Volume 41 Issue 12
Dec.  2019
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Ju TIAN, Wen-jie WANG, Qian LI. Expression of Serum H-FABP, Platelet Activating Factor and IMA in Patients with Coronary Heart Disease and Its Clinical Implications[J]. Journal of Kunming Medical University, 2020, 41(12): 49-54. doi: 10.12259/j.issn.2095-610X.S20201216
Citation: Ju TIAN, Wen-jie WANG, Qian LI. Expression of Serum H-FABP, Platelet Activating Factor and IMA in Patients with Coronary Heart Disease and Its Clinical Implications[J]. Journal of Kunming Medical University, 2020, 41(12): 49-54. doi: 10.12259/j.issn.2095-610X.S20201216

Expression of Serum H-FABP, Platelet Activating Factor and IMA in Patients with Coronary Heart Disease and Its Clinical Implications

doi: 10.12259/j.issn.2095-610X.S20201216
  • Received Date: 2020-04-16
  • Publish Date: 2019-12-26
  •   Objective   To investigate the expression of serum H-FABP, platelet activating factor (PAF) and ischemia-modified albumin (IMA) in patients with coronary heart disease and its clinical implications.   Methods   168 patients who reported chest pain and underwent coronary angiography in Qingdao 8th People's Hospital from April 2017 to October 2019 were enrolled as subjects. Based on the results of coronary angiography, subjects were divided into control group (n = 30), SAP group (n = 55), UAP group (n = 51) and AIM group (n = 32). Serum H-FABP, PAF and IMA levels in each group were compared. Influencing factors of coronary heart disease were analyzed by multivariate logistic regression. The correlation between GRACE score and serum H-FABP, PAF and IMA levels was analyzed by Pearson method. The receiver operating Characteristic curve (ROC) was used to analyze the diagnostic value of each indicator for coronary heart disease.   Results   GRACE score and serum H-FABP, PAF and IMA levels were the highest in AMI group, followed by UAP group, SAP group, and control group (P < 0.05). GRACE scores and serum H-FABP, PAF, and IMA levels were independent risk factors for coronary heart disease ( OR = 1.993, 2.325, 1.741, and 2.208, P < 0.05). GRACE score was positively correlated with serum H-FABP, PAF and IMA levels ( r = 0.9023, 0.8967 and 0.9364, P < 0.05). In diagnosing coronary heart disease, the diagnostic value of serum H-FABP, PAF and IMA combined was significantly higher than that of each indicator alone.   Conclusion   Elevated serum H-FABP, PAF and IMA levels are major risk factors for coronary heart disease, and serum H-FABP, PAF and IMA levels are positively correlated with GRACE scores. Detection of serum H-FABP, PAF and IMA combined are of value in the clinical diagnosis of coronary heart disease.
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