Why the study?
Percutaneous transluminal coronary angioplasty carries a risk of postoperative complications accompanied by biochemical disturbances, warranting evaluation of oxidative and inflammatory biomarkers to assist post-procedural management.
Do oxidative and inflammatory biomarkers change over 3 months in patients with acute myocardial infarction undergoing PTCA compared to controls?
Do oxidative and inflammatory biomarkers change over 3 months in patients with acute myocardial infarction undergoing PTCA compared to controls?
A panel of biomarkers including AOPP, hsCRP, PSP, and TMAO may be useful for evaluating inflammatory and oxidative status in patients recovering from acute myocardial infarction after PTCA.
Background and Objectives: Patients with acute myocardial infarction (MI) are usually treated with percutaneous transluminal coronary angioplasty (PTCA), which is burdened with a risk of postoperative complications, often accompanied by biochemical disturbances. The aim of our study was to evaluate a set of selected parameters of oxidative and inflammatory status, which could be useful in the management of post-procedural care in MI patients after PTCA. Materials and Methods: In this preliminary study, ischemia modified albumin (IMA), advanced oxidation protein products (AOPP), thiol groups (SH), total antioxidant status (TAS), insulin growth factor-1 (IGF-1), presepsin (PSP), and trimethylamine N-oxide (TMAO) were chosen as candidate biomarkers, and were determined in patients with MI who underwent PTCA at two time points: During cardiac episodes (at admission to the hospital, T0) and 3 months later (T3). Results: Most of the examined parameters were significantly different between patients and control subjects (except for IMA and TAS), but only hsCRP changed significantly during the time of observation (T0 vs. T3). Discriminant analysis created a model composed of AOPP, hsCRP, PSP, and TMAO, which differentiated male subjects into a group with MI and a control (without cardiovascular diseases). Conclusion: This set of parameters seems useful in evaluating inflammatory and oxidative status in MI patients after PTCA.
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Żurawska-Płaksej et al. (2019) studied this question.
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