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Leiherer A, Muendlein A, Saely C, Laaksonen R, Laaperi M, Vonbank A, Fraunberger P, Drexel H. Comparison of two recent ceramide-based coronary risk prediction scores: CERT and CERT-2. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.2922] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
The Coronary Event Risk Test (CERT) is a validated cardiovascular risk predictor that uses circulating ceramide concentrations to allocate patients into one of four risk categories. This test has recently been updated (CERT-2), now additionally including phosphatidylcholine concentrations.
The purpose of this study was to investigate the power of CERT and CERT-2 to predict cardiovascular mortality in patients with cardiovascular disease (CVD).
We investigated a cohort of 999 patients with established CVD.
Overall, comparing survival curves (figure) for over 12 years of follow up and the predictive power of survival models using net reclassification improvement (NRI), CERT-2 was the best predictor of cardiovascular mortality, surpassing CERT (NRI=0.456; p=0.01) and also the 2019 ESC-SCORE (NRI=0.163; p=0.04). Patients in the highest risk category of CERT as compared to the lowest category had a HR of 3.63 [2.09–6.30] for cardiovascular death; for CERT-2 the corresponding HR was 6.02 [2.47–14.64]. Among patients with T2DM (n=322), the HR for cardiovascular death was 3.00 [1.44–6.23] using CERT and 7.06 [1.64–30.50] using CERT-2; the corresponding HRs among non-diabetic subjects were 2.99 [1.20–7.46] and 3.43 [1.03–11.43], respectively.
We conclude that both, CERT and CERT-2 scores are powerful predictors of cardiovascular mortality in CVD patients, especially in those patients with T2D. Performance is even higher with CERT-2.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- A Leiherer
- Private University of the Principality of Liechtenstein, Triesen, Liechtenstein
| | - A Muendlein
- Vorarlberg Institute for Vascular Investigation & Treatment (VIVIT), Feldkirch, Austria
| | - C.H Saely
- Private University of the Principality of Liechtenstein, Triesen, Liechtenstein
| | | | | | - A Vonbank
- Academic Teaching Hospital Feldkirch, Feldkirch, Austria
| | | | - H Drexel
- Drexel University College of Medicine, Philadelphia, United States of America
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Saely C, Zanolin D, Vonbank A, Leiherer A, Drexel H. Diabetes awareness among coronary disease patients differs significantly between men and women. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Vonbank A, Saely C, Zanolin D, Rein P, Leiherer A, Drexel H. Impact of age on the cardiovascular event risk conferred by HbA1c in patients with peripheral arterial disease. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Leiherer A, Muendlein A, Saely C, Kinz E, Rein P, Vonbank A, Fraunberger P, Drexel H. Single nucleotide polymorphisms at the hydroxy-methyl-glutaryl-coa reductase gene locus significantly predict cardiovascular events in coronary patients with type 2 diabetes. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Saely C, Vonbank A, Rein P, Zanolin D, Leiherer A, Muendlein A, Drexel H. Coronary artery disease as a risk for developing type 2 diabetes mellitus. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Saely C, Rein P, Vonbank A, Zanolin D, Leiherer A, Muendlein A, Drexel H. High triglycerides, low HDL cholesterol and a low LDL cholesterol per apolipoprotein b ratio predict incident diabetes in patients with established coronary artery disease. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Vonbank A, Saely C, Rein P, Zanolin D, Leiherer A, Drexel H. C-reactive protein significantly predicts cardiovascular events both in peripheral arterial disease patients with and in peripheral arterial disease patients without the metabolic syndrome. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rein P, Saely C, Vonbank A, Zanolin D, Leiherer A, Drexel H. ProBNP strongly predicts future macrovascular events in angiographied coronary patients with as well as in those without type 2 diabetes. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rein P, Saely C, Vonbank A, Zanolin D, Leiherer A, Drexel H. Hand grip strength significantly predicts cardiovascular event risk in patients with type 2 diabetes mellitus. Atherosclerosis 2016. [DOI: 10.1016/j.atherosclerosis.2016.07.727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Othman A, Saely C, Drexel H, von Eckardstein A, Hornemann T. Plasma sphingolipid profiling reveals novel distinct biomarkers for predicting cardiovascular disease and type 2 diabetes mellitus. Atherosclerosis 2014. [DOI: 10.1016/j.atherosclerosis.2014.05.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Saely C, Vonbank A, Rein P, Beer S, Aczel S, Marte T, Drexel H. Abstract: P855 HIGH TRIGLYCERIDES, LOW HDL CHOLESTEROL, AND SMALL LDL PARTICLES PREDICT INCIDENT TYPE 2 DIABETES IN NON-DIABETIC CORONARY PATIENTS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)70976-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Vonbank A, Saely C, Rein P, Bochdansky T, Kiene V, Beer S, Blocher J, Aczel S, Drexel H. Abstract: P945 ECCENTRIC ENDURANCE EXERCISE SIGNIFICANTLY IMPROVES FASTING GLUCOSE AND GLUCOSE TOLERANCE IN NON-DIABETIC SUBJECTS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71066-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Saely C, Beer S, Rein P, Vonbank A, Aczel S, Marte T, Drexel H. Abstract: P1339 BODY MASS INDEX AND WAIST CIRCUMFERENCE AS PREDICTORS OF THE INCIDENCE OF TYPE 2 DIABETES AMONG ANGIOGRAPHIED CORONARY PATIENTS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71356-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Beer S, Rein P, Saely C, Vonbank A, Drexel H. Abstract: P1311 THE METABOLIC SYNDROME, ANGIOGRAPHICALLY DETERMINED STABLE CORONARY ARTERY DISEASE, AND SUBCLINICAL INFLAMMATION. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71328-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Drexel H, Aczel S, Marte T, Vonbank A, Saely C. Abstract: P1271 LIPID PREDICTORS OF CARDIOVASCULAR EVENTS IN STATINTREATED PATIENTS WITH DIABETES MELLITUS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71288-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Muendlein A, Saely C, Rhomberg S, Sonderegger G, Rein P, Winder T, Beer S, Breuss J, Vonbank A. Abstract: P1256 TYPE 2 DIABETES SIGNIFICANTLY MODULATES THE IMPACT OF TCF7L2 RS7903146 VARIANT ON THE RISK OF CORONARY ATHEROSCLEROSIS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71273-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Drexel H, Vonbank A, Rein P, Beer S, Aczel S, Marte T, Saely C. Abstract: P1285 ADULT TREATMENT PANEL III METABOLIC SYNDROME CRITERIA MORE STRONGLY THAN INTERNATIONAL DIABETES FEDERATION CRITERIA PREDICT THE INCIDENCE OF TYPE 2 DIABETES IN ANGIOGRAPHIED CORONARY PATIENTS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71302-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Aczel S, Saely C, Drexel H. Abstract: P1310 METABOLIC SYNDROME AND VASCULAR EVENTS IN GERIATRIC CORONARY PATIENTS. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71327-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mündlein A, Geller-Rhomberg S, Saely C, Sonderegger G, Rein P, Beer S, Vonbank A, Drexel H. Abstract: P887 SIGNIFICANT IMPACT OF GENETIC VARIANTS ON CHROMOSOMAL LOCUS 1P13.3 ON SERUM LDL-CHOLESTEROL AND ON ANGIOGRAPHICALLY CHARACTERIZED CORONARY ARTERY DISEASE. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71008-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Beer S, Saely C, Hoefle G, Rein P, Vonbank A, Woess M, Breuss J, Drexel H. Abstract: P1255 LOW BONE MINERAL DENSITY IS NOT ASSOCIATED WITH ANGIOGRAPHICALLY DETERMINED CORONARY ATHEROSCLEROSIS IN MEN. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71272-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Geller-Rhomberg S, Mündlein A, Saely C, Sonderegger G, Rein P, Beer S, Vonbank A, Drexel H. Abstract: P886 ASSOCIATION BETWEEN GENETIC VARIANTS ON THE CHROMOSOMAL LOCI 9P21.3, 6Q25.1, AND 2Q36.3 AND ANGIOGRAPHICALLY DETERMINED CORONARY ARTERY DISEASE. ATHEROSCLEROSIS SUPP 2009. [DOI: 10.1016/s1567-5688(09)71007-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Tautermann G, Saely C, Drexel H, Hoefle G. Effect of octreotide on a large pituitary macroadenoma secreting growth hormone and thyrotropin. Exp Clin Endocrinol Diabetes 2004. [DOI: 10.1055/s-2004-832885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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