Clinical Significance of Cys-C and hs-CRP in Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention

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Autor principal: Zheng Tan
Formato: Artículo científico
Lenguaje:en
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2019
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author Zheng Tan
author_facet Zheng Tan
contents Clinical Significance of Cys-C and hs-CRP in Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention Zheng Tan Li Li Yi Ma Bachelor Xuebin Geng Medicina Cystatin C Coronary Disease Reactive Protein Percutaneous Coronary Intervention Objective: To investigate the clinical significance of serum cystatin C (Cys-C) and high-sensitivity C-reactive protein (hs- CRP) in coronary heart disease (CHD) patients undergoing percutaneous coronary intervention (PCI). Methods: One hundred and twenty-eight CHD patients were divided into drug treatment (56 cases) and PCI treatment (72 cases) groups, receiving conventional drug treatment and PCI plus conventional drug treatment, respectively. At admission time and 4 weeks after treatment, the left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter, and left ventricular end systolic diameter were measured. At admission time and 24h, 72h, 1 week, and 4 weeks after treatment, the serum levels of Cys-C and hs-CRP were determined. Results: After 4 weeks of treatment, LVEF in the PCI treatment group was significantly higher than that before treatment (P<0.01) and it was significantly higher than in the drug treatment group at the same time (P<0.01). Cys-C and hs-CRP level in the PCI treatment group were significantly higher than in the drug treatment group 72h and 1 week after treatment (P<0.05 or P<0.01), respectively, but they were significantly lower than in the drug treatment group 4 weeks after treatment (P<0.01). There were obvious interaction effects between grouping factor and time factor in Cys-C (F=3.62, P<0.05) and hs-CRP (F=17.85, P<0.01). Conclusion: Serum levels of Cys-C and hs-CRP are closely related to the heart function in CHD patients undergoing PCI, and they may be used for predicting the outcome of PCI. 2019 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398964872004 https://www.redalyc.org/journal/3989/398964872004/ https://www.redalyc.org/journal/3989/398964872004/html/ https://www.redalyc.org/journal/3989/398964872004/398964872004.epub https://www.redalyc.org/journal/3989/398964872004/movil 10.21470/1678-9741-2018-0310 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.34
format Artículo científico
id redalyc_398964872004
institution Redalyc
language en
publishDate 2019
publisher Sociedade Brasileira de Cirurgia Cardiovascular
spellingShingle Clinical Significance of Cys-C and hs-CRP in Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention
Zheng Tan
Medicina
Cystatin C
Coronary Disease
Reactive Protein
Percutaneous Coronary Intervention
Clinical Significance of Cys-C and hs-CRP in Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention Zheng Tan Li Li Yi Ma Bachelor Xuebin Geng Medicina Cystatin C Coronary Disease Reactive Protein Percutaneous Coronary Intervention Objective: To investigate the clinical significance of serum cystatin C (Cys-C) and high-sensitivity C-reactive protein (hs- CRP) in coronary heart disease (CHD) patients undergoing percutaneous coronary intervention (PCI). Methods: One hundred and twenty-eight CHD patients were divided into drug treatment (56 cases) and PCI treatment (72 cases) groups, receiving conventional drug treatment and PCI plus conventional drug treatment, respectively. At admission time and 4 weeks after treatment, the left ventricular ejection fraction (LVEF), left ventricular end diastolic diameter, and left ventricular end systolic diameter were measured. At admission time and 24h, 72h, 1 week, and 4 weeks after treatment, the serum levels of Cys-C and hs-CRP were determined. Results: After 4 weeks of treatment, LVEF in the PCI treatment group was significantly higher than that before treatment (P<0.01) and it was significantly higher than in the drug treatment group at the same time (P<0.01). Cys-C and hs-CRP level in the PCI treatment group were significantly higher than in the drug treatment group 72h and 1 week after treatment (P<0.05 or P<0.01), respectively, but they were significantly lower than in the drug treatment group 4 weeks after treatment (P<0.01). There were obvious interaction effects between grouping factor and time factor in Cys-C (F=3.62, P<0.05) and hs-CRP (F=17.85, P<0.01). Conclusion: Serum levels of Cys-C and hs-CRP are closely related to the heart function in CHD patients undergoing PCI, and they may be used for predicting the outcome of PCI. 2019 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398964872004 https://www.redalyc.org/journal/3989/398964872004/ https://www.redalyc.org/journal/3989/398964872004/html/ https://www.redalyc.org/journal/3989/398964872004/398964872004.epub https://www.redalyc.org/journal/3989/398964872004/movil 10.21470/1678-9741-2018-0310 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.1 Vol.34
title Clinical Significance of Cys-C and hs-CRP in Coronary Heart Disease Patients Undergoing Percutaneous Coronary Intervention
topic Medicina
Cystatin C
Coronary Disease
Reactive Protein
Percutaneous Coronary Intervention
url https://www.redalyc.org/articulo.oa?id=398964872004
https://www.redalyc.org/journal/3989/398964872004/
https://www.redalyc.org/journal/3989/398964872004/html/
https://www.redalyc.org/journal/3989/398964872004/398964872004.epub
https://www.redalyc.org/journal/3989/398964872004/movil