Article ID Journal Published Year Pages File Type
3166883 Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2012 8 Pages PDF
Abstract

ObjectiveTo determine if salivary biomarkers demonstrate utility for identifying aspects of myocardial necrosis.MethodsTwenty-one patients undergoing alcohol septal ablation (ASA) for treatment of hypertrophic cardiomyopathy provided serum and unstimulated whole saliva at baseline and incremental time points post-ASA. Samples were analyzed for seven biomarkers related to myocardial damage, inflammation, and tissue remodeling using immunosorbent assays. Levels were compared with baseline and levels observed in 97 healthy controls.ResultsBiomarkers of myocardial damage and inflammation (ie, troponin I, creatine kinase-MB, myoglobin, C-reactive protein) rose in serum 2- to 812-fold after ASA (P < .01). Significant elevations of 2.0- to 3.5-fold were observed with C-reactive protein and troponin I in saliva (P < .02). Significant correlations between levels in serum and saliva were observed for C-reactive protein, matrix metalloproteinase-9, and myeloperoxidase (P < .001).ConclusionsSelect salivary biomarkers reflect changes that occur during, and subsequent to, myocardial necrosis caused by ASA.

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Health Sciences Medicine and Dentistry Dentistry, Oral Surgery and Medicine
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