Clinical prognostic significance of plasma cystatin C levels among patients with acute coronary syndrome.

Clinical Cardiology
Changjiang GeXiaofan Wu

Abstract

This article aims to investigate the changes of plasma cystatin C concentration (PcyC), and to evaluate the relationship between PcyC and acute coronary syndrome. A total of 126 consecutive patients with coronary artery disease (CAD) were enrolled in this study, consisting of 34 patients with stable angina pectoris (SAP), 56 patients with unstable angina pectoris (UAP), 36 patients with acute myocardial infarction (AMI), and 34 healthy subjects as controls. Plasma cystatin C, high sensitivity C-reactive protein (hs-CRP), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides (TG), and uric acid (UA) in all subjects were determined. All patients were followed up for 6 months and adverse cardiovascular events were recorded. Plasma cystatin C was elevated in CAD. Cystatin C levels were significantly higher in UAP patients than those in SAP patients and controls (2013.83 +/- 633.85 ng/mL vs 1348.41 +/- 369.62 ng/mL and 1509.99 +/- 408.65 ng/mL, P < 0.05), but were much lower than those in AMI patients (2013.83 +/- 633.85 ng/mL vs 2873.55 +/- 1149.48 ng/mL, P < 0.05). Patients with AMI also exhibited significantly higher cystatin C levels than SAP patients and...Continue Reading

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Citations

Jun 29, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Michal DroppaHolger Thiele
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