[Prognostic value of S-100B protein plasma measurement after cardiac arrest]

Ann Biol Clin (Paris). 2010 Jan-Feb;68(1):33-8. doi: 10.1684/abc.2010.0399.
[Article in French]

Abstract

S-100B protein is selectively synthesized by glial cells, and is released in biological fluids after acute brain damage. We analyzed initial levels and evolution of plasma S-100B protein concentrations after resuscitated cardiopulmonary arrest (CPA). S-100B levels were determined in 27 subjects at the time of CPA (H0) then 12, 24 and 48 h after resuscitation. Initial levels of S-100B and kinetics revealed that: 1) 95% the of subjects with a concentration of protein S-100B greater than 0.80 microg/L at H0 did not survive; 2) 62% of subjects with a concentration of protein S-100B lower than 0.80 microg/L at H0 survived; 3) 100% of subjects with a protein S-100B level lower than 0.80 microg/L at H0 and whose evolution kinetics of S-100B levels showed a decrease survived; 4) 100% of the subjects whose S-100B levels increased from H12 died. In summary, this study suggests that the threshold of 0.80 microg/L for S-100B plasma levels at H0 could be predictive for the outcome of the CPA, when associated with the kinetic study of S-100B plasma concentration.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Cardiopulmonary Resuscitation
  • Female
  • Heart Arrest / blood*
  • Heart Arrest / mortality*
  • Heart Arrest / therapy
  • Humans
  • Male
  • Middle Aged
  • Nerve Growth Factors / blood*
  • Prognosis
  • S100 Calcium Binding Protein beta Subunit
  • S100 Proteins / blood*
  • Young Adult

Substances

  • Biomarkers
  • Nerve Growth Factors
  • S100 Calcium Binding Protein beta Subunit
  • S100 Proteins