OSTEOPONTIN IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS AS A PREDICTOR OF CARDIOVASCULAR EVENTS


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Abstract

Currently, the problem of finding a predictor of chronic obstructive pulmonary disease (COPD) progression and the development of its complications is extremely actual. One of the markers of systemic inflammation described in the literature is osteopontin (OPN), an elevated level of which is associated with the risk of adverse cardiovascular events' development. The aim of the study is to evaluate the influence of elevated OPN level at the frequency of hospitalizations for COPD exacerbation and the development of cardiovascular events in patients with cardiorespiratory pathology. Material and methods. The study included 99 patients with proven diagnosis of COPD A-D by the GOLD scale, in combination with coronary heart disease (CHD) and without it. In all patients, OPN level was determined, analysis of cardiovascular events and hospitalizations' frequency for COPD exacerbations during 1 year of follow-up was made. Results. OPN has a significant direct correlation with probability of hospitalization development, while the values of this marker ≥ 71,74 ng/ml corresponded to the presence of hospitalization for exacerbation of COPD or a cardiovascular event. Conclusion. Detecting OPN level will let to improve approaches to the tactics of managing COPD patients, identify risk groups, and carry out timely therapy correction.

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About the authors

Natalya A. Suvorova

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia; O.M. Filatov City Clinical Hospital No. 15 of the Department of Healthcare of Moscow

Email: natalia-suvorova@inbox.ru
assistant at the Department of hospital therapy named after Academician P.E. Lukomsky of the Faculty of general medicine; general practitioner 111539, Moscow, 23/4 Veshnyakovskaya Str

Ivan G. Gordeev

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (on the basis of O.M. Filatov City Clinical Hospital No. 15 of the Department of Healthcare of Moscow)

Dr. med. habil., professor; head of the Department of hospital therapy named after Academician P.E. Lukomsky of the Faculty of general medicine 111539, Moscow, 23/4 Veshnyakovskaya Str

Elena E. Luchinkina

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare of Russia (on the basis of O.M. Filatov City Clinical Hospital No. 15 of the Department of Healthcare of Moscow)

PhD in Medicine, associate professor of the Department of hospital therapy named after Academician P.E. Lukomsky of the Faculty of general medicine 111539, Moscow, 23/4 Veshnyakovskaya Str

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