Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism
Background: The aim of this study was to determine levels of Mid-regional Pro-adrenomedullin (MR-proADM) and Mid-regional Pro-atrial Natriuretic Peptide (MR-proANP) in patients with acute pulmonary embolism (PE), the relationship between these parameters and the risk classification in addition to de...
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| Format: | Article |
| Language: | English |
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Society of Medical Biochemists of Serbia, Belgrade
2020-01-01
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| Series: | Journal of Medical Biochemistry |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2020/1452-82582003328Q.pdf |
| _version_ | 1811285322988781568 |
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| author | Öner Önsel Deveci Figen Telo Selda Kuluöztürk Mutlu Balin Mehmet |
| author_facet | Öner Önsel Deveci Figen Telo Selda Kuluöztürk Mutlu Balin Mehmet |
| author_sort | Öner Önsel |
| collection | DOAJ |
| description | Background: The aim of this study was to determine levels of Mid-regional Pro-adrenomedullin (MR-proADM) and Mid-regional Pro-atrial Natriuretic Peptide (MR-proANP) in patients with acute pulmonary embolism (PE), the relationship between these parameters and the risk classification in addition to determining the relationship between 1and 3month mortality. Methods: 82 PE patients and 50 healthy control subjects were included in the study. Blood samples for Mr-proANP and Mr-proADM were obtained from the subjects prior to the treatment. Risk stratification was determined according to sPESI (Simplified Pulmonary Embolism Severity Index). Following these initial measurements, cases with PE were assessed in terms of all causative and PE related mortalities. Results: The mean serum Mr-proANP and Mr-proADM levels in acute PE patients were found to be statistically higher compared to the control group (p < 0.001, p < 0.01; respectively) and statistically significantly higher in high-risk patients than low-risk patients (p < 0.01, p < 0.05; respectively). No statistical difference was determined in high-risk patients in case of sPESI compared to low-risk patients while hospital mortality rates were higher. It was determined that the hospital mortality rate in cases with Mr-proANP ≥ 123.30 pmol/L and the total 3-month mortality rate in cases with Mr-proADM ≥ 152.2 pg/mL showed a statistically significant increase. Conclusions: This study showed that Mr-proANP and MRproADM may be an important biochemical marker for determining high-risk cases and predicting the mortality in PE patients and we believe that these results should be supported by further and extensive studies. |
| first_indexed | 2024-04-13T02:42:17Z |
| format | Article |
| id | doaj.art-985e5f5ca5e84f3c8f5245b0075a099f |
| institution | Directory Open Access Journal |
| issn | 1452-8258 1452-8266 |
| language | English |
| last_indexed | 2024-04-13T02:42:17Z |
| publishDate | 2020-01-01 |
| publisher | Society of Medical Biochemists of Serbia, Belgrade |
| record_format | Article |
| series | Journal of Medical Biochemistry |
| spelling | doaj.art-985e5f5ca5e84f3c8f5245b0075a099f2022-12-22T03:06:09ZengSociety of Medical Biochemists of Serbia, BelgradeJournal of Medical Biochemistry1452-82581452-82662020-01-013933283351452-82582003328QMr-proADM and MR-proANP levels in patients with acute pulmonary embolismÖner Önsel0Deveci Figen1Telo Selda2Kuluöztürk Mutlu3Balin Mehmet4Firat University, School of Medicine, Department of Pulmonary Medicine, Elazig, TurkeyFirat University, School of Medicine, Department of Pulmonary Medicine, Elazig, TurkeyFirat University, School of Medicine, Department of Biochemistry, Elazig, TurkeyFirat University, School of Medicine, Department of Pulmonary Medicine, Elazig, TurkeyFirat University, School of Medicine, Department of Cardiology, Elazig, TurkeyBackground: The aim of this study was to determine levels of Mid-regional Pro-adrenomedullin (MR-proADM) and Mid-regional Pro-atrial Natriuretic Peptide (MR-proANP) in patients with acute pulmonary embolism (PE), the relationship between these parameters and the risk classification in addition to determining the relationship between 1and 3month mortality. Methods: 82 PE patients and 50 healthy control subjects were included in the study. Blood samples for Mr-proANP and Mr-proADM were obtained from the subjects prior to the treatment. Risk stratification was determined according to sPESI (Simplified Pulmonary Embolism Severity Index). Following these initial measurements, cases with PE were assessed in terms of all causative and PE related mortalities. Results: The mean serum Mr-proANP and Mr-proADM levels in acute PE patients were found to be statistically higher compared to the control group (p < 0.001, p < 0.01; respectively) and statistically significantly higher in high-risk patients than low-risk patients (p < 0.01, p < 0.05; respectively). No statistical difference was determined in high-risk patients in case of sPESI compared to low-risk patients while hospital mortality rates were higher. It was determined that the hospital mortality rate in cases with Mr-proANP ≥ 123.30 pmol/L and the total 3-month mortality rate in cases with Mr-proADM ≥ 152.2 pg/mL showed a statistically significant increase. Conclusions: This study showed that Mr-proANP and MRproADM may be an important biochemical marker for determining high-risk cases and predicting the mortality in PE patients and we believe that these results should be supported by further and extensive studies.https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2020/1452-82582003328Q.pdfpulmonary embolismmr-proadmmrproanpmortality |
| spellingShingle | Öner Önsel Deveci Figen Telo Selda Kuluöztürk Mutlu Balin Mehmet Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism Journal of Medical Biochemistry pulmonary embolism mr-proadm mrproanp mortality |
| title | Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism |
| title_full | Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism |
| title_fullStr | Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism |
| title_full_unstemmed | Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism |
| title_short | Mr-proADM and MR-proANP levels in patients with acute pulmonary embolism |
| title_sort | mr proadm and mr proanp levels in patients with acute pulmonary embolism |
| topic | pulmonary embolism mr-proadm mrproanp mortality |
| url | https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2020/1452-82582003328Q.pdf |
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