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Insights into the Novel Cardiac Biomarker in Acute Heart Failure: Mybp-C.
Chetran, Adriana; Badescu, Minerva Codruta; Serban, Ionela Lacramioara; Duca, Stefania Teodora; Afrasânie, Irina; Cepoi, Maria-Ruxandra; Dmour, Bianca Ana; Matei, Iulian Theodor; Haba, Mihai Stefan Cristian; Costache, Alexandru Dan; Mitu, Ovidiu; Cianga, Corina Maria; Tuchilus, Cristina; Constantinescu, Daniela; Costache-Enache, Irina Iuliana.
Afiliación
  • Chetran A; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Badescu MC; Cardiology Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
  • Serban IL; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Duca ST; III Internal Medicine Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
  • Afrasânie I; Department of Morpho-Functional Science II-Physiology, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Cepoi MR; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Dmour BA; Cardiology Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
  • Matei IT; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Haba MSC; Cardiology Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
  • Costache AD; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Mitu O; Cardiology Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
  • Cianga CM; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Tuchilus C; III Internal Medicine Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
  • Constantinescu D; Department of Internal Medicine I, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa", 700115 Iasi, Romania.
  • Costache-Enache II; Cardiology Clinic, "St. Spiridon" County Emergency Hospital, 700111 Iasi, Romania.
Life (Basel) ; 14(4)2024 Apr 16.
Article en En | MEDLINE | ID: mdl-38672783
ABSTRACT
(1)

Background:

Given its high cardiac specificity and its capacity to directly assess the cardiac function, cardiac myosin-binding protein (MyBP-C) is a promising biomarker in patients with acute heart failure (AHF). The aim of our study was to investigate the clinical utility of this novel marker for diagnosis and short-term prognosis in subjects with AHF. (2)

Methods:

We measured plasma levels of MyBP-C at admission in 49 subjects (27 patients admitted with AHF and 22 controls). (3)

Results:

The plasma concentration of MyBP-C was significantly higher in patients with AHF compared to controls (54.88 vs. 0.01 ng/L, p < 0.001). For 30-day prognosis, MyBP-C showed significantly greater AUC (0.972, p < 0.001) than NT-proBNP (0.849, p = 0.001) and hs-TnI (0.714, p = 0.047). In a multivariate logistic regression analysis, an elevated level of MyBP-C was the best independent predictor of 30-day mortality (OR = 1.08, p = 0.039) or combined death/recurrent 30-days rehospitalization (OR = 1.12, p = 0.014). (4)

Conclusions:

Our data show that circulating MyBP-C is a sensitive and cardiac-specific biomarker with potential utility for the accurate diagnosis and prognosis of AHF.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Life (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Life (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Rumanía Pais de publicación: Suiza