1. Bilirubin levels and the burden of coronary atherosclerosis in patients with STEMI.
- Author
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Sahin O, Akpek M, Elcik D, Karadavut S, Simsek V, Tulmac M, Orscelik O, Calapkorur B, Ergin A, and Kaya MG
- Subjects
- Aged, Coronary Angiography, Female, Heme Oxygenase (Decyclizing) blood, Heme Oxygenase-1 blood, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Myocardial Infarction blood, Bilirubin blood, Coronary Artery Disease blood
- Abstract
We investigated whether serum bilirubin level (a marker of heme oxygenase activity) is a predictor of high levels of SYNTAX score (SXscore) in patients with acute myocardial infarction. Patients (n = 281; male 77%; mean age 60 ± 12) who were admitted with ST-elevation myocardial infarctions (STEMIs) were enrolled. Patients were divided into 2 groups. Group 1 was defined as SXscore <22 and group 2 was defined as SXscore ≥22. Total bilirubin levels were significantly higher in the high-SXscore group than in the low-SXscore group (0.86 ± 0.42 vs 1.02 ± 0.51, P = .005). A significant correlation was detected between total bilirubin and SXscore (r = .42; P = .001). At multivariate analysis, total bilirubin (odds ratio: 1.86, 95% confidence interval 1.04-3.35; P = .038) was an independent risk factor for high SXscore in patients with STEMI. In conclusion, serum bilirubin level is independently associated with SXscore in patients with STEMI.
- Published
- 2013
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