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April 1, 2004Thrombosis JournalOpen Access

Decreased soluble cell adhesion molecules after tirofiban infusion in patients with unstable angina pectoris

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Key result

Tirofiban infusion significantly decreased the levels of soluble cell adhesion molecules sICAM-1 and sVCAM-1 at 72 hours in patients with unstable angina pectoris compared to standard therapy alone.

Why the study?

Does tirofiban reduce soluble cell adhesion molecules (sICAM-1 and sVCAM-1) in patients with unstable angina pectoris?

Population

55 patients total: 35 with unstable angina pectoris, 10 with stable angina pectoris, and 10 with…

Comparison

Tirofiban added to standard therapy. vs Standard therapy without tirofiban.

Design

Cohort

Follow-up

72 hours

Authors

EEErtuğrul ErcanMarmara UniversityHBHüseyin BozdemirİTİstemihan TengizIzmir University

Discussion

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Implication

May support anti-inflammatory effects of tirofiban in unstable angina; hypothesis-generating and requires randomized confirmation before practice change.

Study Design

Type

Observational (n=55)

Structured PICO

Does tirofiban reduce soluble cell adhesion molecules (sICAM-1 and sVCAM-1) in patients with unstable angina pectoris?

P
Population
55 participants, including 35 with unstable angina pectoris, 10 with stable angina, and 10 with normal coronary arteries, evaluated for changes in cell adhesion molecules over 72 hours.
I
Intervention
Tirofiban (0.4 µg/kg/min bolus over 30 min followed by continuous infusion of 0.1 µg/kg/min for 72 h) added to standard therapy (aspirin, clopidogrel, statin, parenteral nitrate, and unfractionated heparin).
C
Comparator
Standard therapy (aspirin, clopidogrel, statin, parenteral nitrate, and unfractionated heparin) without tirofiban.
O
Outcome
Levels of soluble cell adhesion molecules (sICAM-1 and sVCAM-1) at 72 hours.surrogate

Main Result

Absolute Event Rate: 209.7% vs -25%

p-value: p=<0.0001

Tirofiban infusion significantly decreases soluble cell adhesion molecules in patients with unstable angina pectoris, suggesting an anti-inflammatory effect beyond its primary platelet inhibition mechanism.

Limitations

  • Small sample size
  • Non-randomized treatment allocation
  • Univariate statistical analysis only

Cite This Study

Ercan et al. (2004) conducted an observational in Unstable angina pectoris (n=55). Tirofiban vs. Standard therapy without tirofiban was evaluated on Change in sICAM-1 levels from baseline to 72 hours (ng/ml) (p=<0.0001). Tirofiban infusion significantly decreased the levels of soluble cell adhesion molecules sICAM-1 and sVCAM-1 at 72 hours in patients with unstable angina pectoris compared to standard therapy alone.

synapsesocial.com/papers/6a731f7015d4070ac52b314fhttps://doi.org/10.1186/1477-9560-2-4
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Increased Soluble Form of P-Selectin in Patients With Unstable Angina1995 · 198 citations
  2. 2Inflammatory role of platelets in acute coronary syndromes2001 · 58 citations
  3. 3Mechanisms of Unstable Angina1986 · 123 citations
  4. 4Platelet–Monocyte Aggregates2002 · 247 citations