Documento descargado de http://www.elsevier.es el 20/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. Letters to the Editor The variability of the plasmatic concentration of the proteins involved in the genesis of vascular damage has also been discussed by many authors. Amongst these studies it would be relevant to mention the noticeable contributions of Domínguez et al regarding circadian rhythm of PCR, CD40L, melatonin, interleukin 6, VCAM-1 and MMP-9, amongst others, and cardiovascular disease.6-8 Some of the proteins mentioned by them, such as PCR and CD40L have higher serum concentrations in the light phase (9.00) than in the dark phase (2.00), whilst other such as VCAM-1 show a higher serum concentration in the dark phase. For obvious reasons, the majority of clinical studies are carried out using blood samples taken in the morning and from patients who have not eaten. Although all these studies are without doubt very important for understanding the implication of the diverse biomarkers in the circadian and seasonal rhythm of cardiovascular events, their extrapolation to clinical practice is not easy, as these same authors demonstrate. With regards the comments about the role of neopterin in cardiovascular disease from Avanzas et al,2 we agree about the importance of the role that neopterin can have as a biomarker in coronary disease, as well as other biomarkers that we haven’t mentioned due to lack of space (eg, PAPP-A or cystatin C, previously reviewed by this same team9). The contributions from the authors, in particular Prof. Kaski, regarding the role of the determination of serum neopterin in particular in acute coronary syndrome, are well known by all of us with interest in plasmatic biomarkers and cardiovascular disease. The studies by authors since their initial description in 1997,10 have made an important contribution to involving neopterin, a protein produced by macrophages activated by the interferon-gamma, as a prognostic marker in risk stratification in patients with coronary disease. Recently it has also been shown that serum concentration of neopterin can be predictive of dysfunction of the left ventricle in patients with stable chronic angina.11 The authors studies have been widely acknowledged in the relevant literature and this year three excellent reviews have been carried out of the subject, which we recommend to our readers.12-14 Despite not mentioning it in our review, we hope that our comments have helped to place neopterin on the list of available biomarkers and that our respected authors do not have to ever have to say again “Neopterin: still a forgotten biomarker.” 15 José Luis Martín-Ventura,a Luis Miguel Blanco-Colio,a José Tuñón,b and Jesús Egidoa a Laboratorio de Patología Vascular, Fundación Jiménez Díaz-Universidad Autónoma, Madrid, Spain b Servicio de Cardiología, Fundación Jiménez Díaz-Universidad Autónoma, Madrid, Spain. REFERENCES 1. Domínguez Rodríguez A, Abreu González P. Variaciones diurnas de los biomarcadores en la medicina cardiovascular: importancia clínica. Rev Esp Cardiol. 2009;62:1340-1. 2. Avanzas P, Arroyo-Espliguero R, Kaski JC. Papel de la neopterina en la medicina cardiovascular. Rev Esp Cardiol. 2009;62:1341-2. 3. Martín-Ventura JL, Blanco-Colio LM, Tuñón J, Muñoz-García B, Madrigal-Matute J, Moreno JA, et al. Biomarcadores en la medicina cardiovascular. Rev Esp Cardiol. 2009;62:677-88. 4. Anderson L. Candidate-based proteomics in the search for biomarkers of cardiovascular disease. J Physiol. 2005;563:23-60. 5. Marchant B, Ranjadayalan K, Stevenson R, Wilkinson P, Timmis AD. Circadian and seasonal factors in the pathogenesis of acute myocardial infarction: the influence of environmental temperature. Br Heart J. 1993;69:385-7. 6. Domínguez-Rodríguez A, Abreu-González P. Seasonal variations in the incidence of acute myocardial infarction are independent or interactive of the brain or the heart? Int J Cardiol. 2009 Jun 2 [Epub ahead of print]. 7. Domínguez Rodríguez A, Abreu González P, Bosa Ojeda F. Angioplastia primaria y variaciones diurnas. Rev Esp Cardiol. 2009;62:709-10. 8. Dominguez-Rodriguez A, Abreu-Gonzalez P, Kaski JC. Diurnal variation of circulating myeloperoxidase levels in patients with ST-segment elevation myocardial infarction. Int J Cardiol. 2009 Apr 1 [Epub ahead of print]. 9. Piñón P, Kaski JC. Inflamación, aterosclerosis y riesgo cardiovascular: PAPP-A, Lp-PLA2 y cistatina C. ¿Nuevas aportaciones o información redundante? Rev Esp Cardiol. 2006;59:247-58. 10. Gupta S, Fredericks S, Schwartzman RA, Holt DW, Kaski JC. Serum neopterin in acute coronary syndromes. Lancet. 1997;349:1252-3. 11. Estévez-Loureiro R, Recio-Mayoral A, Sieira-Rodríguez-Moret JA, Trallero-Araguás E, Kaski JC. Neopterin levels and left ventricular dysfunction in patients with chronic stable angina pectoris. Atherosclerosis. 2009 May 3 [Epub ahead of print]. 12. Avanzas P, Kaski JC. Neopterin for risk assessment in angina pectoris. Drug News Perspect. 2009;22:215-9. 13. Avanzas P, Arroyo-Espliguero R, Kaski JC. Neopterin and cardiovascular disease: growing evidence for a role in patient risk stratification. Clin Chem. 2009;55:1056-7. 14. Avanzas P, Arroyo-Espliguero R, Kaski JC. Neopterin— Marker of coronary artery disease activity or extension in patients with chronic stable angina? Int J Cardiol. 2009 Jan 19 [Epub ahead of print]. 15. Kaski JC, Avanzas P, Arroyo-Espliguero R. Neopterin: still a forgotten biomarker. Clin Chem. 2005;51:1902-3. Please, Be Careful With Bibliographical References To the Editor: It is always comforting to find reviews in your journal from many health professionals from Spain and further afield; well written and researched articles, focused on current, interesting subjects. However, the recent “Brief Reports” by San Román et al1 has generated some varied feelings: pleasure at reading an article focused on a field Rev Esp Cardiol. 2009;62(11):1332-44 1343 Documento descargado de http://www.elsevier.es el 20/11/2016. Copia para uso personal, se prohíbe la transmisión de este documento por cualquier medio o formato. Letters to the Editor that has been and currently is a motive for study by our team, and disappointment upon analysing the bibliography that was included. Of the 14 references listed, one of them is repeated,2 two have “minor” errors (incomplete information),3,4 and 3 have serious errors regarding the attributed authors.5-7 With regard to the sections that affect us, our original text focuses on inadequate admissions, and not inadequate stay as referenced. The article possibly was referring to another piece written by our team, in which inadequate stays were assessed.8 As a result of these findings, it must be remembered that a bibliography is the scientific support for the study, and a study that is well supported bibliographically will show that the work has been carried out with great attention to detail. In addition to this, all the information from the bibliographic references have to be checked against their original sources, verifying the names of the authors, the title of the document and the name of the publication in which it appears, as well as the year of publication, the volume and the page numbers.9,10 Finally, we do understand that detection of these errors is also the role and responsibility of the journal editors (pairs of editors), a point which is key for the constant improvement to the already high quality Revista Española de Cardiología journal. José L. Zambrana Director Asistencial, Hospital de Montilla, Montilla, Córdoba, Spain 1344 Rev Esp Cardiol. 2009;62(11):1332-44 REFERENCES 1. San Román JA, Luquero FJ, de la Fuente L, Pérez-Rubio A, Tamames S, Fernández-Avilés F, et al. Evaluación de las estancias inadecuadas en un servicio de cardiología. Rev Esp Cardiol. 2009;62:211-5. 2. Pérez-Rubio A, Santos S, Luquero FJ, Tamames S, Cantón B, Castrodeza JJ. Evaluación de la adecuación de las estancias en un hospital de tercer nivel. An Sist Sanit Navar. 2007:30: 29-36. 3. Lorenzo S, Suñol R. An overview of Spanish Studies on appropriateness of hospital use. Int J Qual Health Care. 1995;7:213-8. 4. Perea García J, Lago Oliver J, Quijada García B, Garrido G, Muñoz-Calero A. Evaluación del uso hospitalario según el AEP (protocolo de evaluación de la adecuación) en un servicio de cirugía general. Cir Esp. 2000;68:47-52. 5. Villalta J, Sisó A, Cereijo AC, Sequeira E, de la Sierra A. Adecuación de la hospitalización en una unidad de estancia corta de un hospital universitario. Un estudio controlado. Med Clin (Barc). 2004;122:454-6. 6. Velasco Díaz L, García Ríos S, Oterino de la Fuente D, Suárez García F, Diego Roza S, Fernández Alonso R. Impacto de los ingresos urgentes innecesarios sobre las estancias hospitalarias en un hospital de Asturias. Rev Esp Salud Publica. 2005;79: 541-9. 7. Zambrana García JL, Delgado Fernández M, Cruz Caparrós G, Díez García F, Martín Escalante MD, Salas Coronas J. Factores asociados a ingresos no adecuados en un servicio de medicina interna. Med Clin (Barc). 2001;116:652-4. 8. Zambrana García JL, Delgado Fernánez M, Cruz Caparrós G, Díez García F, Martín Escalante MD, Ruiz Bailén M. Factores predictivos de estancias no adecuadas en un servicio de medicina interna. Med Clin (Barc). 2001;117:90-2. 9. Medicina Clínica. Manual de estilo. Publicaciones biomédicas. Barcelona: Doyma Libros; 1993. p. 62. 10. Preparación de la versión final de un manuscrito. En: Huth EJ, editor. Cómo escribir y publicar trabajos en ciencias de la salud. Barcelona: Masson-Salvat Medicina; 1992. p. 185-8.