artery disease;
non-cardiac conditions;
D O I:
10.1016/j.clinbiochem.2008.01.012
中图分类号:
R446 [实验室诊断];
R-33 [实验医学、医学实验];
学科分类号:
1001 ;
摘要:
Objective: PAPP-A is a promising new marker in coronary heart disease. It is important to investigate its specificity in order to establish its clinical utility as a marker of coronary heart disease. Design and methods: PAPP-A was measured within 24 It following hospital admission in 1448 consecutive patients admitted with diagnoses other than acute coronary syndromes. Results: PAPP-A was detectable (>= 4.0 mIU/L) in 278 (19.2%) patients, among whom the mean level was 6.3 mIU/L (95% C.I., 6.1-6.5 mIU/L). The 95 and 99 percentiles for PAPP-A were 7.3 and 9.4 mIU/L, respectively. There was no difference in the mean PAPP-A of different diagnoses (p=0.33). None of the specific diagnoses known to influence established coronary markers appeared to influence the level of circulating PAPP-A. Conclusion: PAPP-A is low in patients without known coronary heart disease. PAPP-A levels seem to be a potentially highly specific marker for heart disease. (c) 2008 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
机构:
Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech RepublicCharles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Ceska, R
;
Stulc, T
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Stulc, T
;
Zima, T
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Zima, T
;
Malbohan, I
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Malbohan, I
;
Fialova, L
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
机构:
Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech RepublicCharles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Ceska, R
;
Stulc, T
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Stulc, T
;
Zima, T
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Zima, T
;
Malbohan, I
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic
Malbohan, I
;
Fialova, L
论文数: 0引用数: 0
h-index: 0
机构:Charles Univ, Fac Med 1, Dept Internal Med 3, Prague 12821, Czech Republic