脑钠肽前体n端预测稳定型冠状动脉疾病患者即刻再狭窄

A. Bayramoğlu
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摘要

目的:血管再狭窄与冠心病患者预后不良相关。有许多因素和机制有助于IRS的发展。一些临床试验表明,n端Â-pro脑钠肽在冠状动脉疾病中具有重要的预后价值。我们的目的是评估经皮冠状动脉介入治疗的稳定型冠状动脉疾病患者支架再狭窄与N-TerminalÂ-pro脑钠尿肽的关系。材料与方法:对411例稳定期冠状动脉病变行支架置入术的患者进行评估,80例因复发性心绞痛再次行冠状动脉造影。冠状动脉介入治疗前NT-proBNP测定。将患者分为急性再狭窄发生组和未发生组。结果:在多元回归分析中;年龄(OR = 1.067;95% CI 1.002-1136, P = 0.042)和NT-proBNP (OR = 1.023, 95% CI 1.008-1.038)。P = 0.002)。已经证明它们是IRS的独立预测因子。预测IRS的最佳阈值NT-pro BNP值>111,敏感性56.5%,特异性92%(曲线下面积[AUC]: 0.749, 95% CI: 0.639-0.840, P
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N-terminal pro-brain natriuretic peptide predicts instent restenosis in patients with stable coronary artery disease
Aim: Instent restenosis is associated with a poor outcomes in coronary artery disease patients. There are many factors and mechanisms that contribute to the development of IRS. Some of clinical trials have been shown that N-Terminal –pro Brain Nnatriuretic Peptide has an important prognostic value in coronary artery disease. we aimed to evaluate the relationship between stent restenosis and N-Terminal–pro Brain Nnatriuretic Peptide in patients of stable coronary artery disease undergo percutaneous coronary intervention. Material and Methods: 411 patients with stent implantation due to stable coronary artery disease were evaluated and eighty patients underwent re-coronary angiography because of recurrent angina. NT-proBNP measured before coronary intervention. The patients were divided into two groups of instent restenosis developed and undeveloped. Results: In the multivariate regression analysis; Age (OR = 1.067; 95% CI 1.002-1136, P = 0.042) and NT-proBNP (OR = 1.023, 95% CI 1.008-1.038.p = 0.002). ) have been shown that they were independent predictors of IRS. The optimal threshold NT-pro BNP value for predicting IRS was >111, with a 56.5% sensitivity and 92% specificity (area under the curve [AUC]: 0.749, 95% CI: 0.639-0.840, P
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