Is Serum Matrix Metalloproteinase 9 and/or D-Dimer Levels a Marker for Identifying Abdominal Aortic Aneurysms in Patients with Significant Coronary Atherosclerosis?

Current health sciences journal Pub Date : 2024-07-01 Epub Date: 2024-09-30 DOI:10.12865/CHSJ.50.03.07
Diduta Alina Brie, Adelina Maria Jianu, Roxana Popescu, Daniel Miron Brie, Madalina Boruga
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Abstract

Our research aims to find a connection between the levels of MMP-9 and D-dimers in the blood and the prevalence of AAAs in subjects with atherosclerotic coronary disease. We selected fifty patients from each group and measured their MMP-9 and D-dimer levels in the blood. We discovered that in subjects with significant coronary disease and angina pectoris, the level of MMP-9 is higher compared to the subjects with angina pectoris but without significant coronary disease. When comparing this group with those with significant coronary disease and AAA, the level of MMP-9 is lower. Additionally, the D-dimer level was significantly higher in subjects with both AAA and significant coronary atherosclerosis compared to patients with significant coronary disease alone or those without significant coronary disease or AAAs. Subjects with significant coronary disease and AAA have elevated levels of MMP-9 and D-dimer compared to patients with significant coronary disease alone or without coronary artery disease or AAAs. These two factors could be used as indicators for diagnosing AAA in patients with angina pectoris.

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血清基质金属蛋白酶 9 和/或 D-二聚体水平是识别冠状动脉粥样硬化患者腹主动脉瘤的标志物吗?
我们的研究旨在寻找血液中 MMP-9 和 D-二聚体的水平与冠状动脉粥样硬化患者 AAA 发病率之间的联系。我们从每组中挑选了 50 名患者,测量了他们血液中的 MMP-9 和 D-二聚体水平。我们发现,在有明显冠状动脉疾病和心绞痛的受试者中,MMP-9 的水平高于有心绞痛但无明显冠状动脉疾病的受试者。与患有严重冠状动脉疾病和 AAA 的受试者相比,该组受试者的 MMP-9 水平较低。此外,与仅有明显冠状动脉疾病或无明显冠状动脉疾病或 AAA 的患者相比,同时患有 AAA 和明显冠状动脉粥样硬化的受试者的 D-二聚体水平明显更高。与仅有严重冠状动脉疾病或没有严重冠状动脉疾病或 AAA 的患者相比,患有严重冠状动脉疾病和 AAA 的受试者的 MMP-9 和 D-二聚体水平较高。这两个因素可作为心绞痛患者诊断 AAA 的指标。
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