Gas6 evaluation in patients with acute dyspnea due to suspected pulmonary embolism.

Abstract:

BACKGROUND:Gas6 protein is involved in pulmonary embolism (PE) and acute inflammation in animal models. METHODS:We enrolled 82 consecutive patients with acute dyspnea and suspected PE (Geneva score with high (HCP) or low/intermediate clinical probability (LICP)+D-dimer >or=0.5microg/mL) and 29 age-matched healthy volunteers. According to clinical and instrumental evaluations the following diagnoses were obtained: heart failure (HF), pulmonary or systemic infection (I), PE, or no illness (N). Twenty-two patients were excluded due to oral anticoagulation (9), lack of CT angiography or pulmonary scintigraphy (6), plasma creatinine >or=3mg/dL (3), and pulmonary cancer (4). Plasma Gas6 was measured with a validated enzyme-linked immunoassay. Non-parametric tests and accuracy measures were calculated. RESULTS:Out of 60 patients included, 8 were N, 12 HF, 11 I and 29 PE. Gas6 median value in the N group (20.4ng/mL, interquartile range 17.6-21.6) matched that of healthy volunteers, 19.1 (17.2-21.4). Median Gas6 values in HF, 26.4 (21.6-33.3) and I groups, 34.1 (30.0-38.7), were significantly higher than those in PE 18.2 (16.3-23.3) or N (Kruskal-Wallis test p

journal_name

Respir Med

journal_title

Respiratory medicine

authors

Sainaghi PP,Alciato F,Carnieletto S,Castello L,Bergamasco L,Sola D,Bongo AS,Inglese E,Polosa R,Avanzi GC

doi

10.1016/j.rmed.2008.10.018

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

589-94

issue

4

eissn

0954-6111

issn

1532-3064

pii

S0954-6111(08)00381-8

journal_volume

103

pub_type

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