PMID- 25814534 OWN - NLM STAT- MEDLINE DCOM- 20160720 LR - 20151010 IS - 1753-9455 (Electronic) IS - 1753-9447 (Linking) VI - 9 IP - 5 DP - 2015 Oct TI - Value of pentraxin-3 and galectin-3 in acute coronary syndrome: a short-term prospective cohort study. PG - 275-84 LID - 10.1177/1753944715578405 [doi] AB - BACKGROUND: Acute coronary syndrome (ACS) continues to be a leading cause of morbidity and mortality worldwide. Galectin-3 and pentraxin-3 are two prognostic biomarkers that have been studied in heart failure (HF). However, there are limited data on these biomarkers in the ACS population. The objective of the study was to determine the variables that are most affected by high concentrations of pentraxin-3 and galectin-3, and the influence they have on outcomes of all-cause mortality in patients with ACS. METHODS: We included a total of 160 patients [ST elevation myocardial infarction (STEMI),n = 64; non STEMI/unstable angina (NSTEMI/UA), n = 38; and control subjects with chronic stable angina (CSA)/microvascular angina (MVA) n = 58]. Plasma pentraxin-3 and galectin-3 levels were assessed from these patients at the time of hospital admission. Major adverse cardiovascular events including all-cause mortality, rehospitalizations and coronary artery bypass graft surgery (CABG) were assessed at 6 months. RESULTS: The median concentration of pentraxin-3 and galectin-3 were significantly higher in STEMI than in NSTEMI patients (p < 0.005) or controls (p < 0.005). Greater numbers of deaths (4 versus 0) were observed in STEMI patients with higher levels of these biomarkers. In addition, ACS patients with high levels of pentraxin-3 and galectin-3 had lower left ventricular ejection fraction (LVEF) (p < 0.005), and a moderate correlation was observed between LVEF and pentraxin-3 levels (r = -0.45, p < 0.005). Patients with higher galectin-3 levels were also observed to have a lower estimated glomerular fraction rate (eGFR), and a moderate correlation was observed between them (r = -0.34, p < 0.005). CONCLUSION: Pentraxin-3 and galectin-3 hold much promise in the ACS population as prognostic biomarkers. CI - (c) The Author(s), 2015. FAU - George, Melvin AU - George M AD - Department of Cardiology, SRM Medical College Hospital & Research Centre, Kattankulathur, Kancheepuram, Chennai, Tamil Nadu 603203, India melvingeorge2003@gmail.com. FAU - Shanmugam, Elangovan AU - Shanmugam E AD - Department of Cardiology, SRM Medical College Hospital & Research Centre, Chennai, India. FAU - Srivatsan, Varsha AU - Srivatsan V AD - Department of Cardiology, SRM Medical College Hospital & Research Centre, Chennai, India. FAU - Vasanth, Karunamoorthy AU - Vasanth K AD - ISISM, SRM University, Chennai, India. FAU - Ramraj, Balaji AU - Ramraj B AD - Department of Community Medicine, SRM Medical College Hospital & Research Centre, Chennai, India. FAU - Rajaram, Muthukumar AU - Rajaram M AD - Department of Cardiology, SRM Medical College Hospital & Research Centre, Chennai, India. FAU - Jena, Amrita AU - Jena A AD - Department of Cardiology, SRM Medical College Hospital & Research Centre, Chennai, India. FAU - Sridhar, Aruna AU - Sridhar A AD - Department of Cardiology, SRM Medical College Hospital & Research Centre, Chennai, India. FAU - Chaudhury, Minakshi AU - Chaudhury M AD - ISISM, SRM University, Chennai, India. FAU - Kaliappan, Ilango AU - Kaliappan I AD - ISISM, SRM University, Chennai, India. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150325 PL - England TA - Ther Adv Cardiovasc Dis JT - Therapeutic advances in cardiovascular disease JID - 101316343 RN - 0 (Biomarkers) RN - 0 (Galectin 3) RN - 0 (Serum Amyloid P-Component) RN - 148591-49-5 (PTX3 protein) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Acute Coronary Syndrome/blood/mortality/*physiopathology MH - Adult MH - Angina, Unstable/blood/mortality/physiopathology MH - Biomarkers/blood MH - C-Reactive Protein/*metabolism MH - Cohort Studies MH - Female MH - Galectin 3/*blood MH - Glomerular Filtration Rate MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/blood/mortality/*physiopathology MH - Prognosis MH - Prospective Studies MH - Serum Amyloid P-Component/*metabolism MH - Ventricular Function, Left OTO - NOTNLM OT - acute coronary syndrome OT - all-cause mortality OT - estimated glomerular filtration rate OT - galectin-3 OT - left ventricular ejection fraction OT - pentraxin-3 EDAT- 2015/03/31 06:00 MHDA- 2016/07/21 06:00 CRDT- 2015/03/28 06:00 PHST- 2015/03/28 06:00 [entrez] PHST- 2015/03/31 06:00 [pubmed] PHST- 2016/07/21 06:00 [medline] AID - 1753944715578405 [pii] AID - 10.1177/1753944715578405 [doi] PST - ppublish SO - Ther Adv Cardiovasc Dis. 2015 Oct;9(5):275-84. doi: 10.1177/1753944715578405. Epub 2015 Mar 25.