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Medicine (Baltimore). 2019;98(8):e14215.

Association between the level of serum soluble ST2 and invasively measured aortic pulse pressure in patients undergoing coronary angiography.

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제1저자 김학령 · 교신저자 김상현

소속 (2)
  1. Division of Cardiology, Department of Internal Medicine.
  2. Division of Nephrology, Department of Internal Medicine, Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Despite the well-documented value of ST2 in heart failure and myocardial infarction, the role of ST2 in vascular biology has not yet been well defined. This study was performed to investigate the association between serum soluble ST2 (sST2) and invasively measured aortic pulse pressure (APP). A total of 167 consecutive patients with suspected coronary artery disease (CAD) (65.1 ± 9.8 years; men, 65.9%) referred for invasive coronary angiography was prospectively enrolled. APP was measured at the ascending aorta with a pig-tail catheter, and arterial blood samples for the measurement of sST2 were collected before coronary angiography. Serum sST2 levels were quantified by radioimmunoassay. Most of the patients (73.9%) had significant CAD (stenosis ≥ 50%) on coronary angiography. Patients with higher APP (≥76 mmHg) showed a significantly higher sST2 level compared to those with lower APP (<76 mmHg) (31.7 ± 13.9 ng/mL vs 26.2 ± 10.2 ng/mL, P < .001). In simple correlation analysis, there was a significant positive correlation between sST2 levels and APP (r = 0.413, P < .001). In multiple linear regression analysis, sST2 had an independent association with APP even after controlling for potential confounders (β = 0.331, P < .001). The serum sST2 level may be independently associated with invasively measured APP in patients undergoing coronary angiography. The result of this study gives insight into the role of sST2 in aortic stiffening, and suggests that the sST2 level may be a useful marker of aortic stiffness.

Figures

Figure 1
Figure 1 Scatter plot showing the linear associations of sST2 with aortic pulse pressure (A) and brachial pulse pressure (B).
Figure 2
Figure 2 Serum sST2 levels according to APP. APP, aortic pulse pressure.

그림 출처: PubMed Central 공개 논문 (PMC6407930)

Conflict of interest statement

Funding and conflict of interest: The authors report no specific funding in relation to this research and no conflicts of interest to disclose.

그 밖의 정보
출판 형태
Journal Article, Observational Study
저널
Medicine · eISSN 1536-5964
MeSH
Aged · Aorta / physiopathology · Arterial Pressure* · Biomarkers / blood · Cardiac Catheterization · Coronary Angiography · Coronary Artery Disease / blood / diagnostic imaging / physiopathology · Female · Humans · Interleukin-1 Receptor-Like 1 Protein / blood · Male · Middle Aged · Prospective Studies · Vascular Stiffness
Substances
Biomarkers · IL1RL1 protein, human · Interleukin-1 Receptor-Like 1 Protein
참고문헌
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