PMID- 32315546 OWN - NLM STAT- MEDLINE DCOM- 20210705 LR - 20210705 IS - 1205-7541 (Electronic) IS - 0008-4212 (Linking) VI - 98 IP - 9 DP - 2020 Sep TI - The ratio of circulating endothelin-1 to endothelin-3 associated with TIMI risk and dynamic TIMI risk score in ST elevation acute myocardial infarction. PG - 637-643 LID - 10.1139/cjpp-2019-0654 [doi] AB - In ST segment elevation acute myocardial infarction (STEMI), the endothelin (ET) system imbalance, reflected by the circulating ET-1:ET-3 ratio has not been investigated. This study's primary objective was to measure the circulating ET-1:ET-3 ratio and correlate it with the risk stratification for 1 year mortality of STEMI based on TIMI score. On admission, the TIMI risk score and at discharge, the dynamic TIMI risk score were calculated in 68 consecutive subjects with STEMI. Subjects with high TIMI risk score were associated with higher mean ET-1 level and ET-1:ET-3 ratio. The ET-1:ET-3 ratio more accurately predicted the high on admission TIMI risk score than the ET-1 level. Subjects with high dynamic TIMI risk score were associated with higher mean ET-1 level and ET-1:ET-3 ratio. The ET-1:ET-3 ratio more accurately predicted the high at discharge dynamic TIMI risk score than ET-1 level. From multivariable analysis, the ET-1:ET-3 ratio was not independently associated with high on admission TIMI risk score but independently predicted high at discharge dynamic TIMI risk score (odds ratio = 9.186, p = 0.018). In conclusion, combining the ET-1 and ET-3 levels into the ET-1:ET-3 ratio provided a prognostic value by independently predicting the increased risk to 1 year mortality as indicated by at discharge dynamic TIMI risk score in patients with STEMI. FAU - Hartopo, Anggoro Budi AU - Hartopo AB AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia. FAU - Puspitawati, Ira AU - Puspitawati I AD - Department of Clinical Pathology and Laboratory Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia. FAU - Mumpuni, Hasanah AU - Mumpuni H AD - Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia. LA - eng PT - Journal Article PT - Observational Study DEP - 20200421 PL - Canada TA - Can J Physiol Pharmacol JT - Canadian journal of physiology and pharmacology JID - 0372712 RN - 0 (Cardiotonic Agents) RN - 0 (EDN3 protein, human) RN - 0 (Endothelin-1) RN - 0 (Endothelin-3) SB - IM MH - Adult MH - Aged MH - Cardiotonic Agents/therapeutic use MH - Electric Countershock/statistics & numerical data MH - Electrocardiography MH - Endothelin-1/*blood MH - Endothelin-3/*blood MH - Female MH - Heart Failure/diagnosis/*epidemiology/etiology/therapy MH - Hospital Mortality MH - Humans MH - Male MH - Middle Aged MH - Patient Admission MH - Patient Discharge MH - Percutaneous Coronary Intervention MH - Prognosis MH - Prospective Studies MH - Recurrence MH - Risk Assessment/methods MH - Risk Factors MH - ST Elevation Myocardial Infarction/blood/*complications/mortality/surgery MH - Shock, Cardiogenic/diagnosis/*epidemiology/etiology/therapy MH - Treatment Outcome MH - Ventricular Fibrillation/*epidemiology/etiology/therapy OTO - NOTNLM OT - STEMI OT - endothelin-1 OT - endothelin-1 to endothelin-3 ratio OT - endothelin-3 OT - endotheline-1 OT - endotheline-3 OT - ratio endotheline-1:endotheline-3 EDAT- 2020/04/22 06:00 MHDA- 2021/07/06 06:00 CRDT- 2020/04/22 06:00 PHST- 2020/04/22 06:00 [pubmed] PHST- 2021/07/06 06:00 [medline] PHST- 2020/04/22 06:00 [entrez] AID - 10.1139/cjpp-2019-0654 [doi] PST - ppublish SO - Can J Physiol Pharmacol. 2020 Sep;98(9):637-643. doi: 10.1139/cjpp-2019-0654. Epub 2020 Apr 21.