MicroRNAs and other biomarkers of atrial fibrillation in ischemic stroke patients Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.1097/md.0000000000040165
This study aimed to evaluate the ability of selected microRNAs as biomarkers of atrial fibrillation (AF) in ischemic stroke patients in comparison with other established biochemical biomarkers. A prospective case–control study of consecutive ischemic stroke patients with AF admitted to a comprehensive stroke center was conducted. The control group consisted of patients with ischemic stroke with no AF detected on prolonged (at least 3 weeks) Holter ECG monitoring. As potential biomarkers of AF, we analyzed the plasma levels of microRNAs (miR-21, miR-29b, miR-133b, miR-142-5p, miR-150, miR-499, and miR-223-3p) and 13 biochemical biomarkers at admission. The predictive accuracy of biomarkers was assessed by calculating the area under the receiver operating characteristic curve. The data of 117 patients were analyzed (61 with AF, 56 with no AF, 46% men, median age 73 years, median National Institutes of Health Stroke Scale 6). Biochemical biomarkers (N-terminal pro-B-type natriuretic peptide [NT-proBNP], high-sensitivity cardiac troponin I, fibrinogen, C-reactive protein, eGFR, and total triglycerides) were significantly associated with AF. NT-proBNP had the best diagnostic performance for AF with area under the receiver operating characteristic curve 0.92 (95%, CI 0.86–0.98); a cutoff value of >528 ng/L had a sensitivity of 79% and a specificity of 97%. None of the other biomarkers, including microRNAs, was associated with AF. Conventional biochemical biomarkers (NT-proBNP, high-sensitivity cardiac troponin I, fibrinogen, C-reactive protein, eGFR, and triglycerides), but not microRNAs (miR-21, miR-29b, miR-133b, miR-142-5p, miR-150, miR-499, and miR-223-3p) were significantly associated with AF in our ischemic stroke cohort.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/md.0000000000040165
- OA Status
- gold
- References
- 50
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4403867927
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4403867927Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/md.0000000000040165Digital Object Identifier
- Title
-
MicroRNAs and other biomarkers of atrial fibrillation in ischemic stroke patientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-10-25Full publication date if available
- Authors
-
Petr Janský, Vojtěch Kaplan, Tereza Šrámková, Filip Kolman, Petra Kloudová, Kateřina Benešová, Anna Olšerová, Petra Kešnerová, Hana Magerová, Vlastimil Šulc, Hana Halmová, Silvia Kmetonyová, Jaroslava Paulasová Schwabová, Ivana Šarbochová, Václav Maťoška, Aleš TomekList of authors in order
- Landing page
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https://doi.org/10.1097/md.0000000000040165Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1097/md.0000000000040165Direct OA link when available
- Concepts
-
Medicine, Atrial fibrillation, Internal medicine, Receiver operating characteristic, Biomarker, Cardiology, Natriuretic peptide, Area under the curve, Stroke (engine), Prospective cohort study, Fibrinogen, Troponin, Troponin I, Gastroenterology, Heart failure, Myocardial infarction, Chemistry, Engineering, Biochemistry, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
- References (count)
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50Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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