DK2660599T3 - Forudsigelse af risiko for større uønskede hjertehændelser - Google Patents
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- DK2660599T3 DK2660599T3 DK13179055.2T DK13179055T DK2660599T3 DK 2660599 T3 DK2660599 T3 DK 2660599T3 DK 13179055 T DK13179055 T DK 13179055T DK 2660599 T3 DK2660599 T3 DK 2660599T3
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Claims (15)
- FORUDSIGELSE AF RISIKO FOR STØRRE UØNSKEDE HJERTEHÆNDELSER PATENTKRAV1. Fremgangsmåde til udvælgelse af en behandling til et individ, hvilken fremgangsmåde omfatter: bestemmelse af en risikoscore for større uønskede hjertehændelser (MACERS) for et individ baseret på, mindst delvist, forholdet mellem et andet niveau af opløseligt vækststimuleringsudtrykt gen 2 (ST2) hos individet på et andet tidspunkt (ST2 TI) og et første niveau af opløseligt ST2 hos individet på et første tidspunkt (ST2 TO), foruden en vægtet naturlig logaritme for et niveau af N-terminalt natriuretisk peptid af cerebraltypen (NT-proBNP) hos individet på et andet tidspunkt (NP TI) i henhold til følgende formel: MACERS = (ST2 T1/ST2 TO) + <xln(NP TI), hvor α er en vægtningsfaktor; sammenligning af MACERS med en reference-MACERS; og udvælgelse af: (a) initial hospitalisering, forsat behandling på hospitalet, eller hjertekateterisation for et individ, der har en forhøjet MACERS sammenlignet med reference-MACERS’en, (2) en alternativ behandling af et individ, der modtager en behandling og som har en forhøjet MACERS sammenlignet med reference-MACERS’en, eller (3) forsat behandling eller afbrydning af behandling, såsom hospitaludskrivelse, for et individ, der modtager en behandling og som har en nedsat MACERS sammenlignet med reference-MACERS’en.
- 2. Fremgangsmåde ifølge krav 1, hvor initial hospitalisering, forsat behandling på hospitalet, eller hjertekateterisation udvælges for et individ, der har en forhøjet MACERS sammenlignet med reference-MACERS’en.
- 3. Fremgangsmåde ifølge krav 1, hvor en alternativ behandling udvælges til et individ, der modtager en behandling, og som har en nedsat MACERS sammenlignet med reference-MACERS’en.
- 4. Fremgangsmåde ifølge krav 1, hvor forsat behandling eller afbrydning af behandling, såsom hospitaludskrivelse, udvælges for et individ, der modtager behandling og som har en nedsat MACERS sammenlignet med reference-MACERS’en.
- 5. Fremgangsmåde ifølge krav 1, hvor reference-MACERS’en repræsenterer en score, der svarer til en lav risiko for en uønsket hændelse inden for et år.
- 6. Fremgangsmåde ifølge krav 1, hvor fremgangsmåden omfatter: opnåelse af et første niveau af opløseligt ST2 hos individet på det første tidspunkt til bestemmelse af ST2 TO; opnåelse af et andet niveau af opløseligt ST2 hos individet på det andet tidspunkt til bestemmelse af ST2T1; og opnåelse af et niveau af NT-proBNP hos individet på det andet tidspunkt til bestemmelse af NP TI.
- 7. Fremgangsmåde til evaluering af effektiviteten af en behandling hos et individ, hvilken fremgangsmåde omfatter: bestemmelse af en første MACE-risikoscore (MACERS) for et individ baseret på, mindst delvist, forholdet mellem et andet niveau af opløseligt vækststimuleringsudtrykt gen 2 (ST2) hos individet på et andet tidspunkt (ST2 TI) og et første niveau af opløseligt ST2 hos individet på et første tidspunkt (ST2 TO), foruden en vægtet naturlig logaritme for et niveau af N-terminalt natriuretisk peptid af cerebraltypen (NT-proBNP) hos individet på et andet tidspunkt (NP TI) i henhold til følgende formel: første MACERS = (ST2 T1/ST2 TO) + aln(NP TI), hvor a er en vægtningsfaktor; bestemmelse af en anden MACE-risikoscore (MACERS) for et individ baseret på, mindst delvist, forholdet mellem et tredje niveau af opløseligt ST2 hos individet på et tredje tidspunkt (ST2 T2) og det første niveau af opløseligt ST2 hos individet på det første tidspunkt (ST2 TO), foruden en vægtet naturlig logaritme af et niveau af NT-proBNP hos individet på det tredje tidspunkt (NP T2) i henhold til følgende formel: anden MACERS = (ST2 T2/ST2 TO) + aln(NP T2), hvor a er en vægtningsfaktor; sammenligning af den anden MACERS med den første MACERS; og bestemmelse af, om behandlingen er effektiv hos et individ, der har en anden MACERS, der er nedsat sammenlignet med den første MACERS, eller om behandlingen ikke var effektiv hos et individ, der har en anden MACERS, der er lig med eller forhøjet sammenlignet med den første MACERS.
- 8. Fremgangsmåde ifølge krav 7, hvor behandlingen fastslås at være effektiv hos et individ, der har en anden MACERS, der er nedsat sammenlignet med den første MACERS.
- 9. Fremgangsmåde ifølge krav 7, hvor behandlingen fastslås ikke at være effektiv hos et individ, der har en anden MACERS, der er lig med eller forhøjet sammenlignet med den første MACERS.
- 10. Fremgangsmåde ifølge krav 7, hvor fremgangsmåde omfatter: opnåelse af et første niveau af opløseligt ST2 hos individet på det første tidspunkt til bestemmelse af ST2 TO; opnåelse af et andet niveau af opløseligt ST2 hos individet på det andet tidspunkt til bestemmelse af ST2T1; opnåelse af et tredje niveau af opløseligt ST2 hos individet på det tredje tidspunkt til bestemmelse af ST2 T2; opnåelse af et niveau af NT-proBNP hos individet på det andet tidspunkt til bestemmelse af NP Ti; Og opnåelse af et niveau af NT-proBNP hos individet på det tredje tidspunkt til bestemmelse af NP T2.
- 11. Fremgangsmåde ifølge krav 1 eller 7, hvor vægtningsfaktoren α er omkring 0,33.
- 12. Fremgangsmåde ifølge krav 1 eller 7, hvor det første tidspunkt er inden for 1-7 dage fra indtræden af symptomer hos individet.
- 13. Fremgangsmåde ifølge krav 1 eller 7, hvor det andet tidspunkt er 2-14 dage efter det første tidspunkt.
- 14. Fremgangsmåde ifølge krav 1 eller 7, hvor individet er blevet diagnosticeret med hjertefejl, eller har en BMI på 25-29, en BMI på > 30 eller nyreinsufficiens.
- 15. Fremgangsmåde ifølge krav 1 eller 7, hvor prøven omfatter serum, blod eller plasma.
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