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J Am Coll Cardiol, 2007; 49:2081-2089, doi:10.1016/j.jacc.2006.08.069 (Published online 11 May 2007).
© 2007 by the American College of Cardiology Foundation
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Total Cholesterol Content of Erythrocyte Membranes Is Increased in Patients With Acute Coronary Syndrome

A New Marker of Clinical Instability?

Dimitrios N. Tziakas, MD, PhD*, Juan Carlos Kaski, MD, DSc, FACC*,*, Georgios K. Chalikias, MD, PhD*, Carlos Romero, MD{dagger}, Salim Fredericks, PhD{dagger}, Ioannis K. Tentes, PhD{ddagger}, Alexandros X. Kortsaris, PhD{ddagger}, Dimitrios I. Hatseras, MD, PhD{ddagger} and David W. Holt, PhD{dagger}

* Cardiovascular Biology Research Centre, Division of Cardiac and Vascular Sciences, St. George's, University of London, London, United Kingdom
{dagger} Analytical Unit, Division of Cardiac and Vascular Sciences, St. George's, University of London, London, United Kingdom
{ddagger} University Cardiology Department, Democritus University of Thrace, Alexandroupolis, Greece


Figure 1
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Figure 1 Total Cholesterol Content of Erythrocyte Membranes in Stable CAD and ACS Patients

Box plots represent median, quartiles, and range values of total cholesterol content of erythrocyte membranes (CEM). Data do not reflect logarithmic transformation or covariate adjustment as assessed in the analysis of covariance model. ACS = acute coronary syndrome; CAD = coronary artery disease.

 

Figure 2
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Figure 2 Number of Patients With ACS in Each Decile of CEM

Deciles d1 through d10 correspond to the following values: <47.6 µg/mg, 47.6 to 60.7 µg/mg, >60.7 to 82 µg/mg, >82 to 103.6 µg/mg, >103.6 to 112.1 µg/mg, >112.1 to 132.4 µg/mg, >132.4 to 173.1 µg/mg, >173.1 to 212.6 µg/mg, >212.6 to 284.8 µg/mg, and >284.8 µg/mg, respectively. Bars represent number of ACS patients within each decile. Abbreviations as in Figure 1.

 

Figure 3
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Figure 3 ROC Analysis Regarding Predictive Accuracy for the Characterization of CAD Activity

The bold line represents receiver-operating characteristic curve (ROC) analysis for total cholesterol content of erythrocyte membranes. The continuous line represents ROC analysis for C-reactive protein (CRP) levels. The dotted line represents ROC analysis for 1/high-density lipoprotein (HDL) cholesterol levels. CAD = coronary artery disease.

 




 
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