Ischemic biomarkers and their use to predict adverse...

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G01N 33/53 (2006.01) G01N 33/537 (2006.01) G01N 33/543 (2006.01) G01N 33/566 (2006.01)

Patent

CA 2595263

Methods are provided for predicting the occurrence of adverse neurological events from surgery. Such adverse events include, for example, stroke, delirium and transient ischemic attach (TIA). The methods are based on the discovery that levels of circulating cerebral NMDA receptor peptides and antibodies can be used to identify patients who are likely to suffer from an adverse neurological event. Also provided are diagnostic procedures for practicing the predictve methods of the current invention, and interventional strategies for reducing the risk of adverse neurological events from surgery (Figure 1).

L'invention porte sur des procédés permettant de prévoir l'apparition d'événements neurologiques indésirables dus à une intervention chirurgicale. Parmi ces événements indésirables figurent par exemple les attaques, les délires et les accidents ischémiques transitoires. Ces procédés sont fondés sur la découverte selon laquelle les niveaux de peptides du récepteur de NMDA cérébral circulant et les niveaux des anticorps peuvent servir à identifier des patients susceptibles de souffrir d'un événement neurologique indésirable. L'invention porte sur des procédures diagnostiques permettant de mettre en oeuvre ces procédés de prévision, ainsi que des stratégies d'intervention afin de réduire le risque d'événements neurologiques indésirables dus à une intervention chirurgicale.

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