Biomarkers of Thrombo-Inflammatory Responses in Pulmonary Embolism Patients With Pre-Existing Versus New-Onset Atrial Fibrillation
| Autor: | Yevgeniy Brailovsky, Dimpi Patel, Amir Darki, Debra Hoppensteadt, Jawed Fareed, Iman Darwish, Mushabbar A Syed |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty pulmonary embolism 030204 cardiovascular system & hematology thrombo-inflammation 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Atrial Fibrillation Humans Medicine Diseases of the circulatory (Cardiovascular) system University medical 030212 general & internal medicine Elisa method Aged Retrospective Studies Inflammation business.industry Incidence (epidemiology) biomarkers Thrombosis Atrial fibrillation Hematology General Medicine Middle Aged medicine.disease New onset atrial fibrillation Pulmonary embolism Increased risk RC666-701 Cohort Cardiology Female Original Article business |
| Zdroj: | Clinical and Applied Thrombosis/Hemostasis, Vol 27 (2021) Clinical and Applied Thrombosis/Hemostasis |
| ISSN: | 1938-2723 |
| Popis: | Pulmonary embolism (PE) patients have an increased prevalence and incidence of atrial fibrillation (AF). Because comorbid AF increases risk of morbidity and mortality, we sought to investigate the role of thrombo-inflammatory biomarkers in risk stratifying patients who experience an acute PE episode. Study participants were enrolled from a Pulmonary Embolism Response Team (PERT) registry between March 2016 and March 2019 at Loyola University Medical Center and Gottlieb Memorial Hospital. This cohort was divided into 3 groups: PE patients with a prior diagnosis of AF (n = 8), PE patients with a subsequent diagnosis of AF (n = 11), and PE patients who do not develop AF (n = 71). D-Dimer, CRP, PAI-1, TAFIa, FXIIIa, A2A, MP, and TFPI were profiled using the ELISA method. All biomarkers were significantly different between controls and PE patients ( P < 0.05). Furthermore, TFPI was significantly elevated in PE patients who subsequently developed AF compared to PE patients who did not develop AF (157.7 ± 19.0 ng/mL vs. 129.0 ± 9.3 ng/mL, P = 0.0386). This study suggests that thrombo-inflammatory biomarkers may be helpful in indicating an acute PE episode. Also, elevated TFPI levels may be associated with an increased risk of developing AF after a PE. |
| Databáze: | OpenAIRE |
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