Conjunctive analysis of biological marker expression for predicting cardiac mortality

a biological marker and conjunctive analysis technology, applied in the field of conjunctive analysis of biological marker expression for predicting cardiac mortality, can solve the problems of no other natriuretic peptide nor these molecules, and achieve the effect of improving diagnostic accuracy over clinical evaluation and efficient use of medical resources

a biological marker and conjunctive analysis technology, applied in the field of conjunctive analysis of biological marker expression for predicting cardiac mortality, can solve the problems of no other natriuretic peptide nor these molecules, and achieve the effect of improving diagnostic accuracy over clinical evaluation and efficient use of medical resources

USRE39816E1Inactive Publication Date: 2007-09-04NEXUS DX
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[0046]Cardiac troponin I (cTnI) has been validated as a sensitive and specific marker of myocyte damage and as a predictor of adverse events in acute coronary syndromes cTnI has been also reported to be elevated in patients with congestive heart failure. Similarly, pro-ANP has been reported to be elevated in patients with CHF. Congestive heart failure is characterized by hemodynamic and neurohumoral responses to injury that result in progressive cardiac remodeling, fibrosis and apoptosis. However in patients with chronic heart failure, it is unclear whether there is a relationship between either elevated levels of cTnI alone, or in conjunction with elevated levels of pro-ANP, and survival. We thus assessed whether detectable levels of cTnI was associated with survival in 221 chronic heart failure patients. In addition, we assessed whether cTnI levels in conjunction with pro-ANP levels was more predictive of survival than each marker individually. These patients were categorized as C...

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Abstract

A diagnostic tool is disclosed for accurately and rapidly diagnosing the condition of an ailing organ. Although applicable to numerous organ and organ systems, this application particularly illustrates the concept of conjunctive marker utilization as it relates to diagnosing and distinguishing congestive heart failure. The invention particularly relates to the conjunctive utilization of cardiac Troponin I (cTn-I) and natriuretic peptide, e.g. ANP, pro-ANP, BNP, pro-BNP and CNP as a retrospective tool for diagnosing the underlying mechanism of heart failure and as a prospective analytical device for monitoring disease progression and efficacy of therapeutic agents.

Description

[0001]This is a reissue of U.S. Pat. No. 6,461,828, which issued from application Ser. No. 09 / 946,171, filed Sep. 4, 2001.FIELD OF THE INVENTION[0002]This invention relates to the concept of conjunctive utilization of biological markers expressed in response to abnormal pressure, volume change and stress to a particular organ (e.g. N-terminal ANP (pro-ANP) in heart tissue) along with the expression of biological markers that are indicative of tissue damage (e.g. cardiac Troponin I (cTnI), or fibrosis markers for heart tissue) as a diagnostic tool to accurately and rapidly diagnose the condition of the ailing organ. Although this concept is applicable to numerous organ and organ systems, this application will particularly illustrate the concept of conjunctive marker utilization with respect to the heart, specifically with respect to congestive heart failure. The invention particularly relates to the conjunctive utilization of cardiac Troponin I (cTnI) and natriuretic peptides, e.g. b...

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Application Information

Patent Timeline
04 Sep 2007
Publication
USRE39816E1
IPC
G01N33/543; G01N33/558; G01N33/68
CPC
G01N33/558; G01N33/6893; G01N2800/325; Y10S435/975; Y10S436/807; Y10S436/808; Y10S435/97; Y10S435/973
Inventors
STANTON, ERIC B.; JACKOWSKI, GEORGE