CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

Abstract.  The  aim  of  present  study  was  to  evaluate  clinical  and  prognostic  value  of  various  inflammationmarkers  in  patients  after  Q-wave  myocardial  infarction  (MI).  Results:  Among  multiple  inflammation  factors  studied,  only  TNFα,  IL-12  and  CRP  levels  proved  to  be...

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Autores principales: M. V. Zykov, O. L. Barbarash, V. V. Kashtalap, A. V. Veremeev, L. S. Barbarash
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Publicado: SPb RAACI 2014
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spelling oai:doaj.org-article:1519a2b5f04345f3a7deb12a78063bf12021-11-18T08:03:41ZCLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION1563-06252313-741X10.15789/1563-0625-2011-2-3-219-226https://doaj.org/article/1519a2b5f04345f3a7deb12a78063bf12014-07-01T00:00:00Zhttps://www.mimmun.ru/mimmun/article/view/471https://doaj.org/toc/1563-0625https://doaj.org/toc/2313-741XAbstract.  The  aim  of  present  study  was  to  evaluate  clinical  and  prognostic  value  of  various  inflammationmarkers  in  patients  after  Q-wave  myocardial  infarction  (MI).  Results:  Among  multiple  inflammation  factors  studied,  only  TNFα,  IL-12  and  CRP  levels  proved  to  be  significantly  increased  in  the  patients  with  multi-vesselcoronary  artery  disease,  as  compared  to  the  patients  with  single  coronary  lesions.  A  positive  correlation  was  revealed  between  the  levels  of  IL-12  and  IL-6  inflammation  markers,  and  severity  of  atherosclerotic  lesions  of  non-coronary  arteries  (brachiocephalic  vessels,  or  lower  limb  arteries).  Regression  analysis,  using  an  iterative  approach,    showed    that    patients’    age    of    ≥    53    years and  IL-12  levels  ≥  87.1  pg/ml  are  of  highest  predictive  value,    when    detecting    clinically    significant    coronary  lesions.    Meanwhile,    the    age    of    ≥    65    years    and    IL-  12  levels    exceeding    108.8    pg/ml    allow    of    detecting  haemodynamically    significant    non-coronary    lesions.  Acute    heart    failure    according    to    Killip    class    II    and  more,  and  IL-12  levels  over  90  pg/ml  have  been  verified  as    independent    variables    for    risk    stratification    of    any    cardiovascular  event  within  a  year  after  MI.  Hence,  among  all  studied  inflammatory  indexes,  IL-12  possesses  the  greatest  diagnostic  value  in  defining  patients  at  a  high  risk  for  severe  coronary  and  multifocal  atherosclerosis  and  subsequent  complications.  (Med.  Immunol.,  2011,  vol.  13,  N  2-3,  pp  219-226)M. V. ZykovO. L. BarbarashV. V. KashtalapA. V. VeremeevL. S. BarbarashSPb RAACIarticlecoronary vesselsatherosclerosisinflammation markersil-12diagnostic significanceImmunologic diseases. AllergyRC581-607RUMedicinskaâ Immunologiâ, Vol 13, Iss 2-3, Pp 219-226 (2014)
institution DOAJ
collection DOAJ
language RU
topic coronary vessels
atherosclerosis
inflammation markers
il-12
diagnostic significance
Immunologic diseases. Allergy
RC581-607
spellingShingle coronary vessels
atherosclerosis
inflammation markers
il-12
diagnostic significance
Immunologic diseases. Allergy
RC581-607
M. V. Zykov
O. L. Barbarash
V. V. Kashtalap
A. V. Veremeev
L. S. Barbarash
CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
description Abstract.  The  aim  of  present  study  was  to  evaluate  clinical  and  prognostic  value  of  various  inflammationmarkers  in  patients  after  Q-wave  myocardial  infarction  (MI).  Results:  Among  multiple  inflammation  factors  studied,  only  TNFα,  IL-12  and  CRP  levels  proved  to  be  significantly  increased  in  the  patients  with  multi-vesselcoronary  artery  disease,  as  compared  to  the  patients  with  single  coronary  lesions.  A  positive  correlation  was  revealed  between  the  levels  of  IL-12  and  IL-6  inflammation  markers,  and  severity  of  atherosclerotic  lesions  of  non-coronary  arteries  (brachiocephalic  vessels,  or  lower  limb  arteries).  Regression  analysis,  using  an  iterative  approach,    showed    that    patients’    age    of    ≥    53    years and  IL-12  levels  ≥  87.1  pg/ml  are  of  highest  predictive  value,    when    detecting    clinically    significant    coronary  lesions.    Meanwhile,    the    age    of    ≥    65    years    and    IL-  12  levels    exceeding    108.8    pg/ml    allow    of    detecting  haemodynamically    significant    non-coronary    lesions.  Acute    heart    failure    according    to    Killip    class    II    and  more,  and  IL-12  levels  over  90  pg/ml  have  been  verified  as    independent    variables    for    risk    stratification    of    any    cardiovascular  event  within  a  year  after  MI.  Hence,  among  all  studied  inflammatory  indexes,  IL-12  possesses  the  greatest  diagnostic  value  in  defining  patients  at  a  high  risk  for  severe  coronary  and  multifocal  atherosclerosis  and  subsequent  complications.  (Med.  Immunol.,  2011,  vol.  13,  N  2-3,  pp  219-226)
format article
author M. V. Zykov
O. L. Barbarash
V. V. Kashtalap
A. V. Veremeev
L. S. Barbarash
author_facet M. V. Zykov
O. L. Barbarash
V. V. Kashtalap
A. V. Veremeev
L. S. Barbarash
author_sort M. V. Zykov
title CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_short CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_full CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_fullStr CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_full_unstemmed CLINICAL AND PROGNOSTIC VALUE OF INTERLEUKIN-12 IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
title_sort clinical and prognostic value of interleukin-12 in patients with acute myocardial infarction
publisher SPb RAACI
publishDate 2014
url https://doaj.org/article/1519a2b5f04345f3a7deb12a78063bf1
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AT avveremeev clinicalandprognosticvalueofinterleukin12inpatientswithacutemyocardialinfarction
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