New biochemical markers in acute coronary syndromes.

This article comments on the role of the most important biochemical markers that are already applied in clinical practice or are still under research, in Acute Coronary Syndromes (ACS). Cardiac troponin (cTn) is established as the 'gold standard' in the diagnosis of ACS. C-reactive protein...

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Main Authors: Tousoulis, D, Kampoli, A, Stefanadi, E, Antoniades, C, Siasos, G, Papavassiliou, A, Stefanadis, C
Format: Journal article
Language:English
Published: 2008
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author Tousoulis, D
Kampoli, A
Stefanadi, E
Antoniades, C
Siasos, G
Papavassiliou, A
Stefanadis, C
author_facet Tousoulis, D
Kampoli, A
Stefanadi, E
Antoniades, C
Siasos, G
Papavassiliou, A
Stefanadis, C
author_sort Tousoulis, D
collection OXFORD
description This article comments on the role of the most important biochemical markers that are already applied in clinical practice or are still under research, in Acute Coronary Syndromes (ACS). Cardiac troponin (cTn) is established as the 'gold standard' in the diagnosis of ACS. C-reactive protein (CRP) and especially high-sensitivity CRP (hs-CRP) are considered to be the most useful inflammatory markers for clinical practice in the setting of acute coronary syndrome. Brain-type natriuretic peptide (BNP) and the amino terminal fragment of the prohormone BNP (NT-proBNP) appear to provide prognostic information in individuals admitted for acute coronary syndromes. Microalbuminuria in nondiabetics appears to be a signal from the kidney that the vasculature, particularly the endothelium, is not functioning properly. Increased plasma levels of cystatin C, neopterin, myeloperoxidase, and pregnancy associated protein are associated with adverse cardiovascular outcomes, cardiovascular and noncardiovascular death, and possibly cerebrovascular disease. Furthermore, recent evidence suggests that serum levels of CD40-CD40L pathway exert important roles in progression, and outcome of acute coronary syndrome. In the future further, studies are necessary to elucidate the exact role of the new biochemical markers in ACS.
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spelling oxford-uuid:63d9344a-711a-4033-9c05-85d1409addc82022-03-26T18:15:24ZNew biochemical markers in acute coronary syndromes.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:63d9344a-711a-4033-9c05-85d1409addc8EnglishSymplectic Elements at Oxford2008Tousoulis, DKampoli, AStefanadi, EAntoniades, CSiasos, GPapavassiliou, AStefanadis, CThis article comments on the role of the most important biochemical markers that are already applied in clinical practice or are still under research, in Acute Coronary Syndromes (ACS). Cardiac troponin (cTn) is established as the 'gold standard' in the diagnosis of ACS. C-reactive protein (CRP) and especially high-sensitivity CRP (hs-CRP) are considered to be the most useful inflammatory markers for clinical practice in the setting of acute coronary syndrome. Brain-type natriuretic peptide (BNP) and the amino terminal fragment of the prohormone BNP (NT-proBNP) appear to provide prognostic information in individuals admitted for acute coronary syndromes. Microalbuminuria in nondiabetics appears to be a signal from the kidney that the vasculature, particularly the endothelium, is not functioning properly. Increased plasma levels of cystatin C, neopterin, myeloperoxidase, and pregnancy associated protein are associated with adverse cardiovascular outcomes, cardiovascular and noncardiovascular death, and possibly cerebrovascular disease. Furthermore, recent evidence suggests that serum levels of CD40-CD40L pathway exert important roles in progression, and outcome of acute coronary syndrome. In the future further, studies are necessary to elucidate the exact role of the new biochemical markers in ACS.
spellingShingle Tousoulis, D
Kampoli, A
Stefanadi, E
Antoniades, C
Siasos, G
Papavassiliou, A
Stefanadis, C
New biochemical markers in acute coronary syndromes.
title New biochemical markers in acute coronary syndromes.
title_full New biochemical markers in acute coronary syndromes.
title_fullStr New biochemical markers in acute coronary syndromes.
title_full_unstemmed New biochemical markers in acute coronary syndromes.
title_short New biochemical markers in acute coronary syndromes.
title_sort new biochemical markers in acute coronary syndromes
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