TY - JOUR
T1 - Does heart-type fatty acid-binding protein predict clinical outcomes after pediatric cardiac surgery
AU - Evers, Egmond S.
AU - Walavalkar, Varsha
AU - Pujar, Suresh
AU - Balasubramanian, Latha
AU - Prinzen, Frits W.
AU - Delhaas, Tammo
AU - Vanagt, Ward Y.
AU - Maiya, Shreesha
PY - 2017
Y1 - 2017
N2 - Introduction: The early identification of vulnerable pediatric cardiac surgery patients can help clinicians provide them with timely support. Heart-type fatty acid-binding protein. (H-FABP) is an early biomarker of myocardial injury in acute myocardial infarction in adults. In this study, we evaluated the correlations between postoperative H-FABP, creatine kinase-myocardial band (CK-MB), troponin-I, total bypass time, and clinical outcomes. Methods: In 32 pediatric patients that underwent ventricular septal defect. closure we measured H-FABP, troponin-I and CK-MB preoperatively and 1, 3, and 6 h after aortic declamping. Spearman's Rho correlations were calculated between laboratory and clinical parameters including inotropic support duration, aortic cross-clamp time, total bypass time, ventilation.weaning.time, and total Intensive Care Unit stay. Results: H-FABP, CK-MB, troponin-I, and total bypass time have a similarly weak to moderate correlation with clinical outcome measures. Conclusions: The predictive value of H-FABP for clinical outcome is not stronger than that of CK-MB, Troponin-I, or bypass times.
AB - Introduction: The early identification of vulnerable pediatric cardiac surgery patients can help clinicians provide them with timely support. Heart-type fatty acid-binding protein. (H-FABP) is an early biomarker of myocardial injury in acute myocardial infarction in adults. In this study, we evaluated the correlations between postoperative H-FABP, creatine kinase-myocardial band (CK-MB), troponin-I, total bypass time, and clinical outcomes. Methods: In 32 pediatric patients that underwent ventricular septal defect. closure we measured H-FABP, troponin-I and CK-MB preoperatively and 1, 3, and 6 h after aortic declamping. Spearman's Rho correlations were calculated between laboratory and clinical parameters including inotropic support duration, aortic cross-clamp time, total bypass time, ventilation.weaning.time, and total Intensive Care Unit stay. Results: H-FABP, CK-MB, troponin-I, and total bypass time have a similarly weak to moderate correlation with clinical outcome measures. Conclusions: The predictive value of H-FABP for clinical outcome is not stronger than that of CK-MB, Troponin-I, or bypass times.
KW - Bypass time
KW - heart-type fatty acid-binding protein
KW - pediatric cardiac surgery
KW - MYOCARDIAL DAMAGE
U2 - 10.4103/apc.APC_33_17
DO - 10.4103/apc.APC_33_17
M3 - Article
SN - 0974-2069
VL - 10
SP - 245
EP - 247
JO - Annals of Pediatric Cardiology
JF - Annals of Pediatric Cardiology
IS - 3
ER -