Abstract |
It is essential to study the factors associated with the evolution of aortic stenosis progression (ASP) to develop therapies that could reduce it. We studied 283 patients 6 months after acute coronary syndrome (ACS). ASP was defined as an increase in the maximum aortic velocity of at least 0.5 m/s between the echocardiogram performed during ACS hospitalization and the last one recorded in the electronic medical registry. The median follow-up was 72.4 months. Twenty patients (7%) had ASP. A multivariate binary logistic regression analysis was performed showing that PCSK9 plasma levels (OR, 0.668 CI (0.457-0.977); p = 0.038), HS-CRP (OR, 1.034 CI (1.005-1.063); p = 0.022), the presence of dyslipidemia (OR, 4.622 CI (1.285-16.618); p = 0.019), the history of PAD (OR, 9.453 CI (1.703-52.452); p = 0.010), and GFR (OR, 0.962 CI (0.939-0.986); p = 0.002) were independent predicting factors of ASP. In patients with ischemic heart disease, low plasma levels of PCSK9 and elevated levels of HS-CRP are independent predictors of ASP.
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Authors | Álvaro Aceña, Juan Antonio Franco Peláez, Ana María Pello Lázaro, Emilio Gonzalez Parra, Óscar Gonzalez Lorenzo, Juan Martínez-Milla, Ignacio Hernandez, María Luisa Martín-Mariscal, Marta Lopez Castillo, Andrea Kallmeyer, Oscar Lorenzo, María Luisa González-Casaus, Jesús Egido, José Tuñón |
Journal | Journal of cardiovascular translational research
(J Cardiovasc Transl Res)
Vol. 14
Issue 2
Pg. 238-245
(04 2021)
ISSN: 1937-5395 [Electronic] United States |
PMID | 32577988
(Publication Type: Journal Article, Observational Study, Research Support, Non-U.S. Gov't)
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Chemical References |
- Biomarkers
- C-Reactive Protein
- PCSK9 protein, human
- Proprotein Convertase 9
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Topics |
- Aged
- Aortic Valve Stenosis
(blood, diagnostic imaging)
- Biomarkers
(blood)
- C-Reactive Protein
(analysis)
- Coronary Artery Disease
(blood, diagnosis)
- Disease Progression
- Echocardiography
- Female
- Humans
- Male
- Middle Aged
- Predictive Value of Tests
- Prognosis
- Proprotein Convertase 9
(blood)
- Risk Assessment
- Risk Factors
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