Abstract | OBJECTIVES: BACKGROUND: METHODS: Levels of NT-proBNP, cTnT, and IL-6 were measured in 2,019 patients with UCAD randomized to an invasive or non-invasive strategy in the FRagmin and fast revascularization during InStability in Coronary artery disease (FRISC-II) trial. Patients were followed up for two years to determine death and MI. RESULTS: Patients in the third NT-proBNP tertile had a 4.1-fold (95% confidence interval [CI] 2.4 to 7.2) and 3.5-fold (95% CI 1.8 to 6.8) increased mortality in the non-invasive and invasive groups, respectively. An increased NT-proBNP level was independently associated with mortality. In patients with increased levels of both NT-proBNP and IL-6, an early invasive strategy reduced mortality by 7.3% (risk ratio 0.46, 95% CI 0.21 to 1.00). In patients with lower NT-proBNP or IL-6 levels, the mortality was not reduced. Only elevated cTnT was independently associated with future MI and a reduction of MI by means of an invasive strategy. CONCLUSIONS: N-terminal proBNP is independently associated with mortality. The combination of NT-proBNP and IL-6 seems to be a useful tool in the identification of patients with a definite survival benefit from an early invasive strategy. Only cTnT is independently associated with future MI and a reduction of MI by an invasive strategy.
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Authors | Tomas Jernberg, Bertil Lindahl, Agneta Siegbahn, Bertil Andren, Gunnar Frostfeldt, Bo Lagerqvist, Mats Stridsberg, Per Venge, Lars Wallentin |
Journal | Journal of the American College of Cardiology
(J Am Coll Cardiol)
Vol. 42
Issue 11
Pg. 1909-16
(Dec 03 2003)
ISSN: 0735-1097 [Print] United States |
PMID | 14662251
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Biomarkers
- Interleukin-6
- Nerve Tissue Proteins
- Peptide Fragments
- Troponin T
- pro-brain natriuretic peptide (1-76)
- Natriuretic Peptide, Brain
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Topics |
- Adult
- Aged
- Angina, Unstable
(blood)
- Biomarkers
(blood)
- Coronary Angiography
- Coronary Disease
(blood, mortality, pathology)
- Echoencephalography
- Humans
- Inflammation
(blood)
- Interleukin-6
(blood)
- Male
- Middle Aged
- Myocardial Infarction
(blood)
- Natriuretic Peptide, Brain
- Necrosis
- Nerve Tissue Proteins
(blood)
- Peptide Fragments
(blood)
- Prognosis
- Troponin T
(blood)
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