Vascular versus myocardial dysfunction in acute coronary syndrome: are the adhesion molecules as powerful as NT-proBNP for long-term risk stratification?

OBJECTIVES: To determine if elevations of adhesion molecules in acute coronary syndrome (ACS) are useful for risk stratification. DESIGN AND METHODS: A cell adhesion array (Randox Ltd.) and NT-proBNP were measured in 216 ACS patients. RESULTS: Kaplan-Meier and Cox models indicate early elevations of NT-proBNP but not the adhesion molecules are predictive of future death/myocardial infarction. DISCUSSION: Elevations of adhesion molecules early after pain onset in ACS are not useful for long-term risk stratification.