PMID- 25127747 OWN - NLM STAT- MEDLINE DCOM- 20161031 LR - 20191210 IS - 1578-1879 (Electronic) IS - 0214-9168 (Linking) VI - 27 IP - 2 DP - 2015 Mar-Apr TI - [Impact of plasma pro-B-type natriuretic peptide amino-terminal and galectin-3 levels on the predictive capacity of the LIPID Clinical Risk Scale in stable coronary disease]. PG - 57-63 LID - S0214-9168(14)00096-5 [pii] LID - 10.1016/j.arteri.2014.06.003 [doi] AB - INTRODUCTION: At present, there is no tool validated by scientific societies for risk stratification of patients with stable coronary artery disease (SCAD). It has been shown that plasma levels of monocyte chemoattractant protein-1 (MCP-1), galectin-3 and pro-B-type natriuretic peptide amino-terminal (NT-proBNP) have prognostic value in this population. OBJECTIVE: To analyze the prognostic value of a clinical risk scale published in Long-term Intervention with Pravastatin in Ischemic Disease (LIPID) study and determining its predictive capacity when combined with plasma levels of MCP-1, galectin-3 and NT-proBNP in patients with SCAD. METHODS AND RESULTS: A total of 706 patients with SCAD and a history of acute coronary syndrome (ACS) were analyzed over a follow up period of 2.2 +/- 0.99 years. The primary endpoint was the occurrence of an ischemic event (any SCA, stroke or transient ischemic attack), heart failure, or death. A clinical risk scale derived from the LIPID study significantly predicted the development of the primary endpoint, with an area under the ROC curve (Receiver Operating Characteristic) of 0.642 (0.579 to 0.705); P<0.001. A composite score was developed by adding the scores of the LIPID and scale decile levels of MCP -1, galectin -3 and NT-proBNP. The predictive value improved with an area under the curve of 0.744 (0.684 to 0.805); P<0.001 (P=0.022 for comparison). A score greater than 21.5 had a sensitivity of 74% and a specificity of 61% for the development of the primary endpoint (P<0.001, log -rank test). CONCLUSION: Plasma levels of MCP-1, galectin -3 and NT-proBNP improve the ability of the LIPID clinical scale to predict the prognosis of patients with SCAD. CI - Copyright (c) 2014 Sociedad Espanola de Arteriosclerosis. Published by Elsevier Espana. All rights reserved. FAU - Higueras, Javier AU - Higueras J AD - Servicio de Cardiologia, Hospital Clinico Universitario San Carlos, Madrid, Espana; Universidad Complutense, Madrid, Espana. FAU - Martin-Ventura, Jose Luis AU - Martin-Ventura JL AD - Universidad Autonoma, Madrid, Espana; Laboratorio de Patologia Vascular, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Blanco-Colio, Luis AU - Blanco-Colio L AD - Laboratorio de Patologia Vascular, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Cristobal, Carmen AU - Cristobal C AD - Servicio de Cardiologia, Hospital de Fuenlabrada, Fuenlabrada, Madrid, Espana; Universidad Rey Juan Carlos, Alcorcon, Madrid, Espana. FAU - Tarin, Nieves AU - Tarin N AD - Servicio de Cardiologia, Hospital Universitario de Mostoles, Mostoles, Madrid, Espana. FAU - Huelmos, Ana AU - Huelmos A AD - Servicio de Cardiologia, Hospital Universitario Fundacion Alcorcon, Alcorcon, Madrid, Espana. FAU - Alonso, Joaquin AU - Alonso J AD - Servicio de Cardiologia, Hospital de Fuenlabrada, Fuenlabrada, Madrid, Espana; Universidad Rey Juan Carlos, Alcorcon, Madrid, Espana. FAU - Pello, Ana AU - Pello A AD - Servicio de Cardiologia, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Acena, Alvaro AU - Acena A AD - Servicio de Cardiologia, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Carda, Rocio AU - Carda R AD - Servicio de Cardiologia, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Lorenzo, Oscar AU - Lorenzo O AD - Universidad Autonoma, Madrid, Espana; Laboratorio de Patologia Vascular, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Mahillo-Fernandez, Ignacio AU - Mahillo-Fernandez I AD - Servicio de Medicina Preventiva, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Asensio, Dolores AU - Asensio D AD - Laboratorio de bioquimica de la Fundacion Jimenez Diaz, Madrid, Espana. FAU - Almeida, Pedro AU - Almeida P AD - Servicio de Cardiologia, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Rodriguez-Artalejo, Fernando AU - Rodriguez-Artalejo F AD - Servicio de Medicina Preventiva y Salud Publica, Escuela de Medicina, Universidad Autonoma, Madrid, Espana. FAU - Farre, Jeronimo AU - Farre J AD - Universidad Autonoma, Madrid, Espana; Servicio de Cardiologia, IIS-Fundacion Jimenez Diaz, Madrid, Espana. FAU - Lopez Bescos, Lorenzo AU - Lopez Bescos L AD - Universidad Rey Juan Carlos, Alcorcon, Madrid, Espana. FAU - Egido, Jesus AU - Egido J AD - Universidad Autonoma, Madrid, Espana; Laboratorio de Patologia Vascular, IIS-Fundacion Jimenez Diaz, Madrid, Espana; CIBERDEM, Madrid, Espana. FAU - Tunon, Jose AU - Tunon J AD - Universidad Autonoma, Madrid, Espana; Laboratorio de Patologia Vascular, IIS-Fundacion Jimenez Diaz, Madrid, Espana; Servicio de Cardiologia, IIS-Fundacion Jimenez Diaz, Madrid, Espana. Electronic address: jtunon@secardiologia.es. LA - spa PT - Journal Article PT - Validation Study TT - Impacto de los niveles plasmaticos de pro-peptido natriuretico tipo B aminoterminal, proteina quimiotactica de monocitos-1 y galectina3 en la capacidad predictiva de eventos de la escala clinica LIPID en la enfermedad coronaria estable. DEP - 20140813 PL - Spain TA - Clin Investig Arterioscler JT - Clinica e investigacion en arteriosclerosis : publicacion oficial de la Sociedad Espanola de Arteriosclerosis JID - 9208512 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Galectin 3) RN - 0 (Peptide Fragments) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - KXO2KT9N0G (Pravastatin) SB - IM MH - Aged MH - Chemokine CCL2/*blood MH - Coronary Artery Disease/blood/drug therapy/*physiopathology MH - Female MH - Follow-Up Studies MH - Galectin 3/*blood MH - Humans MH - Male MH - Middle Aged MH - Natriuretic Peptide, Brain/*blood MH - Peptide Fragments/*blood MH - Pravastatin/therapeutic use MH - Predictive Value of Tests MH - Prognosis MH - Risk Factors MH - Sensitivity and Specificity OTO - NOTNLM OT - Enfermedad coronaria estable OT - Galectina-3 OT - Galectine-3 OT - NT-proBNP OT - Pro-peptido natriuretico tipo B aminoterminal OT - Stable coronary artery disease EDAT- 2014/08/17 06:00 MHDA- 2016/11/01 06:00 CRDT- 2014/08/17 06:00 PHST- 2014/05/23 00:00 [received] PHST- 2014/06/23 00:00 [accepted] PHST- 2014/08/17 06:00 [entrez] PHST- 2014/08/17 06:00 [pubmed] PHST- 2016/11/01 06:00 [medline] AID - S0214-9168(14)00096-5 [pii] AID - 10.1016/j.arteri.2014.06.003 [doi] PST - ppublish SO - Clin Investig Arterioscler. 2015 Mar-Apr;27(2):57-63. doi: 10.1016/j.arteri.2014.06.003. Epub 2014 Aug 13.