An Elevated Ratio of Placental Growth Factor to Soluble Fms-like Tyrosine Kinase-1 Predicts Adverse Outcomes in Patients with Stable Coronary Artery Disease
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概要
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Objective To investigate the predictive values of placental growth factor (PlGF) and its endogenous antagonist, soluble fms-like tyrosine kinase-1 (sFlt-1), for the long-term prognosis of patients with stable coronary artery disease (CAD). Both PlGF and sFlt-1 play important roles in the pathological mechanisms of atherosclerosis. We recently demonstrated that the plasma levels of these molecules are correlated with the severity of coronary atherosclerosis. Methods We enrolled 464 patients with stable CAD who consecutively underwent coronary angiography. Baseline blood samples were collected from the femoral artery immediately before coronary angiography (after the administration of 20 units of heparin), and the plasma levels of PlGF and sFlt-1 were measured. A Cox proportional hazard regression analysis was performed to evaluate the relationship between these parameters and the occurrence of all-cause death (ACD) and total cardiovascular events (TCVE) during a median follow-up of 3.3 years. Results A total of 31 ACDs and 51 TCVEs occurred. Patients with higher PlGF/sFlt-1 ratios (>4.22×10-2) had a significantly higher risk of both ACD and TCVE than patients with lower ratios (<4.22×10-2) (hazard ratio [HR]: 3.32, 95% confidence interval [CI]: 1.43 to 7.72, p=0.005, and HR: 2.23, 95% CI: 1.23 to 4.03, p=0.008, respectively). A multivariate analysis showed the PlGF/sFlt-1 ratio to be an independent predictor for ACD, but not TCVE. Conclusion The baseline PlGF/sFlt-1 ratio is an independent predictor of long-term adverse outcomes in patients with stable CAD.
著者
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Nishida Taku
The First Department of Internal Medicine, Nara Medical University
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Horii Manabu
The First Department of Internal Medicine, Nara Medical University
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Saito Yoshihiko
The First Department of Internal Medicine, Nara Medical University
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Soeda Tsunenari
The First Department of Internal medicine, Nara Medical University
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Takeda Yukiji
The First Department of Internal medicine, Nara Medical University
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Okayama Satoshi
The First Department of Internal Medicine, Nara Medical University
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Onoue Kenji
The First Department of Internal Medicine, Nara Medical University
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Somekawa Satoshi
The First Department of Internal Medicine, Nara Medical University
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Kawata Hiroyuki
The First Department Of Internal Medicine Nara Medical University
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ISHIGAMI Ken-ichi
The First Department of Internal Medicine, Nara Medical University
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Uemura Shiro
The First Department Of Internal Medicine Nara Medical University
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Soeda Tsunenari
The First Department of Internal Medicine, Nara Medical University, Japan
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Matsumoto Takaki
The First Department of Internal Medicine, Nara Medical University, Japan
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Matsui Masaru
The First Department of Internal Medicine, Nara Medical University, Japan
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Okada Sadanori
The First Department of Internal Medicine, Nara Medical University, Japan
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Kawakami Rika
The First Department of Internal Medicine, Nara Medical University, Japan
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Onoue Kenji
The First Department of Internal Medicine, Nara Medical University, Japan
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Horii Manabu
The First Department of Internal Medicine, Nara Medical University, Japan
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Nishida Taku
The First Department of Internal Medicine, Nara Medical University, Japan
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Saito Yoshihiko
The First Department of Internal Medicine, Nara Medical School
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Okayama Satoshi
The First Department of Internal Medicine, Nara Medical University, Japan
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