Effect of serum netrin-1 levels on diagnosis and prognosis in patients admitted to the emergency service for acute coronary syndrome

dc.contributor.authorMutlu, Hüseyin
dc.contributor.authorAkıllı, Nazire
dc.contributor.authorCander, Başar
dc.contributor.authorKöylü, Öznur
dc.contributor.authorGül, Murat
dc.contributor.authorKöylü, Ramazan
dc.date.accessioned2021-06-29T10:15:45Z
dc.date.available2021-06-29T10:15:45Z
dc.date.issued2020
dc.departmentTıp Fakültesi
dc.description*Mutlu, Hüseyin ( Aksaray, Yazar ) *Gül, Murat ( Aksaray, Yazar )
dc.description.abstractBackground Netrin-1 is a recently discovered diagnostic biomarker that indicates atherosclerosis, angiogenesis, and ischemia-reperfusion damage. There arc no human studies about Netrin-1 in acute coronary syndrome (ACS). The purpose of the present study was to investigate Netrin-1 levels in the early diagnosis and successful reperfusion of ACS. Method The study was conducted with 188 patients diagnosed with ACS and 50 healthy subjects at the emergency unit in a prospective design. Blood samples were collected from the patient group at initial admission and after angiography. The control group consisted of healthy adult subjects without any disease. Netrin-1 levels were studied in both groups. Results The Netrin-1 levels of the patient group at the time of admission were found to be higher than of the control group (p<0.001). In the patient group, netrin-1 levels measured at initial admission (1.53 +/- 0.19) and after angiography (1.49 +/- 0.19) were determined to be statistically significant (p:0.049). In the patient group, where the Thrombolysis in Myocardial Infarction (TIMI) 3 flow was established after angiography, netrin-1 levels were detected to be low (p:0.039). Netrin-1 levels obtained at the time of admission were determined to be significantly different in the Global Registry of Acute Coronary Events (GRACE) moderate and high-risk groups in comparison to the low-risk group (p:0.017). Conclusion Netrin-1 was shown to increase in the early diagnosis of ACS and to decrease in patients for whom reperfusion was established after angiography. Therefore, Netrin-1 can be an important biomarker as an indicator of diagnosis and successful reperfusion in ACS.
dc.identifier.doi10.7759/cureus.7741
dc.identifier.endpage-en_US
dc.identifier.issue4en_US
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.7759/cureus.7741
dc.identifier.urihttps://hdl.handle.net/20.500.12451/8221
dc.identifier.volume12en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherCureus
dc.relation.ispartofCureus
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNetrin-1
dc.subjectAcute Coronary Syndrome
dc.subjectReperfusion
dc.titleEffect of serum netrin-1 levels on diagnosis and prognosis in patients admitted to the emergency service for acute coronary syndrome
dc.typeArticle

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