Acute cardiac care & resuscitation

Association between haemolysis markers and neuron-specific enolase in acute myocardial infarction complicated by cardiogenic shock patients supported with a microaxial flow pump

Eur Heart J Acute Cardiovasc CarePublished consecutive AMICS patients receiving microaxial flow pump support ≥6 h from 2014 to 2022 in a tertiary Danish heart centre

Authors' conclusion

Neuron-specific enolase was associated with haemolysis, and not anoxic brain injury, in AMICS patients supported with a microaxial flow pump.

Study context

Population
Patients with acute myocardial infarction complicated by cardiogenic shock (AMICS) supported with a microaxial flow pump (Impella) for ≥6 hfinal study population with eligible neuron-specific enolase (NSE) and haemolysis biomarkers
Participants
44 patients
Comparison
Patients with vs without haemolysis
Outcome
Peak NSE, overall
Follow-up
Within 72 h following microaxial flow pump placement
Methodological detailssingle tertiary Danish heart centre
  • Single tertiary Danish heart centre

Main finding

As reported in the abstract

Median NSE

85 µg/L

Further findings

NSE by haemolysis · within 72 h following microaxial flow pump placement · significantly higher NSE with haemolysis

P = 0.018

NSE in out-of-hospital cardiac arrest (OHCA) vs non-OHCA patients

Neuron-specific enolase levels were similar between OHCA and non-OHCA patients

Death from anoxic brain injury, NSE above vs below 60 µg/L

No significant difference in death from anoxic brain injury

Correlation of NSE with haemolysis markers

Significantly moderate correlation with all investigated haemolysis markers

Original publication

Association between haemolysis markers and neuron-specific enolase in acute myocardial infarction complicated by cardiogenic shock patients supported with a microaxial flow pump. Eur Heart J Acute Cardiovasc Care. Published 10 January 2025. doi:10.1093/ehjacc/zuaf003

Composed by AI from the published abstract and checked against it. How Briefs are made →

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