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Jean Claude Lapraz

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Braukyliene R, Hedayat K, Zajanckauskiene L, Jurenas M, Unikas R, Aldujeli A, Petrokas O, Zabiela V, Steponaviciute R, Vitkauskiene A, Hedayat B, Simonyte S, Lesauskaite V, Lapraz JC, Zaliaduonyte D. Prognostic Value of Cortisol Index of Endobiogeny in Acute Myocardial Infarction Patients. ACTA ACUST UNITED AC 2021;57:medicina57060602. [PMID: 34208003 PMCID: PMC8230642 DOI: 10.3390/medicina57060602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 06/03/2021] [Accepted: 06/08/2021] [Indexed: 01/10/2023]

Abstract

Background and Objectives: Serum cortisol has been extensively studied for its role during acute myocardial infarction (AMI). Reports have been inconsistent, with high and low serum cortisol associated with various clinical outcomes. Several publications claim to have developed methods to evaluate cortisol activity by using elements of complete blood count with its differential. This study aims to compare the prognostic value of the cortisol index of Endobiogeny with serum cortisol in AMI patients, and to identify if the risk of mortality in AMI patients can be more precisely assessed by using both troponin I and cortisol index than troponin I alone. Materials and methods: This prospective study included 123 consecutive patients diagnosed with AMI. Diagnostic coronary angiography and revascularization was performed for all patients. Cortisol index was measured on admission, on discharge, and after 6 months. Two year follow-up for all patients was obtained. Results: Our study shows cortisol index peaks at 7–12 h after the onset of AMI, while serum cortisol peaked within 3 h from the onset of AMI. The cortisol index is elevated at admission, then significantly decreases at discharge; furthermore, the decline to its bottom most at 6 months is observed with mean values being constantly elevated. The cortisol index on admission correlated with 24-month mortality. We established combined cut-off values of cortisol index on admission > 100 and troponin I > 1.56 μg/las a prognosticator of poor outcomes for the 24-month period. Conclusions: The cortisol index derived from the global living systems theory of Endobiogeny is more predictive of mortality than serum cortisol. Moreover, a combined assessment of cortisol index and Troponin I during AMI offers more accurate risk stratification of mortality risk than troponin alone.

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Affiliation(s)

Rima Braukyliene Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.) Correspondence:
Kamyar Hedayat Systems Biology Research Group, Chicago, IL 60603, USA; (K.H.); (B.H.); (J.C.L.)
Laura Zajanckauskiene Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Martynas Jurenas Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Ramunas Unikas Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Ali Aldujeli Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Osvaldas Petrokas Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Vytautas Zabiela Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Rasa Steponaviciute Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Astra Vitkauskiene Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Brigita Hedayat Systems Biology Research Group, Chicago, IL 60603, USA; (K.H.); (B.H.); (J.C.L.)
Sandrita Simonyte Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Vaiva Lesauskaite Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)
Jean Claude Lapraz Systems Biology Research Group, Chicago, IL 60603, USA; (K.H.); (B.H.); (J.C.L.)
Diana Zaliaduonyte Cardiology Department, Lithuanian University of Health Sciences, LT 50161 Kaunas, Lithuania; (L.Z.); (M.J.); (R.U.); (A.A.); (O.P.); (V.Z.); (R.S.); (A.V.); (S.S.); (V.L.); (D.Z.)

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Buehning LJ, Hedayat KM, Sachdeva A, Golshan S, Lapraz JC. A novel use of biomarkers in the modeling of cancer activity based on the theory of endobiogeny. Glob Adv Health Med 2014;3:55-60. [PMID: 25105079 PMCID: PMC4104563 DOI: 10.7453/gahmj.2013.041] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open