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March 3, 2016Chinese Medical JournalOpen Access

Effects of Percutaneous Coronary Intervention on Serum Angiopoietin-2 in Patients with Coronary Heart Disease

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Key result

Percutaneous coronary intervention significantly decreased serum Angiopoietin-2 concentrations in patients with coronary heart disease from 4625.06 pg/ml to 3042.63 pg/ml.

Why the study?

Does percutaneous coronary intervention reduce serum Angiopoietin-2 concentrations in patients with coronary heart disease?

Population

64 patients with coronary heart disease undergoing PCI, and 32 healthy subjects as controls.

Comparison

Percutaneous coronary intervention (PCI) vs Pre-PCI baseline and healthy subjects

Design

Cohort

Authors

ZZZhiyu ZengFuzhou Second HospitalCGChun GuiGuangxi Medical UniversityLLLang LiFirst Affiliated Hospital of GuangXi Medical University

Discussion

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Implication

PCI-associated Ang-2 reduction should not yet change practice; leaves open its prognostic or therapeutic role in coronary disease.

Study Design

Type

Observational (n=96)

Multicenter

No

Structured PICO

Does percutaneous coronary intervention reduce serum Angiopoietin-2 concentrations in patients with coronary heart disease?

P
Population
96 participants, comprising 64 patients with coronary heart disease and 32 healthy controls, evaluated for changes in serum Angiopoietin-2 concentrations 24-48 hours after percutaneous coronary intervention.
I
Intervention
Percutaneous coronary intervention (PCI)
C
Comparator
Pre-PCI baseline (within-group) and healthy subjects (between-group)
O
Outcome
Serum Angiopoietin-2 (Ang-2) concentrationssurrogate

Main Result

Absolute Event Rate: 3042.63% vs 4625.06%

p-value: p=<0.01

PCI significantly decreases elevated serum Ang-2 concentrations in patients with CHD, suggesting Ang-2 may serve as a biomarker for myocardial ischemia and vessel remodeling.

Limitations

  • Small sample size limiting statistical power
  • Other clinical factors such as drugs and disease stage of individuals were not analyzed
  • Serial measurement of Ang-2 was limited to 24-48 hours, missing possible later changes

Cite This Study

Zeng et al. (2016) conducted an observational in Coronary Heart Disease (n=96). Percutaneous coronary intervention (PCI) vs. Pre-PCI baseline was evaluated on Serum Angiopoietin-2 (Ang-2) concentrations (p=<0.01). Percutaneous coronary intervention significantly decreased serum Angiopoietin-2 concentrations in patients with coronary heart disease from 4625.06 pg/ml to 3042.63 pg/ml.

synapsesocial.com/papers/6a7315190c0db29dfc2c1272https://doi.org/10.4103/0366-6999.177968

Topics

Percutaneous coronary interventionCoronary artery disease
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Also Consider

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  1. 1Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary disease. Implications for patient selection. Multivessel Angioplasty Prognosis Study Group.1990 · 1,354 citations
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