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November 19, 2008Cardiology

Local Changes in the Plasma Endothelin Level in the Coronary Artery Immediately after Percutaneous Transluminal Coronary Angioplasty

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Why the study?

Does percutaneous transluminal coronary angioplasty alter local plasma endothelin levels in the coronary circulation?

Population

Patients undergoing percutaneous transluminal coronary angioplasty (PTCA)

Comparison

Percutaneous transluminal coronary angioplasty vs Pre-angioplasty levels and peripheral vein levels

Design

Cohort

Follow-up

Immediately after the procedure

Key result

Percutaneous transluminal coronary angioplasty did not significantly alter local coronary endothelin levels, which remained higher than peripheral venous levels (9.8 vs 7.7 pg/ml, P<0.005).

Authors

JEJan Voj aacute ccaron ekSIStanislav Scaron imekPEPetr Kmon iacute ccaron ek

Discussion

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Member takes

Overview

Endothelin changes after PTCA remain uncharacterized in this Level 5 report; leaves open any clinical or therapeutic implications.

Study Design

Type

Observational

Structured PICO

Does percutaneous transluminal coronary angioplasty alter local plasma endothelin levels in the coronary circulation?

P
Population
Patients undergoing percutaneous transluminal coronary angioplasty evaluated for changes in local plasma endothelin levels immediately after the procedure.
E
Exposure
Percutaneous transluminal coronary angioplasty (PTCA)
C
Comparator
Pre-angioplasty levels and peripheral vein levels
O
Outcome
Changes in local plasma endothelin level in the coronary circulation immediately after PTCAsurrogate

Main Result

Absolute Event Rate: 9.8% vs 7.7%

p-value: p=<0.005

PTCA does not acutely alter local coronary endothelin levels on average, although baseline coronary levels are significantly higher than peripheral venous levels.

Cite This Study

ek et al. (2008) conducted an observational in Coronary artery disease requiring PTCA. Percutaneous transluminal coronary angioplasty (PTCA) vs. Peripheral vein was evaluated on Plasma endothelin level (p=<0.005). Percutaneous transluminal coronary angioplasty did not significantly alter local coronary endothelin levels, which remained higher than peripheral venous levels (9.8 vs 7.7 pg/ml, P<0.005).

synapsesocial.com/papers/6aa69cf2246eab12a27f5604https://doi.org/10.1159/000177288
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Release of endothelin 1 and angiotensin II induced by percutaneous transluminal coronary angioplasty2000 · 22 citations
  2. 2Plasma endothelin levels as a function of coronary artery manipulation during balloon angioplasty and high-speed rotational atherectomy1998 · 2 citations
  3. 3Concentration of circulating plasma endothelin in patients with angina and normal coronary angiograms.1995 · 120 citations
  4. 4Role of endothelin in microvascular dysfunction following percutaneous coronary intervention for non-ST elevation acute coronary syndromes: a single-centre randomised controlled trial2016 · 16 citations
  5. 5Increased plasma endothelin levels in angina patients with rapid coronary artery disease progression2001 · 56 citations