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Shamshirian A, Alizadeh-Navaei R, Abedi S, Jafarpour H, Fazli H, Hosseini S, Hessami A, Karimifar K, Yosefi S, Zahedi M, Motamen S, Ghorbanpour A, Zarandi B, Esfahani A, Rostamian-Moghaddam Y, Mehdipour S, Heydari K, Aghajanian S, Mehdi SP, Azad A, Azizi S. Levels of Blood Biomarkers among Patients with Myocardial Infarction in Comparison to Control Group. Ethiop J Health Sci 2020; 30:5-12. [PMID: 32116427 PMCID: PMC7036464 DOI: 10.4314/ejhs.v30i1.2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Accepted: 07/24/2019] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Myocardial infarction (MI) as a term for a heart attack happens due to reduced blood flow to heart myocardium and lack of oxygen supply caused by plaques in the interior walls of coronary arteries. With respect to the importance of MI etiology, we aimed to study the relationship of MI and blood examination variables. METHODS This study was conducted in Mazandaran Heart Center as a hospital-based case-control Comprising 894 participants including 465 cases and 429 controls, individually matched by sex and age. Considered blood markers were analyzed using routine laboratory methods and equipment. RESULTS Of all participants, 64.3% of the cases and 51.0% of the controls were males with a mean age of 61.2 (±13.8) in cases and 62.4 (±14.) in controls. We could not find any differences between cases and controls for total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and alkaline-phosphatase (ALP) (P>0.05). However, levels of creatine-kinase-muscle/brain (CK-MB) (P<0.0001), fasting-blood-sugar (FBS) (P<0.0001), aspartate-aminotransferase (AST) (P<0.0001), alanine-transferase (ALT) (P<0.0001) and erythrocyte sedimentation rate (ESR) (P=0.001) were significantly higher in cases compared to the controls (P<0.05). Multivariable analyses revealed that the risk of MI was associated with high levels of AST (adjusted OR=24.3, 95%CI=3.5±165.6, P=0.001) and LDL (adjusted OR=7.4, 95%CI=1.0±51.8, P=0.001). CONCLUSION Our investigation indicated that the levels of CK-MB, FBS, AST, ALT and ESR were significantly higher in patients with MI. Besides, our findings showed that the risk of MI in cases with high levels of AST and LDL was about 24 and 7 times more than the control group respectively.
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Affiliation(s)
- Amir Shamshirian
- Department of Medical Laboratory Sciences, School of Allied Medical sciences, Mazandaran University of Medical Sciences, Iran
- Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Iran
- Mazandaran Heart Center, Mazandaran University of Medical Sciences, Iran
| | - Reza Alizadeh-Navaei
- Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Iran
| | - Samira Abedi
- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Iran
| | - Hamed Jafarpour
- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Iran
| | - Hanieh Fazli
- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Iran
| | - Samira Hosseini
- Department of Medical Laboratory Sciences, School of Allied Medical sciences, Mazandaran University of Medical Sciences, Iran
| | - Amirhossein Hessami
- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Iran
| | - Keyvan Karimifar
- Student Research committee, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Sedighe Yosefi
- Department of Biochemistry, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran
| | - Mohammad Zahedi
- Department of Medical Laboratory Sciences, School of Allied Medical sciences, Mazandaran University of Medical Sciences, Iran
| | - Sepideh Motamen
- Department of Medical Biotechnology, Faculty of Medical Sciences, Tarbiat Modares University, Iran
| | - Atiyeh Ghorbanpour
- Department of Hematology, Student Research Committee, Iran University of Medical Sciences, Iran
| | - Bahman Zarandi
- Department of Hematology, Student Research Committee, Iran University of Medical Sciences, Iran
| | - Aliakbar Esfahani
- Student Research committee, Mashhad University of Medical Sciences, Mashhad, Iran
| | | | - Shirin Mehdipour
- Mazandaran Heart Center, Mazandaran University of Medical Sciences, Iran
| | - Keyvan Heydari
- Student Research Committee, School of Medicine, Mazandaran University of Medical Sciences, Iran
| | - Sedigheh Aghajanian
- Department of Medical Laboratory Sciences, School of Allied Medical sciences, Mazandaran University of Medical Sciences, Iran
| | - Somayeh Pour Mehdi
- Mazandaran Heart Center, Mazandaran University of Medical Sciences, Iran
| | - Alireza Azad
- Mazandaran Heart Center, Mazandaran University of Medical Sciences, Iran
| | - Soheil Azizi
- Department of Medical Laboratory Sciences, School of Allied Medical sciences, Mazandaran University of Medical Sciences, Iran
- Mazandaran Heart Center, Mazandaran University of Medical Sciences, Iran
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