Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/19916
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dc.contributor.authorIoannidis, J. P.en
dc.contributor.authorKarvouni, E.en
dc.contributor.authorKatritsis, D. G.en
dc.date.accessioned2015-11-24T19:03:36Z-
dc.date.available2015-11-24T19:03:36Z-
dc.identifier.issn0735-1097-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/19916-
dc.rightsDefault Licence-
dc.subjectAngioplasty, Balloon, Coronaryen
dc.subjectAtherectomyen
dc.subjectCoronary Disease/*mortality/*therapyen
dc.subjectCreatine Kinase/*blooden
dc.subjectCreatine Kinase, MB Formen
dc.subjectFollow-Up Studiesen
dc.subjectHumansen
dc.subjectIsoenzymes/*blooden
dc.subjectRisk Assessmenten
dc.subjectStentsen
dc.subjectTime Factorsen
dc.titleMortality risk conferred by small elevations of creatine kinase-MB isoenzyme after percutaneous coronary interventionen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/14563583-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2003-
heal.abstractOBJECTIVES: The aim of this study was to assess whether small creatine kinase-MB isoenzyme (CK-MB) elevations after percutaneous coronary intervention (PCI) affect the subsequent mortality risk. BACKGROUND: Several studies have evaluated the relationship of CK-MB levels after PCI with the subsequent risk of death. While there is consensus that elevations exceeding 5 times the upper limit of normal increase mortality significantly, there is uncertainty about the exact clinical impact of smaller CK-MB elevations. METHODS: We performed a meta-analysis of seven studies with CK-MB measurements and survival outcomes on 23230 subjects who underwent PCI. Data were combined with random effects models. RESULTS: Mean follow-up was 6 to 34 months per study. By random effects, 19% (95% confidence interval [CI], 16% to 23%) had one- to five-fold CK-MB elevations, while only 6% (95% CI, 5% to 9%) had >5-fold elevations. Compared with subjects with normal CK-MB, there was a dose-response relationship with relative risks for death being 1.5 (95% CI, 1.2 to 1.8, no between-study heterogeneity) with one- to three-fold CK-MB elevations, 1.8 (95% CI, 1.4 to 2.4, no between-study heterogeneity) with three- to five-fold CK-MB elevations, and 3.1 (95% CI, 2.3 to 4.2, borderline between-study heterogeneity) with over five-fold CK-MB elevations (p < 0.001 for all). CONCLUSIONS: Any increase in CK-MB after PCI is associated with a small, but statistically and clinically significant, increase in the subsequent risk of death.en
heal.journalNameJ Am Coll Cardiolen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά) - ΙΑΤ

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