First International Conference on MOLDAVIAN RISKS – FROM ...
First International Conference on MOLDAVIAN RISKS – FROM ... First International Conference on MOLDAVIAN RISKS – FROM ...
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<str<strong>on</strong>g>First</str<strong>on</strong>g> <str<strong>on</strong>g>Internati<strong>on</strong>al</str<strong>on</strong>g> <str<strong>on</strong>g>C<strong>on</strong>ference</str<strong>on</strong>g> <strong>on</strong> <strong>MOLDAVIAN</strong> <strong>RISKS</strong> - <strong>FROM</strong> GLOBAL TO LOCAL SCALE<br />
16-19 May 2012, Bacau, Romania<br />
RISK OF MYOCARDIAL INFARCTION REVEALED BY<br />
VARIATION OF CARDIAC TROPONIN I LEVELS WITH AGE<br />
AND GENDER: A STUDY OF PATIENTS HOSPITALIZED IN<br />
THE CARDIOLOGY DEPARTMENT OF BACAU CITY<br />
HOSPITAL DURING THE 2008-2011 PERIOD<br />
Laura Vasile 1 , Vlad Artenie 1 , Iuliana Lazar 2<br />
1 ”Al. I. Cuza” University, Department of Molecular Biology and Biochemistry<br />
2 ”Vasile Alecsandri” University of Bacau, Department of Chemical and Food Engineering<br />
Corresp<strong>on</strong>ding author: Iuliana Lazar, ilazar@ub.ro<br />
Abstract Cardiac trop<strong>on</strong>in (cTn) is a reference biomarker for the diagnosis of myocardial<br />
necrosis. Cardiac trop<strong>on</strong>in I (cTnI) is a key regulatory protein in cardiac muscle<br />
c<strong>on</strong>tracti<strong>on</strong> linking Ca2+-cTn combining it with cross-bridge activati<strong>on</strong> reacti<strong>on</strong> between<br />
thin and thick filaments. The cTn inhibits actomyosin ATP leading to muscle relaxati<strong>on</strong> by<br />
disrupting the actin-myosin b<strong>on</strong>d. Due to cor<strong>on</strong>ary absolute specificity and high sensitivity,<br />
cardiac Trop<strong>on</strong>in I helps to c<strong>on</strong>firm, even when the acute event happened two weeks ago.<br />
Our study includes 65 patients with myocardial infarcti<strong>on</strong>, hospitalized in the cardiology<br />
department of Bacau City Hospital, of which 20 patients are women and 45 patients are<br />
men. The purpose of this study was to compare the value of cTnI between the two sexes<br />
with the same diagnosis and early diagnosis of myocardial infarcti<strong>on</strong>. High values of<br />
trop<strong>on</strong>in in patients revealed a higher risk for development of cardiac events during short<br />
and l<strong>on</strong>g term, therefore being necessary the use of this test. Most healthy people have not<br />
detectable cTnI. Values between 0.3 µg/L and 2.0 µg/L are c<strong>on</strong>sidered limit values. Values<br />
higher than 2.0 µg/L are c<strong>on</strong>sidered as signs of myocardial infarcti<strong>on</strong>. In our study cardiac<br />
Trop<strong>on</strong>in was analyzed by immuno-analyzer Pathfast compact device. Parametric One-<br />
Sample Tests and Error Bar T test are used to compare the mean of cTnI values by age and<br />
sex that differ significantly from the 2.0 mg/L limit value. Following trop<strong>on</strong>in level in<br />
subjects grouped by gender shows that in women the cTnl level increases progressively<br />
with age, approaching normal at the 36-50 years age group and that of 51-65 years. In the<br />
>65 years group there are registered values above the maximum allowable (ie mean of 3.56<br />
µg / L). The minimum values are registered at the female patients between 51-65 years,<br />
where the average is 0.08 µg / L, so is within normal limits. The highest risk was observed<br />
with predilecti<strong>on</strong> in males. The performed analysis shows warning for the 36-50 years age<br />
groups and 51-65 years for males as being at risk of myocardial ischemia. In c<strong>on</strong>clusi<strong>on</strong>,<br />
this study shows the age and gender of patients with an increased risk of myocardial<br />
infarcti<strong>on</strong> hospitalized in the cardiology department of Bacau City Hospital, and in men<br />
the age from which a much lower potential risk can occur (i.e. over 35 years) compared to<br />
women (i.e. over 65).<br />
Keywords: Cardiac Trop<strong>on</strong>in I, myocardial infarcti<strong>on</strong>, dispersi<strong>on</strong> parameter, age, gender.<br />
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