Carbohydrate Antigen-125 and N-Terminal Pro-Brain Natriuretic Peptide Levels Compared in Heart-Failure Prognostication
| Autor: | Ordu, S., Ozhan, H., Alemdar, R., Aydin, M., Caglar, O., Yuksel, H., Hayati Kandis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
heart failure/physiopathology
natriuretic peptide brain/blood sensitivity and specificity diagnostic tests routine/utilization Biological markers/blood Brain/blood CA-125 antigen/blood Diagnostic tests Health status indicators Heart failure/physiopathology Natriuretic peptide Predictive value of tests Routine/utilization Sensitivity and specificity health status indicators predictive value of tests |
| Zdroj: | Scopus-Elsevier |
| Popis: | Kandis, Hayati/0000-0001-9151-6050 WOS: 000300117800007 PubMed: 22412224 Carbohydrate antigen-125 (CA-125) is emerging as a prognostic biomarker of risk in heart failure. In a prospective study, we compared the prognostic values of CA-125 and amino-terminal pro-brain natriuretic peptide (NT-proBNP) in patients with stable heart failure. We enrolled 102 consecutive chronic, stable, systolic-heart-failure patients (68 men and 34 women; median age, 71 yr) from November 2008 through February 2010. We measured baseline NT-proBNP and CA-125 levels and compared their prognostic values. The primary endpoint was all-cause death and other major adverse events, defined as hospitalization for decompensated heart failure or acute coronary syndrome. During a mean follow-up period of 14 +/- 2 months, 12 patients died and 35 others sustained major adverse events. We found that CA-125 level significantly correlated with New York Heart Association functional class, pulmonary artery pressure, microalbuminuria, creatine kinase-MB fraction, and hemoglobin, albumin, and NT-proBNP levels. Upon receiver operating characteristic curve analysis, CA-125 and NT-proBNP had similar accuracy in predicting major adverse events and death: for major adverse events, area under the curve (AUG) was 0.699 for CA-125 (P=0.002) and 0.696 for NT-proBNP (P=0.002); for death, AUC was 0.784 for CA-125 (P=0.003) and 0.824 for NT-proBNP (P=0.001). Multivariate Cox regression analysis showed that CA-125 levels greater than 32 U/mL and NT-proBNP levels greater than 5,300 pg/mL had independent prognostic value for major adverse events and death. We conclude that baseline CA-125 and NT-proBNP levels are comparably reliable as heart-failure markers, and that CA-125 can be used for prognosis prediction in heart failure. (Tex Heart Inst J 2012;39(1):30-5) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|