Raised interleukin-10 is an indicator of poor outcome and enhanced systemic inflammation in patients with acute coronary syndrome
2008

Interleukin-10 Levels and Outcomes in Acute Coronary Syndrome

Sample size: 3179 publication Evidence: moderate

Author Information

Author(s): Mälarstig A, Eriksson P, Hamsten A, Lindahl B, Wallentin L, Siegbahn A

Primary Institution: Uppsala University

Hypothesis

What is the relationship between plasma interleukin-10 concentration at hospital admission and outcomes in patients with non-ST elevation acute coronary syndrome?

Conclusion

IL-10 reflects a proinflammatory state in patients with acute coronary syndrome and may be a useful biomarker for predicting future cardiovascular events.

Supporting Evidence

  • IL-10 levels were significantly higher in patients than in healthy controls.
  • The highest risk of death or myocardial infarction was observed in patients with the highest IL-10 levels.
  • Adjustment for common risk indicators weakened the association between IL-10 and outcomes.

Takeaway

This study found that higher levels of a substance called interleukin-10 in the blood can mean a higher risk of serious heart problems for patients with chest pain.

Methodology

The study measured IL-10 plasma concentrations and genotyped SNPs in patients with acute coronary syndrome and healthy controls.

Limitations

The association between IL-10 levels and outcomes weakened after adjusting for other risk indicators.

Participant Demographics

Patients included 3179 individuals with non-ST elevation acute coronary syndrome and 393 healthy controls, matched for age and gender.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI, 1.2 to 2.3

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1136/hrt.2007.119271

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