Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction
Background. There has been a gradual trend towards younger ageing of acute cerebral infarction in recent years. Atherosclerotic plaque rupture followed by dislodgement of emboli and resulting arterial embolism is an important mechanism for the development of acute cerebral infarction. Traditional in...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2022/5784909 |
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| author | Wenhui Jia Xia Li Fang Lei Fengyun Hu Fenglian Li Xueying Zhang Siyu Liu Feifei Huang Changxin Li |
| author_facet | Wenhui Jia Xia Li Fang Lei Fengyun Hu Fenglian Li Xueying Zhang Siyu Liu Feifei Huang Changxin Li |
| author_sort | Wenhui Jia |
| collection | DOAJ |
| description | Background. There has been a gradual trend towards younger ageing of acute cerebral infarction in recent years. Atherosclerotic plaque rupture followed by dislodgement of emboli and resulting arterial embolism is an important mechanism for the development of acute cerebral infarction. Traditional independent risk factors for cerebral infarction have received attention from clinicians, but the risk factors for large artery atherosclerotic cerebral infarction are still unclear. Various blood biomarkers have an important role in the early diagnosis of large artery atherosclerotic cerebral infarction. Objective. To assess the diagnostic predictive value of a group of biomarkers for large artery atherosclerotic cerebral infarction. Methods. Lipoprotein-associated phospholipase A2 (LP-PLA2), trypsin-like protein (TPS), serum amyloid A (SAA), and supersensitive C-reactive protein (hs-CRP) levels were measured in the case group (30 cases) and control group (54 cases), respectively. Results. The differences in the general data between the two groups were not statistically significant (P>0.05). Logistic regression and ROC curve analysis showed that Lp-PLA2, TPS, and SAA were positively associated with the diagnosis of large atherosclerotic cerebral infarction (P<0.05). The area under the ROC curve of the multivariate model for the biomarker group reached 0.995. Conclusion. Biomarkers are closely associated with the occurrence of large atherosclerotic cerebral infarction and can be used as clinical adjuncts for diagnosis and assessment of prognosis. |
| format | Article |
| id | doaj-art-b0f9440cef4b41518802cd69697131f3 |
| institution | Kabale University |
| issn | 2090-2859 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-b0f9440cef4b41518802cd69697131f32025-02-03T05:57:30ZengWileyEmergency Medicine International2090-28592022-01-01202210.1155/2022/5784909Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral InfarctionWenhui Jia0Xia Li1Fang Lei2Fengyun Hu3Fenglian Li4Xueying Zhang5Siyu Liu6Feifei Huang7Changxin Li8The Fifth Clinical Medical College of Shanxi Medical UniversityThe Fifth Clinical Medical College of Shanxi Medical UniversityDalian Medical UniversityThe Fifth Clinical Medical College of Shanxi Medical UniversityCollege of Information and Computer,College of Information and Computer,The Fifth Clinical Medical College of Shanxi Medical UniversityThe Fifth Clinical Medical College of Shanxi Medical UniversityThe First Clinical Medical College of Shanxi Medical UniversityBackground. There has been a gradual trend towards younger ageing of acute cerebral infarction in recent years. Atherosclerotic plaque rupture followed by dislodgement of emboli and resulting arterial embolism is an important mechanism for the development of acute cerebral infarction. Traditional independent risk factors for cerebral infarction have received attention from clinicians, but the risk factors for large artery atherosclerotic cerebral infarction are still unclear. Various blood biomarkers have an important role in the early diagnosis of large artery atherosclerotic cerebral infarction. Objective. To assess the diagnostic predictive value of a group of biomarkers for large artery atherosclerotic cerebral infarction. Methods. Lipoprotein-associated phospholipase A2 (LP-PLA2), trypsin-like protein (TPS), serum amyloid A (SAA), and supersensitive C-reactive protein (hs-CRP) levels were measured in the case group (30 cases) and control group (54 cases), respectively. Results. The differences in the general data between the two groups were not statistically significant (P>0.05). Logistic regression and ROC curve analysis showed that Lp-PLA2, TPS, and SAA were positively associated with the diagnosis of large atherosclerotic cerebral infarction (P<0.05). The area under the ROC curve of the multivariate model for the biomarker group reached 0.995. Conclusion. Biomarkers are closely associated with the occurrence of large atherosclerotic cerebral infarction and can be used as clinical adjuncts for diagnosis and assessment of prognosis.http://dx.doi.org/10.1155/2022/5784909 |
| spellingShingle | Wenhui Jia Xia Li Fang Lei Fengyun Hu Fenglian Li Xueying Zhang Siyu Liu Feifei Huang Changxin Li Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction Emergency Medicine International |
| title | Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction |
| title_full | Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction |
| title_fullStr | Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction |
| title_full_unstemmed | Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction |
| title_short | Diagnostic Predictive Value of Tryptase, Serum Amyloid A and Lipoprotein-Associated Phospholipase A2 Biomarker Groups for Large Atherosclerotic Cerebral Infarction |
| title_sort | diagnostic predictive value of tryptase serum amyloid a and lipoprotein associated phospholipase a2 biomarker groups for large atherosclerotic cerebral infarction |
| url | http://dx.doi.org/10.1155/2022/5784909 |
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