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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, RESULTS. Meshes: Acute Coronary Syndrome, Aged, Atherosclerosis, Biomarkers, C-Reactive Protein, Case-Control Studies, Coronary Artery Disease, E-Selectin, Electrocardiography, Enzyme-Linked Immunosorbent Assay, Female, Humans, Macrophage Migration-Inhibitory Factors, Male, Middle Aged, Myocardial Infarction, Retrospective Studies, Severity of Illness Index, Statistics, Nonparametric.
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Are increased circulating macrophage migration inhibitory factor levels associated with coronary artery disease? Context: To evaluate the macrophage migration inhibitory factor and E-selectin levels in patients with acute coronary syndrome. We examined the plasma migration inhibitory factor and E-selectin levels in 87 patients who presented with chest pain at our hospital. The patients were classified into two groups according to their cardiac status. Sixty-five patients had acute myocardial infarction, and 22 patients had non-cardiac chest pain (non-coronary disease). We designated the latter group of patients as the control group. The patients who presented with acute myocardial infarction were further divided into two subgroups: ST-elevated myocardial infarction (n = 30) and non-ST elevated myocardial infarction (n = 35). We found higher plasma migration inhibitory factor levels in both acute myocardial infarction subgroups than in the control group. However, the E-selectin levels were similar between the acute myocardial infarction and control patients. In addition, we did not find a significant difference in the plasma migration inhibitory factor levels between the ST elevated myocardial infarction and NST-elevated myocardial infarction subgroups.
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The circulating concentrations of migration inhibitory factor were significantly increased in acute myocardial infarction patients, whereas the soluble E-selectin levels were similar between acute myocardial infarction patients and control subjects. Our results suggest that migration inhibitory factor may play a role in the atherosclerotic process. Final Decision: yes