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Investigating the Inflammatory Status in the Patients Candidate for Second Angiography After Coronary Stent Implantation Publisher Pubmed



Soflaei SS1 ; Saberikarimian M2 ; Baktashian M1 ; Tajfard M3, 4 ; Alimi H5 ; Tayefi M2, 6 ; Moohebati M7 ; Ebrahimi M7 ; Kosari N1 ; Dehghani M7 ; Esmaily H8 ; Hashemi SM9 ; Ferns GA10 ; Salehi M11 Show All Authors
Authors
  1. Soflaei SS1
  2. Saberikarimian M2
  3. Baktashian M1
  4. Tajfard M3, 4
  5. Alimi H5
  6. Tayefi M2, 6
  7. Moohebati M7
  8. Ebrahimi M7
  9. Kosari N1
  10. Dehghani M7
  11. Esmaily H8
  12. Hashemi SM9
  13. Ferns GA10
  14. Salehi M11
  15. Pasdar A1, 12
  16. Ghayourmobarhan M2, 7

Source: Acta Cardiologica Published:2023


Abstract

Background: Inflammation has been shown to be an important feature of atherosclerosis. We aimed to assess a profile of inflammatory cytokines and growth factors in patients with established coronary artery disease (CAD), 12 months after stent implantation. Methods: A total of 193 patients with CAD, who were candidates for angiography, 12 months after stent implantation (cases), were compared with 107 patients with CAD, who were candidates for their first angiography (controls). Fasting blood glucose (FBG), triglycerides (TGs), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and high-sensitive C-reactive protein (hs-CRP) were measured using routine methods. The serum concentrations of IL-1α, IL-1β, IL-2, IL-4, IL-6, IL-8, IL-10, TNF-α, IFN-γ, MCP-1, EGF and VEGF were determined using competitive chemiluminescence immunoassays. Results: Serum levels of FBG (p =.002), TG (p =.029) and hs-CRP (p =.005) were significantly lower in cases than controls. The cytokines and growth factor profiles in cases were significantly different from controls. After multivariate analysis, serum levels of IL-2 (p <.001), IL-4 (p =.028) were significantly lower in cases compared with the controls while serum levels of IL-8, TNF-α, MCP-1, EGF and VEGF were significantly higher in the cases (p <.001). Conclusions: In patients with CAD and higher consumption of drug used (statins, aspirin and glucose lowering agents) to mitigate the risk of a secondary event, the level of hs-CRP one year after stent implantation decreased despite of significant higher serum levels of pro- and anti-inflammatory cytokines and growth factors. © 2022 Belgian Society of Cardiology.
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