Folia Medica Indonesiana
ISSN 0303-7932
Vol. 51 / No. 2 / Published : 2015-04
Order : 6, and page :106 - 109
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Original Article :
Diagnostic value of st2 in patients with acute myocardial infarction
Author :
- Priyanto H*1
- Nugraha J*2
- Edijanto SP*3
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
- Dosen Fakultas Kedokteran
Abstract :
Acute Myocardial Infarction (AMI) is a major problem threatening Indonesia and many countries. Each year AMI patients areincreasing. ST2 is a novel cardiac marker for diagnosis and prognosis of acute myocardial infarction. The purpose of this study is toseek the diagnostic value of serum ST2 in patients with AMI. This cross sectional study was conducted in 46 patients with maincomplaint of chest pain at the Emergency Department, Dr. Soetomo Hospital from 20 April to 20 July 2013. Sera were examined forST2, and then the diagnostic value was determined using the clinical criteria of AMI according to the Universal Definition ofMyocardial Infarction (2007) as the gold standard. The results of ST2 serum levels measurement showed a sensitivity of 83% andspecificity of 70% at a cut-off value of ST2 16.64 ng/mL and AUC 0.878, p = 0.000. The concordance examination between usingcTn-T levels and ST2 was 48.1%. A significance correlation was obtained with correlation coefficient r = 0.489, p = 0.001 betweenthe levels of cTn-T and ST2. In result, ST2 serum levels can be used for screening to aid the diagnosis of AMI. There is a weakcorrelation and concordance between cTn-T with ST2. Further research is needed to determine the diagnostic value of ST2 for thedetection of AMI. (FMI 2015;51:106-109)
Keyword :
References :
Brown AM, Wu AH, Clopton P, Robey JL, Hollander JE ,(2007) ST2 in emergency department chest pain patients with potential acute coronary syndromes 50, 153-158 : Ann Emerg Med
Kakkar R, Lee RT ,(2008) The IL-33/ST2 pathway: therapeutic target and novel biomarker 7, 827-840 : Nat Rev Drug Discov
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