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Prognostic significance of interleukin-6 measurement in the diagnosis of acute myocardial infarction in emergency department
- Source :
-
Clinica Chimica Acta . Jun2007, Vol. 381 Issue 2, p151-156. 6p. - Publication Year :
- 2007
-
Abstract
- Abstract: Background: Markers of inflammation may predict both coronary artery disease (CAD) and adverse outcomes in patients with known CAD. Here, we investigated the role of interleukin-6 (IL-6) in the “triage” and risk assessment of patients admitted to emergency department (ED). Methods: Serum IL-6 and high sensitivity C-reactive protein (hs-CRP) levels were prospectively evaluated in 88 patients with a history of precordial chest pain or shortness of breath of recent onset (<6 h). Results: Of the 88 patients, 21% were discharged from the ED with diagnosis of non-ischemic chest pain (NICP), 39% had a final diagnosis of unstable angina (UA) and 40% experienced an acute myocardial infarction (AMI). Median IL-6 (p <0.001) and hs-CRP (p <0.01) levels on admission were significantly increased in patients with AMI compared with patients with NICP or UA. IL-6 levels correlated with hs-CRP (p <0.01). Multivariate analyses including known risk factors showed that elevated creatine kinase-MB (p <0.05) and IL-6 levels (p <0.01) were independently associated with a final diagnosis of AMI. Elevated IL-6 levels significantly predicted the risk of AMI (OR=2.47, p =0.006) in chest pain-enzyme negative patients. Conclusions: IL-6 may behave as an adjunctive diagnostic tool to assist in the risk assessment of enzyme-negative patients with precordial chest pain of recent onset. [Copyright &y& Elsevier]
- Subjects :
- *MYOCARDIAL infarction
*INFLAMMATION
*INTERLEUKIN-6
*PROGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 00098981
- Volume :
- 381
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Clinica Chimica Acta
- Publication Type :
- Academic Journal
- Accession number :
- 25034701
- Full Text :
- https://doi.org/10.1016/j.cca.2007.03.002