PMID- 33283652 OWN - NLM STAT- MEDLINE DCOM- 20211125 LR - 20220427 IS - 1784-973X (Electronic) IS - 0001-5385 (Linking) VI - 76 IP - 7 DP - 2021 Sep TI - Association between serum SCUBE1 levels and thrombus burden in patients with ST-segment elevation myocardial infarction. PG - 777-784 LID - 10.1080/00015385.2020.1852753 [doi] AB - INTRODUCTION: The signal peptide-CUB-EGF domain-containing protein-1 (SCUBE1) is a recently available biomarker which is expressed by activated and adhered platelets. In present study, we aimed to investigate the association between SCUBE1 levels and thrombus burden in patients with ST elevation myocardial infarction (STEMI) who underwent primary percutaneous coronary intervention (PPCI). METHODS: A total of 88 patients who were diagnosed with STEMI and underwent PPCI were prospectively included between July 2019 and August 2019. Blood samples were collected for routine biochemistry and serum SCUBE1 levels before PPCI and antiplatelet therapy. Angiographic coronary thrombus burden was classified based on thrombolysis in myocardial infarction (TIMI) thrombus grades. We formed two groups based on the thrombus grade: 37 (42%) patients had high thrombus burden whereas 51 (58%) patients had low thrombus burden. RESULTS: The mean age of study population was 58.2 +/- 11.8 years (34% female). The mean peak troponin I level, SCUBE1 level, SYNTAX score, and pain-to-balloon time were significantly higher in the high thrombus burden group compared to the low thrombus burden group (p < .05, for all). In ROC analysis, SCUBE1 level >65.63 ng/dL had a sensitivity of 91.9% and a specificity of 76.6% to predict high thrombus burden (AUC: 0.9256; p < .001). In multivariate analysis, SCUBE1 level (HR: 1.133, p = .004) and troponin (HR: 1.002; 95% CI 1.001-1.004, p = .003) were independent predictors of high thrombus burden. CONCLUSION: In the present study, we showed that SCUBE1, a novel platelet-endothelial adhesion molecule and a marker of platelet activation, is an independent predictor of high thrombus burden in patients with STEMI. FAU - Yildirim, Arafat AU - Yildirim A AUID- ORCID: 0000-0002-2798-7488 AD - Department of Cardiology, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey. FAU - Kucukosmanoglu, Mehmet AU - Kucukosmanoglu M AUID- ORCID: 0000-0001-9186-3642 AD - Department of Cardiology, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey. FAU - Koyunsever, Nermin Yildiz AU - Koyunsever NY AUID- ORCID: 0000-0002-0058-1330 AD - Department of Cardiology, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey. FAU - Cekici, Yusuf AU - Cekici Y AUID- ORCID: 0000-0002-4585-3707 AD - Department of Cardiology, Usak University Research and Training Hospital, Usak, Turkey. FAU - Dogdus, Mustafa AU - Dogdus M AUID- ORCID: 0000-0002-3895-1923 AD - Department of Cardiology, Mehmet Akif Inan Research and Training Hospital, Sanliurfa, Turkey. FAU - Saracoglu, Erhan AU - Saracoglu E AUID- ORCID: 0000-0003-3797-512X AD - Department of Cardiology, University of Health Sciences, Yildirim Beyazit Diskapi Research and Training Hospital, Ankara, Turkey. FAU - Kilic, Salih AU - Kilic S AUID- ORCID: 0000-0002-3579-3747 AD - Department of Cardiology, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey. LA - eng PT - Journal Article DEP - 20201207 PL - England TA - Acta Cardiol JT - Acta cardiologica JID - 0370570 RN - 0 (Calcium-Binding Proteins) RN - 0 (SCUBE1 protein, human) SB - IM MH - Aged MH - Calcium-Binding Proteins MH - Coronary Angiography MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Myocardial Infarction MH - *Percutaneous Coronary Intervention MH - ROC Curve MH - *ST Elevation Myocardial Infarction/diagnosis/surgery MH - *Thrombosis/diagnosis MH - Treatment Outcome OTO - NOTNLM OT - ST elevation myocardial infarction OT - Signal peptide-CUB-EGF domain-containing protein-1 OT - thrombus burden EDAT- 2020/12/08 06:00 MHDA- 2021/11/26 06:00 CRDT- 2020/12/07 08:43 PHST- 2020/12/08 06:00 [pubmed] PHST- 2021/11/26 06:00 [medline] PHST- 2020/12/07 08:43 [entrez] AID - 10.1080/00015385.2020.1852753 [doi] PST - ppublish SO - Acta Cardiol. 2021 Sep;76(7):777-784. doi: 10.1080/00015385.2020.1852753. Epub 2020 Dec 7.