The relationship between low thiol levels and major adverse cardiovascular events after primary percutaneous coronary intervention in patients with STEMI

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Küçük Resim

Tarih

2018

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Turkish Soc Cardiology

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Ojective: The aim of this study was to investigate whether low thiol levels are associated with peri-procedural factors during primary percutaneous coronary intervention (pPCI) upon admission with ST-segment elevation myocardial infarction (STEMI), and the prognostic value at 6-month follow-up. Methods: A total of 241 consecutive acute STEMI patients who underwent pPCI and a control group of 67 individuals with a normal coronary angiography were enrolled in the study. Result: While age, contrast-induced nephropathy, N-terminal prohormone of brain natriuretic peptide (NT-proBNP), stent length, and creatinine were related to native thiol, NT-proBNP, contrast-induced nephropathy, and creatinine were related to total thiol. NT-proBNP was also related to the disulphide level. The left ventricular ejection fraction (LVEF) and the levels of native thiol, total thiol, low-density lipoprotein, and serum albumin were found to be independent predictors of major adverse cardiovascular events (MACEs) during 6 months of follow-up. Conclusion: Initial lower native thiol, total thiol, LVEF, LDL, and serum albumin may be used to identify patients with an increased long-term risk of unfavorable cardiac events in case of STEMI.

Açıklama

Anahtar Kelimeler

Elevation Myocardial-Infarction, Oxidative Stress, Thiol/Disulphide Homeostasis, No-Reflow, Syntax Score, Human Plasma, Marker, Risk, Angiography, Albumin

Kaynak

Turk Kardiyoloji Dernegi Arsivi-Archives of The Turkish Society of Cardiology

WoS Q Değeri

N/A

Scopus Q Değeri

Cilt

46

Sayı

4

Künye