Back to Search
Start Over
Usefulness of admission gamma-glutamyltransferase level for predicting new-onset heart failure in patients with acute coronary syndrome with left ventricular systolic dysfunction
- Source :
- Türk Kardiyoloji Derneği Arşivi, Vol 42, Iss 3, Pp 236-244 (2014)
- Publication Year :
- 2014
- Publisher :
- KARE Publishing, 2014.
-
Abstract
- Objectives: Our aim was to determine whether there is a relationship between admission gamma-glutamyltransferase (GGT) and subsequent heart failure hospitalizations in patients with acute coronary syndrome. Study design: We selected 123 patients with newly diagnosed acute coronary syndrome of ejection fraction (EF) 49 IU/L on admission, presence of hypertension and hyperlipidemia, left ventricular ejection fraction (LVEF), right ventricular dysfunction, moderate-to-severe mitral regurgitation, alanine aminotransferase level, and antiplatelet agent usage were found to have prognostic significance in univariate Cox proportional hazards analysis. In multivariate Cox proportional-hazards model, increased GGT >49 IU/L on admission (hazard ratio [HR] 2.663, p=0.047), presence of hypertension (HR 4.107, p=0.007), and LVEF (HR 0.911, p=0.002) were found to be independent factors to predict new-onset heart failure requiring hospitalization. Conclusion: Hospitalization in heart failure was associated with increased admission GGT levels. Increased admission GGT level in acute coronary syndrome with heart failure should be monitored closely and treated aggressively.
Details
- Language :
- English, Turkish
- ISSN :
- 10165169
- Volume :
- 42
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Türk Kardiyoloji Derneği Arşivi
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.476e2fb6704145d996fd5eedd8006124
- Document Type :
- article
- Full Text :
- https://doi.org/10.5543/tkda.2014.27547