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Erschienen in: Heart and Vessels 6/2015

01.11.2015 | Original Article

Urinary KIM-1, NGAL and L-FABP for the diagnosis of AKI in patients with acute coronary syndrome or heart failure undergoing coronary angiography

verfasst von: Isidro Torregrosa, Carmina Montoliu, Amparo Urios, María Jesús Andrés-Costa, Carla Giménez-Garzó, Isabel Juan, María Jesús Puchades, María Luisa Blasco, Arturo Carratalá, Rafael Sanjuán, Alfonso Miguel

Erschienen in: Heart and Vessels | Ausgabe 6/2015

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Abstract

Acute kidney injury (AKI) is a common complication after coronary angiography. Early biomarkers of this disease are needed since increase in serum creatinine levels is a late marker. To assess the usefulness of urinary kidney injury molecule-1 (uKIM-1), neutrophil gelatinase-associated lipocalin (uNGAL) and liver-type fatty acid-binding protein (uL-FABP) for early detection of AKI in these patients, comparing their performance with another group of cardiac surgery patients. Biomarkers were measured in 193 patients, 12 h after intervention. In the ROC analysis, AUC for KIM-1, NGAL and L-FABP was 0.713, 0.958 and 0.642, respectively, in the coronary angiography group, and 0.716, 0.916 and 0.743 in the cardiac surgery group. Urinary KIM-1 12 h after intervention is predictive of AKI in adult patients undergoing coronary angiography, but NGAL shows higher sensitivity and specificity. L-FABP provides inferior discrimination for AKI than KIM-1 or NGAL in contrast to its performance after cardiac surgery. This is the first study showing the predictive capacity of KIM-1 for AKI after coronary angiography. Further studies are still needed to answer relevant questions about the clinical utility of biomarkers for AKI in different clinical settings.
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Metadaten
Titel
Urinary KIM-1, NGAL and L-FABP for the diagnosis of AKI in patients with acute coronary syndrome or heart failure undergoing coronary angiography
verfasst von
Isidro Torregrosa
Carmina Montoliu
Amparo Urios
María Jesús Andrés-Costa
Carla Giménez-Garzó
Isabel Juan
María Jesús Puchades
María Luisa Blasco
Arturo Carratalá
Rafael Sanjuán
Alfonso Miguel
Publikationsdatum
01.11.2015
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 6/2015
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-014-0538-z

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