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Review Article
Biomarker for the Prediction of Major Adverse Cardiac Events in Patients with Non-ST-Segment Elevation Myocardial Infarction
Ho Sun Shon, Jang-Whan Bae, Kyoung Ok Kim, Eun Jong Cha, Kyung Ah Kim
Osong Public Health Res Perspect. 2017;8(4):237-246.   Published online August 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.4.02
  • 4,374 View
  • 35 Download
  • 5 Crossref
AbstractAbstract PDF

N-terminal pro-brain natriuretic peptide (NT-proBNP) is a well-known biomarker for the diagnosis and prognosis of heart failure, and is directly associated with myocardial dysfunction. We evaluated the prognostic value of NT-proBNP for major adverse cardiac events (MACEs) among patients with non-ST-segment elevation myocardial infarction (NSTEMI) from the Korea Acute Myocardial Infarction Registry during their mid-term follow-up period. In this paper, we analyzed NT-proBNP according to various MACE and level of NT-proBNP. We used multivariate logistic regression to determine the risk factors according to MACE type and NT-proBNP levels, and to identify the cutoff value for each MACE by using the receiver operating characteristic (ROC) curve. NT-proBNP was a significant variable among cardiac deaths (p = 0.016), myocardial infarction (p = 0.000), and coronary artery bypass grafting (CABG) (p = 0.000) in patients with MACE compared with those without MACE. Two-vessel coronary artery disease (CAD) (p = 0.037) and the maximum creatinine kinase (max-CK) (p = 0.031) produced significant results in repeat percutaneous coronary intervention. The area under the ROC curve was found to be statistically significant for cardiac death and CABG. NT-proBNP is a useful predictor for 12-month MACEs among patients with NSTEMI and in those with heart failure. We propose that a new index incorporating NT-proBNP, max-CK, and CAD vessel will be useful as a prognostic indicator of MACEs in the future.

Citations

Citations to this article as recorded by  
  • Serum IL-38 Level Was Associated with Incidence of MACE in the STEMI Patients
    Chengbo Lu, Fanghui Zhou, Huimin Xian, Siyuan Sun, Jingkun Yue, Ying Zhang, Qi Zhao, Xing Luo, Yang Li
    International Journal of General Medicine.2023; Volume 16: 2987.     CrossRef
  • Nomogram M Prognostic Value for Major Adverse Cardiac and Cerebral Events after Elective Cardiac Surgery with Cardiopulmonary Bypass
    L. B. Berikashvili, A. N. Kuzovlev, M. Yа. Yadgarov, K. K. Kadantseva, E. A. Ozhiganova, V. V. Likhvantsev
    Messenger of ANESTHESIOLOGY AND RESUSCITATION.2022; 19(2): 6.     CrossRef
  • Association of N-terminal pro-brain natriuretic peptide level with adverse outcomes in patients with acute myocardial infarction: A meta-analysis
    Shenghui Shen, Jianhua Ye, Xiangzhong Wu, Xiaoling Li
    Heart & Lung.2021; 50(6): 863.     CrossRef
  • Effect of phenylacetamide isolated from lepidium apetalum on myocardial injury in spontaneously hypertensive rats and its possible mechanism
    Qi Zhang, Peipei Yuan, Meng Li, Yang Fu, Ying Hou, Yaping Sun, Liyuan Gao, Yaxin Wei, Weisheng Feng, Xiaoke Zheng
    Pharmaceutical Biology.2020; 58(1): 597.     CrossRef
  • Toward analyzing and synthesizing previous research in early prediction of cardiac arrest using machine learning based on a multi-layered integrative framework
    Samaneh Layeghian Javan, Mohammad Mehdi Sepehri, Hassan Aghajani
    Journal of Biomedical Informatics.2018; 88: 70.     CrossRef
Original Article
Relationship Between Water Intake and Metabolic/Heart Diseases: Based on Korean National Health and Nutrition Examination Survey
Soobin Jang, Chunhoo Cheon, Bo-Hyoung Jang, Sunju Park, So-Mi Oh, Yong-Cheol Shin, Seong-Gyu Ko
Osong Public Health Res Perspect. 2016;7(5):289-295.   Published online October 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.08.007
  • 3,282 View
  • 25 Download
  • 6 Crossref
AbstractAbstract PDF
Objectives
The aim of this study was to identify the correlation between adequate water intake and the prevalence of metabolic/heart diseases.
Methods
We analyzed the data from the 2012 Korea National Health and Nutrition Examination Survey. All participants were divided into Group Above Adequate Intake (n = 736) and Group Below Adequate Intake (n = 4,819) according to water intake. The thresholds were 1.8 L for men and 1.4 L for women based on the World Health Organization report findings. Logistic regression analyses were performed to verify the correlation between water intake and prevalence of hypertension, diabetes mellitus, dyslipidemia, myocardial infarction, and angina pectoris.
Results
There were significant differences between the two groups in terms of the following variables: age, smoking, alcohol, stress, dietary supplements, body weight, physical activity, total calorie intake, water intakes from food, and sodium intake. Participants in Group Above Adequate Intake showed a higher prevalence of hypertension [odds ratio (OR) = 1.22; 95% confidence interval (CI), 0.58–2.55], diabetes mellitus (OR = 1.38; 95% CI, 0.51–3.73), angina pectoris (OR = 0.94; 95% CI, 0.47–1.86), and myocardial infarction (OR = 5.36; 95% CI, 0.67–43.20) than those in Group Below Adequate Intake, whereas the latter showed a slightly higher prevalence of dyslipidemia (OR = 2.25; 95% CI, 0.88–57.84) than the former.
Conclusion
There was no statistically significant association between water intake and any of the metabolic/heart diseases. However, further studies on water intake are needed to confirm our findings.

Citations

Citations to this article as recorded by  
  • Low daily water intake profile—is it a contributor to disease?
    Lawrence E Armstrong, Michael F Bergeron, Colleen X Muñoz, Stavros A Kavouras
    Nutrition and Health.2024;[Epub]     CrossRef
  • Association between Water Intake and Abdominal Obesity: The Korea National Health and Nutrition Examination Survey 2019–2021
    Yun-Ji Kim, Si Nae Oh, Eun-Kyung Kong, Eun-Seong Seon
    Korean Journal of Family Medicine.2024;[Epub]     CrossRef
  • Water intake and risk of type 2 diabetes: A systematic review and meta-analysis of observational studies
    Nasim Janbozorgi, Ramesh Allipour, Kurosh Djafarian, Sakineh Shab-Bidar, Mostafa Badeli, Maryam Safabakhsh
    Diabetes & Metabolic Syndrome: Clinical Research &.2021; 15(4): 102156.     CrossRef
  • Changes in feed consumption and water intake among broiler chickens subjected to melatonin treatment during the hot-dry season
    Victor Olusegun Sinkalu, Joseph Olusegun Ayo, Joseph Olajide Hambolu, Alexander Babatunde Adelaiye, Friday Ocheja Zakari, Tagang Aluwong
    Tropical Animal Health and Production.2020; 52(2): 717.     CrossRef
  • Evaluation of Dietary Habit and Nutritional Intake of Korean Elderly: Data from Korea National Health and Nutrition Examination Survey 2013∼2015
    Gyusang Han, Eunju Yang
    Journal of the East Asian Society of Dietary Life.2018; 28(4): 258.     CrossRef
  • Water intake from foods and beverages and risk of mortality from CVD: the Japan Collaborative Cohort (JACC) Study
    Renzhe Cui, Hiroyasu Iso, Ehab S Eshak, Koutatsu Maruyama, Akiko Tamakoshi
    Public Health Nutrition.2018; 21(16): 3011.     CrossRef

PHRP : Osong Public Health and Research Perspectives