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Leukocyte counts, myeloperoxidase, and pregnancy-associated plasma protein a as biomarkers for cardiovascular disease: Towards a multi-biomarker approach

  • M. B.I. Lobbes
  • , M. E. Kooi
  • , E. Lutgens
  • , A. W. Ruiters
  • , V. Lima Passos
  • , S. H.J.G. Braat
  • , M. Rousch
  • , H. Ten Cate
  • , J. M.A. Van Engelshoven
  • , M. J.A.P. Daemen
  • , S. Heeneman

Research output: Contribution to journal › Article › peer-review

Abstract

We evaluated leukocyte counts and levels of CRP, fibrinogen, MPO, and PAPP-A in patients with stable and unstable angina pectoris, acute myocardial infarction, and healthy controls. All biomarkers were analyzed again after 6 months. Leukocyte counts and concentrations of fibrinogen, CRP, MPO, and PAPP-A were significantly increased in patients with acute myocardial infarction. Leukocyte counts and concentrations of MPO were significantly increased in patients with unstable angina pectoris compared with controls. After 6 months, leukocyte counts and MPO concentrations were still increased in patients with acute myocardial infarction when compared to controls. Discriminant analysis showed that leukocyte counts, MPO, and PAPP-A concentrations classified study group designation for acute coronary events correctly in 83% of the cases. In conclusion, combined assessment of leukocyte counts, MPO, and PAPP-A was able to correctly classify acute coronary events, suggesting that this could be a promising panel for a multibiomarker approach to assess cardiovascular risk.

Original languageEnglish (US)
Article number726207
JournalInternational Journal of Vascular Medicine
Volume2010
DOIs
StatePublished - 2010

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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