Identification and Evaluation of Angiogenesis-Related Proteins That Predict Major Adverse Cardiovascular Events in Patients with Peripheral Artery Disease
2024

Identifying Proteins That Predict Heart Problems in Patients with Peripheral Artery Disease

Sample size: 406 publication 10 minutes Evidence: high

Author Information

Author(s): Li Ben, Shaikh Farah, Younes Houssam, Abuhalimeh Batool, Chin Jason, Rasheed Khurram, Zamzam Abdelrahman, Abdin Rawand, Qadura Mohammad

Primary Institution: University of Toronto

Hypothesis

Can angiogenesis-related proteins serve as biomarkers to predict major adverse cardiovascular events in patients with peripheral artery disease?

Conclusion

Endostatin, ANGPTL4, and ANGPTL3 are independently associated with major adverse cardiovascular events in patients with peripheral artery disease.

Supporting Evidence

  • Endostatin levels were significantly higher in PAD patients with major adverse cardiovascular events.
  • ANGPTL4 and ANGPTL3 also showed significant elevation in PAD patients with adverse events.
  • These proteins were independently associated with cardiovascular events after adjusting for other risk factors.

Takeaway

Doctors can measure certain proteins in the blood to see if patients with leg artery problems are at risk for serious heart issues.

Methodology

A prognostic study measuring plasma concentrations of 22 angiogenesis-related proteins in a cohort of 406 patients over 2 years.

Potential Biases

Potential bias due to single-center study design and lack of drug treatment data.

Limitations

The study was conducted at a single center, and longer follow-up is needed to fully understand the prognostic value of the proteins.

Participant Demographics

Mean age 68.8 years, 33% female, with 254 patients having peripheral artery disease.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 1.12–1.71 for endostatin, 95% CI 1.08–1.68 for ANGPTL4, 95% CI 1.12–1.63 for ANGPTL3

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/jcdd11120402

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