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Myeloperoxidase,a possible biomarker for the early diagnosis of cardiac diastolic dysfunction with preserved ejection fraction
Authors:Bogdan Ioan Coculescu  Gabi Valeriu Dincă  Constantin Bălăeţ  Gheorghe Manole  Maria Bălăeţ  Cristina Mariana Stocheci
Institution:1. Faculty of Medicine, Titu Maiorescu University, Bucharest, Romania;2. Center for Military Medical Scientific Research, Bucharest, Romania;3. Faculty of General Nursing, Bioterra University, Bucharest, Romania;4. Faculty of General Nursing, Bioterra University, Bucharest, Romania;5. Lil Med Clinic, Bucharest, Romania;6. Clinical Hospital Colentina, Bucharest, Romania;7. Imperial College London, London, UK;8. Faculty of Sciences, University of Pitesti, Pitesti, Romania
Abstract:The current study was conducted on a sample of 91 patients diagnosed with diastolic dysfunction (DD) with preserved systolic function caused by a painful chronic ischaemic cardiopathy – angina pectoris stable at the effort. The diagnosis was established following anamnesis, electrocardiogram, and echocardiography. Myeloperoxidase (MPO) serum levels were assessed in all patients and then these values were correlated with some of the echocardiography parameters that proved the mentioned diagnosis.

In conclusion, the execution of this investigation triad (electrocardiogram, echocardiography, and MPO) allows:

  • Stratifying the patients depending on the disease risk by early detecting of any possible DD with preserved systolic function.

  • The use of the MPO increased circulating levels as a biomarker for diagnosis and risk due to the statistically significant correlation between those and the results of the other two aforementioned paraclinical investigation.

Keywords:Myeloperoxidase (MPO)  left ventricle ejection fraction (LVEF)  preserved systolic function (PRESYF)  diastolic dysfunction (DD)  reactive oxygen species (ROS)
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