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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004090naa a2200481 4500
001oai:DiVA.org:kth-207968
003SwePub
008170531s2017 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:135401310
024a https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-2079682 URI
024a https://doi.org/10.1177/14791641166644902 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1354013102 URI
040 a (SwePub)kthd (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Smaradottir, M. I.u Karolinska Institutet4 aut
2451 0a Copeptin in patients with acute myocardial infarction and newly detected glucose abnormalities - A marker of increased stress susceptibility? :b A report from the Glucose in Acute Myocardial Infarction cohort
264 c 2017-01-24
264 1b Sage Publications,c 2017
338 a print2 rdacarrier
500 a QC 20170531
520 a Objective: To characterize copeptin levels and to explore its prognostic importance in patients with acute myocardial infarction with newly detected glucose abnormalities. Methods: Copeptin was measured in 166 patients with acute myocardial infarction without known diabetes and in 168 age- and gender-matched controls. Participants were classified as having normal glucose tolerance or abnormal glucose tolerance (impaired glucose tolerance + type 2 diabetes mellitus) by oral glucose tolerance test. Study participants were followed over a decade for major cardiovascular event (acute myocardial infarction/stroke/congestive heart failure/cardiovascular death), cardiovascular and total death. Results: Median copeptin level was higher in patients (10.5 pmol/L) than controls (5.9 pmol/L; p < 0.01). Patients with abnormal glucose tolerance had higher copeptin (12.2 pmol/L) than those with normal glucose tolerance (7.9 pmol/L; p < 0.01) but levels of copeptin did not differ in controls with abnormal glucose tolerance or normal glucose tolerance. Copeptin predicted major cardiovascular events [n = 64; hazard ratio = 1.15 (1.01-1.32; p = 0.04)], cardiovascular mortality [n = 29; hazard ratio = 1.24 (1.06-1.46; p = 0.01)] and total death [n = 51; hazard ratio = 1.21 (1.05-1.40; p = 0.01)] in unadjusted Cox regression analyses in the patient cohort. In controls, copeptin predicted major cardiovascular events [n = 26; hazard ratio = 1.17 (1.01-1.36; p = 0.03)]. Conclusion: Copeptin levels are highest among acute myocardial infarction patients with glucose disturbances and predict an adverse prognosis in unadjusted analyses. These findings imply that raised copeptin reflects stress rather than acting as a pathogenic factor for glucose abnormalities.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a acute coronary syndrome
653 a arginine vasopressin
653 a biomarker
653 a copeptin
653 a Diabetes mellitus
653 a prognosis
700a Ritsinger, V.u Karolinska Institutet4 aut
700a Gyberg, V.u Karolinska Institutet4 aut
700a Norhammar, A.u Karolinska Institutet4 aut
700a Näsman, Per,d 1954-u KTH,Centrum för transportstudier, CTS,Centrum för trafikforskning, CTR,Transportplanering, ekonomi och teknik4 aut0 (Swepub:kth)u1ghoqwp
700a Mellbin, L. G.u Karolinska Institutet4 aut
710a Karolinska Institutetb Centrum för transportstudier, CTS4 org
773t Diabetes & Vascular Disease Researchd : Sage Publicationsg 14:2, s. 69-76q 14:2<69-76x 1479-1641x 1752-8984
856u https://journals.sagepub.com/doi/pdf/10.1177/1479164116664490
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-207968
8564 8u https://doi.org/10.1177/1479164116664490
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:135401310

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