Abstract
OBJECTIVE: PAPP-A is a promising new marker in coronary heart disease. It is important to investigate its specificity in order to establish its clinical utility as a marker of coronary heart disease.
DESIGN AND METHODS: PAPP-A was measured within 24 h following hospital admission in 1448 consecutive patients admitted with diagnoses other than acute coronary syndromes.
RESULTS: PAPP-A was detectable (> or = 4.0 mIU/L) in 278 (19.2%) patients, among whom the mean level was 6.3 mIU/L (95% C.I., 6.1-6.5 mIU/L). The 95 and 99 percentiles for PAPP-A were 7.3 and 9.4 mIU/L, respectively. There was no difference in the mean PAPP-A of different diagnoses (p=0.33). None of the specific diagnoses known to influence established coronary markers appeared to influence the level of circulating PAPP-A.
CONCLUSION: PAPP-A is low in patients without known coronary heart disease. PAPP-A levels seem to be a potentially highly specific marker for heart disease.
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Clinical Biochemistry |
| Vol/bind | 41 |
| Udgave nummer | 7-8 |
| Sider (fra-til) | 548-53 |
| Antal sider | 6 |
| ISSN | 0009-9120 |
| DOI | |
| Status | Udgivet - maj 2008 |