PMID- 28905041 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220316 IS - 2451-0629 (Print) IS - 2451-0629 (Electronic) IS - 2451-0629 (Linking) VI - 2 IP - 1 DP - 2017 TI - Presepsin (sCD14-ST): could it be a novel marker for the diagnosis of ST elevation myocardial infarction? PG - e3-e8 LID - 10.5114/amsad.2017.66827 [doi] AB - INTRODUCTION: Acute myocardial infarction (AMI) could be considered to be a state of inflammation. Many inflammatory markers have been evaluated in the AMI setting so far. Presepsin (PSP) is a novel biomarker for diagnosis and prognosis of systemic inflammation that has not been studied in the AMI setting to date. In this study, we aimed to examine serum PSP levels in patients with acute ST elevation myocardial infarction (STEMI). MATERIAL AND METHODS: Forty-eight patients with STEMI and fifty healthy controls without coronary artery disease, verified by coronary angiography, were included in the study. Together with routine laboratory tests needed for STEMI, plasma concentrations of PSP were measured in peripheral venous blood samples of the participants. RESULTS: Plasma PSP and troponin levels were significantly higher in patients with STEMI than controls (1988.89 +/-3101.55 vs. 914.22 +/-911.35 pg/ml, p = 0.001 and 3.46 +/-3.39 vs. 0.08 +/-0.43 ng/ml, p = 0.001, respectively). The cut-off value for PSP of 447 pg/ml was found to detect STEMI with 87.5% sensitivity, 44% specificity, 60% positive predictive value and 78.5% negative predictive value. CONCLUSIONS: In this study, PSP levels were found to be significantly elevated in patients with STEMI together with high-sensitivity troponins. The PSP may be a new marker for AMI detection. Large scale studies are needed to reveal the importance of PSP in the diagnosis and prognosis of AMI. FAU - Caglar, Fatma Nihan Turhan AU - Caglar FNT AD - Department of Cardiology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. FAU - Isiksacan, Nilgun AU - Isiksacan N AD - Department of Biochemistry, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. FAU - Biyik, Ismail AU - Biyik I AD - Department of Cardiology, Usak University Education and Research Hospital, Usak, Turkey. FAU - Opan, Selcuk AU - Opan S AD - Department of Cardiology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. FAU - Cebe, Hulya AU - Cebe H AD - Department of Cardiology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. FAU - Akturk, Ibrahim Faruk AU - Akturk IF AD - Department of Cardiology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20170327 PL - Poland TA - Arch Med Sci Atheroscler Dis JT - Archives of medical sciences. Atherosclerotic diseases JID - 101701205 PMC - PMC5596112 OTO - NOTNLM OT - atherosclerosis OT - inflammation OT - myocardial infarction OT - presepsin EDAT- 2017/09/15 06:00 MHDA- 2017/09/15 06:01 PMCR- 2017/03/27 CRDT- 2017/09/15 06:00 PHST- 2017/03/03 00:00 [received] PHST- 2017/03/12 00:00 [accepted] PHST- 2017/09/15 06:00 [entrez] PHST- 2017/09/15 06:00 [pubmed] PHST- 2017/09/15 06:01 [medline] PHST- 2017/03/27 00:00 [pmc-release] AID - 29698 [pii] AID - 10.5114/amsad.2017.66827 [doi] PST - epublish SO - Arch Med Sci Atheroscler Dis. 2017 Mar 27;2(1):e3-e8. doi: 10.5114/amsad.2017.66827. eCollection 2017.