Could MicroRNA be Neurological Prognosis Biomarkers after Cardiac Arrest?

Şule Özbilgin, Necati Gökmen
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Abstract

For patients monitored in intensive care units in the aftermath of a cardiac arrest, one of the well-established difficulties of care after resuscitation is the ability to perform the necessary prognostic assessments as accurately and early as possible. Although current guidelines include algorithms to determine prognosis, there are still missing links and uncertainties. Biomarkers obtained from peripheral blood are generally non-invasive and easy to obtain. Although the potential to use microRNA as a prognostic biomarker after cardiac arrest has received less interest recently, its popularity has increased in the last few years. By identifying prognostic biomarkers within 24 h of cardiac arrest, clinicians in intensive care could gain valuable insights to guide patient outcomes and predict both mortality and survival rates.

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微 RNA 能否成为心脏骤停后神经系统预后的生物标志物?
对于心脏骤停后在重症监护室接受监护的患者来说,复苏后护理的公认难点之一就是能否尽早准确地进行必要的预后评估。尽管目前的指南包括了确定预后的算法,但仍存在缺失环节和不确定性。从外周血中获得的生物标志物通常是非侵入性的,而且很容易获得。虽然将 microRNA 用作心脏骤停后预后生物标志物的可能性最近受到的关注较少,但其受欢迎程度在过去几年中有所提高。通过鉴定心脏骤停后 24 小时内的预后生物标志物,重症监护室的临床医生可以获得有价值的见解来指导患者的预后并预测死亡率和存活率。
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