The role of the tubular biomarkers NAG, kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin in patients with chest pain before contrast media exposition

Schlossbauer, Michael H. and Hubauer, Ute and Stadler, Stefan and Hupf, Julian and Sag, Sabine and Birner, Christoph and Zimmermann, Markus and Orso, Evelyn and Fischer, Marcus and Luchner, Andreas and Maier, Lars S. and Jungbauer, Carsten G. (2019) The role of the tubular biomarkers NAG, kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin in patients with chest pain before contrast media exposition. BIOMARKERS IN MEDICINE, 13 (5). pp. 379-392. ISSN 1752-0363, 1752-0371

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Abstract

Aim: We evaluated the role of the tubular biomarkers N-acetyl-ss-D-glucosaminidase (NAG), kidney injury molecule-1 (KIM-1) and neutrophil gelatinase-associated lipocalin (NGAL) in patients with chest pain. Methods: Serum and urine samples were collected of 223 patients and 47 healthy controls. None of them was exposed to contrast media. Results: NAG showed among others significant correlation with N-terminal pro brain natriuretic peptide (NTproBNP), troponin I and creatinine. KIM-1 and NGAL showed weaker correlations. NAG was significantly elevated in all subgroups of acute coronary syndrome (ACS) compared with chest wall syndrome and controls. NAG was an independent predictor for the diagnosis of myocardial infarction. Conclusion: NAG may demonstrate the presence of acute tubular injury due to cardiac impairment already in the emergency department. NAG should be evaluated as marker of acute cardiorenal syndrome in patients with chest pain.

Item Type: Article
Uncontrolled Keywords: ACUTE MYOCARDIAL-INFARCTION; BETA-D-GLUCOSAMINIDASE; ACUTE-RENAL-FAILURE; URINARY BIOMARKERS; HEART-FAILURE; PREDICTION; DIAGNOSIS; SURGERY; DAMAGE; PATHOGENESIS; ACS; cardiorenal syndrome; KIM-1; NAG; NGAL; renal biomarkers
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin II
Medicine > Lehrstuhl für Klinische Chemie und Laboratoriumsmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 14 Apr 2020 07:22
Last Modified: 14 Apr 2020 07:22
URI: https://pred.uni-regensburg.de/id/eprint/27193

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