PMID- 16170394 OWN - NLM STAT- MEDLINE DCOM- 20060612 LR - 20230105 IS - 1213-8118 (Print) IS - 1213-8118 (Linking) VI - 149 IP - 1 DP - 2005 Jun TI - MCL-1 (myosin light chains-1) in differential diagnosis of dyspnea. PG - 89-91 LID - 10.5507/bp.2005.010 [doi] AB - Myosin light chains-1 (MLC-1) have been recently associated with the markers of heart function (NYHA, LVEF, NT-proBNP). Verification of the relationship between markers of heart function (New York Heart Association classification (NYHA), left ventricle ejection fraction determination (LVEF), N terminal prohormone of natriuretic peptide B type BNP (NT-proBNP) and concentrations of myosin light chains-1 (MLC-1) was assessed. Patients examined for dyspnea without signs of acute coronary syndrome. All patients underwent echocardiography (calculation of left ventricle ejection fraction--LVEF) and in the serum of all subjects NT-proBNP (ELEIA) and MLC-1 (ELISA) were determined. In the 38 patients (21 men, 17 women), mean age of 58 years (+/-12 years as 1 SD), a significant negative correlation was found between NT-proBNP and LVEF (r = - 0.47; p = 0.02, Spearman). The median levels of NT pro-BNP were closely associated with NYHA classification (type II--584 ng/l, type III--2792 ng/l, type IV--6400 ng/l; p < 0.05). Individuals with clinical NYHA IV differed significantly in median MLC-1 concentrations from persons with clinical NYHA classification II and III (type II--5.7 ng/l, type III--8.9 ng/l, type IV--17 ng/l; p < 0.05). A significant negative correlation between MLC-1 and LVEF (-0.35; p < 0.03) and significant positive correlations between MLC-1 and NT-proBNP (0.42; p < 0.012) were found. In conclusion MLC-1 cannot be used as a diagnostic marker in differential diagnosis of dyspnea. FAU - Stejskal, David AU - Stejskal D AD - Department of Laboratory Medicine, Hospital Sternberk, Czech Republic. david.stejskal@quick.cz FAU - Lacnak, Borek AU - Lacnak B FAU - Andelova, Katerina AU - Andelova K FAU - Skvarilova, Marcela AU - Skvarilova M FAU - Bartek, Josef AU - Bartek J LA - eng PT - Journal Article PL - Czech Republic TA - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub JT - Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia JID - 101140142 RN - 0 (Biomarkers) RN - 0 (Myosin Light Chains) RN - 0 (Peptide Fragments) RN - 0 (myosin light chain I) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Biomarkers/blood MH - Diagnosis, Differential MH - Dyspnea/*etiology MH - Female MH - Heart Failure/complications/*diagnosis/physiopathology MH - Humans MH - Male MH - Middle Aged MH - Myosin Light Chains/*blood MH - Natriuretic Peptide, Brain/blood MH - Peptide Fragments/blood MH - ROC Curve MH - Sensitivity and Specificity MH - Stroke Volume EDAT- 2005/09/20 09:00 MHDA- 2006/06/13 09:00 CRDT- 2005/09/20 09:00 PHST- 2005/09/20 09:00 [pubmed] PHST- 2006/06/13 09:00 [medline] PHST- 2005/09/20 09:00 [entrez] AID - 10.5507/bp.2005.010 [doi] PST - ppublish SO - Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2005 Jun;149(1):89-91. doi: 10.5507/bp.2005.010.