Dilay KARABULUT, Gülçin ŞAHİNGÖZ ERDAL, Umut KARABULUT, Nilgün IŞIKSAÇAN, Muhammet Hulusi SATILMIŞOĞLU, Pinar KASAPOĞLU, Nihan TURHAN

Biyobelirteçler, koroner arter hastalığının şiddetini gösterebilir mi?

Amaç: Biyobelirteçler kardiyovasküler hastalıkların teşhisi, tedavisi ve prognozunu tayin etmede önemlidir. Acil serviste özellikle akut miyokard enfarktüsünde kardiyovasküler hastalıkların ciddiyetini tahmin edebilirler. Bu çalışmada acil servise başvuran ST elevasyonlu miyokard enfarktüsü tanısı olan hastalarda kardiyovasküler hastalıkların şiddetini kardiyak troponinler, C-reaktif protein (CRP) ve prokalsitonin olmak üzere üç biyobelirteç kullanarak araştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya ST elevasyonlu miyokard enfarktüsü tanısı alan semptomlarının ilk 3 saati içerisinde başvuran ve koroner anjiografi yapılan 166 hasta alındı. SYNTAX (SS) skoruna göre hastalar iki gruba ayrıldı. Başvuru sırasında ölçülen Hs-troponin T, Hs-CRP ve prokalsitonin düzeyleri ölçüldü. Bulgular: SYNTAX skoru 20 nin üstünde olan grupta Hs-troponin ve Hs-CRP düzeyleri yüksek olmasına rağmen iki grup arasında istatistiksel olarak anlamlı fark saptanmadı. İki grup arasında prokalsitonin düzeyleri açısından istatistiksel olarak anlamlı fark saptanmadı. Sonuç: SYNTAX skoru yüksek olan ST elevasyonlu miyokard enfarktüs geçiren hastalarda Hs-troponin T ve Hs-CRP birlikte değerlendirildiğinde, erken dönemde koroner arter hastalığının şiddetini belirlemede öngörücü olabilir.

Anahtar Kelimeler:

Biyobelirteç, miyokardial enfarktüs, syntax

Can biomarkers indicate the severity of coronary artery disease?

Purpose: Biomarkers are useful measures assisting the diagnosis, treatment, and prognosis of cardiovascular diseases. They can predict the severity of cardiovascular diseases, especially in acute myocardial infarction at the emergency department. We aimed to investigate the severity of cardiovascular disease using three biomarkers, namely cardiac troponins, C-reactive protein (CRP), and procalcitonin in patients with ST-elevation myocardial infarction who presented to the emergency department. Materials and Methods: The study included a total of 166 patients that presented with ST-elevation myocardial infarction (STEMI) in the first three hours of symptom onset and underwent coronary angiography. SYNTAX (SS) scores were calculated, and based on these scores, two groups were formed. High-sensitivity troponin T (Hs-TnT), high-sensitivite CRP (Hs-CRP), and procalcitonin levels were measured at the presentation. Results: Although the high sensitive troponin, Hs-CRP values were higher in the SYNTAX score>20 groups, there was no statistically significant difference between the two groups. There was no significant difference in the PCT measurements between the two groups Conclusion: When Hs-TnT and Hs-CRP are evaluated together in patients with STEMI with a high SS, it may be predictive in early determining the severity of coronary artery disease.

Keywords:

Biomarker, myocardial infarction, SYNTAX,

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