Inflammatory and vasoactive factors in the aspirate from the culprit coronary artery of patients with acute myocardial infarction

Young Guk Ko, Jae Hun Jung, Sungha Park, Euiyoung Choi, Boyoung Joung, Ki Chul Hwang, Jong Won Ha, Donghoon Choi, Yangsoo Jang, Namsik Chung, Won Heum Shim, Seung Yun Cho

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background: Besides distal embolization of thrombus and plaque debris, locally increased inflammatory markers at the site of ruptured plaque in acute myocardial infarction (AMI) are thought to have an adverse impact on myocardial reperfusion during primary percutaneous coronary intervention (PCI). However, there is lack of data on such factors. Therefore, we investigated the presence of locally increased inflammatory and vasoactive factors in culprit coronary artery. Methods: We performed primary PCI with PercuSurge GuideWire system in 18 AMI patients. We collected blood samples from the femoral artery before PCI and from culprit coronary artery after first predilation while inflating the distal protection balloon and after completing PCI. We determined concentrations of C-reactive protein, soluble CD40 ligand, Interleukin (IL-6), serotonin, tissue factor, and factor VIIa. Results: While the concentrations of soluble CD40 ligand (2.84 ± 3.74 vs 0.98 ± 0.63 ng/mL, p = 0.004), IL-6 (33.67 ± 32.63 vs 17.08 ± 21.41 pg/mL, p < 0.001), serotonin (2.05 ± 0.76 vs 0.92 ± 0.60 ng/mL, p < 0.001), tissue factor (257.17 ± 84.34 vs 154.60 ± 87.99 pg/mL, p < 0.001) and factor VIIa (34.30 ± 27.30 vs 24.19 ± 28.00 ng/mL, p = 0.016) were significantly higher in the culprit coronary artery than in the femoral artery, CRP levels did not differ. The locally elevated concentrations of various factors were successfully reduced after multiple aspirations of blood using the PercuSurge GuideWire system. Conclusions: We found increased levels of soluble CD40 ligand, IL-6, serotonin, tissue factor and factor VII in the culprit coronary artery compared to those in peripheral blood. The clinical impact of such locally increased soluble factors in the culprit coronary artery needs to be investigated in further studies.

Original languageEnglish
Pages (from-to)66-71
Number of pages6
JournalInternational Journal of Cardiology
Volume112
Issue number1
DOIs
Publication statusPublished - 2006 Sep 10

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Percutaneous Coronary Intervention
Coronary Vessels
Myocardial Infarction
CD40 Ligand
Interleukin-6
Thromboplastin
Factor VIIa
Serotonin
Femoral Artery
Myocardial Reperfusion
Factor VII
C-Reactive Protein
Thrombosis

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

Ko, Young Guk ; Jung, Jae Hun ; Park, Sungha ; Choi, Euiyoung ; Joung, Boyoung ; Hwang, Ki Chul ; Ha, Jong Won ; Choi, Donghoon ; Jang, Yangsoo ; Chung, Namsik ; Shim, Won Heum ; Cho, Seung Yun. / Inflammatory and vasoactive factors in the aspirate from the culprit coronary artery of patients with acute myocardial infarction. In: International Journal of Cardiology. 2006 ; Vol. 112, No. 1. pp. 66-71.
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abstract = "Background: Besides distal embolization of thrombus and plaque debris, locally increased inflammatory markers at the site of ruptured plaque in acute myocardial infarction (AMI) are thought to have an adverse impact on myocardial reperfusion during primary percutaneous coronary intervention (PCI). However, there is lack of data on such factors. Therefore, we investigated the presence of locally increased inflammatory and vasoactive factors in culprit coronary artery. Methods: We performed primary PCI with PercuSurge GuideWire system in 18 AMI patients. We collected blood samples from the femoral artery before PCI and from culprit coronary artery after first predilation while inflating the distal protection balloon and after completing PCI. We determined concentrations of C-reactive protein, soluble CD40 ligand, Interleukin (IL-6), serotonin, tissue factor, and factor VIIa. Results: While the concentrations of soluble CD40 ligand (2.84 ± 3.74 vs 0.98 ± 0.63 ng/mL, p = 0.004), IL-6 (33.67 ± 32.63 vs 17.08 ± 21.41 pg/mL, p < 0.001), serotonin (2.05 ± 0.76 vs 0.92 ± 0.60 ng/mL, p < 0.001), tissue factor (257.17 ± 84.34 vs 154.60 ± 87.99 pg/mL, p < 0.001) and factor VIIa (34.30 ± 27.30 vs 24.19 ± 28.00 ng/mL, p = 0.016) were significantly higher in the culprit coronary artery than in the femoral artery, CRP levels did not differ. The locally elevated concentrations of various factors were successfully reduced after multiple aspirations of blood using the PercuSurge GuideWire system. Conclusions: We found increased levels of soluble CD40 ligand, IL-6, serotonin, tissue factor and factor VII in the culprit coronary artery compared to those in peripheral blood. The clinical impact of such locally increased soluble factors in the culprit coronary artery needs to be investigated in further studies.",
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Inflammatory and vasoactive factors in the aspirate from the culprit coronary artery of patients with acute myocardial infarction. / Ko, Young Guk; Jung, Jae Hun; Park, Sungha; Choi, Euiyoung; Joung, Boyoung; Hwang, Ki Chul; Ha, Jong Won; Choi, Donghoon; Jang, Yangsoo; Chung, Namsik; Shim, Won Heum; Cho, Seung Yun.

In: International Journal of Cardiology, Vol. 112, No. 1, 10.09.2006, p. 66-71.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Inflammatory and vasoactive factors in the aspirate from the culprit coronary artery of patients with acute myocardial infarction

AU - Ko, Young Guk

AU - Jung, Jae Hun

AU - Park, Sungha

AU - Choi, Euiyoung

AU - Joung, Boyoung

AU - Hwang, Ki Chul

AU - Ha, Jong Won

AU - Choi, Donghoon

AU - Jang, Yangsoo

AU - Chung, Namsik

AU - Shim, Won Heum

AU - Cho, Seung Yun

PY - 2006/9/10

Y1 - 2006/9/10

N2 - Background: Besides distal embolization of thrombus and plaque debris, locally increased inflammatory markers at the site of ruptured plaque in acute myocardial infarction (AMI) are thought to have an adverse impact on myocardial reperfusion during primary percutaneous coronary intervention (PCI). However, there is lack of data on such factors. Therefore, we investigated the presence of locally increased inflammatory and vasoactive factors in culprit coronary artery. Methods: We performed primary PCI with PercuSurge GuideWire system in 18 AMI patients. We collected blood samples from the femoral artery before PCI and from culprit coronary artery after first predilation while inflating the distal protection balloon and after completing PCI. We determined concentrations of C-reactive protein, soluble CD40 ligand, Interleukin (IL-6), serotonin, tissue factor, and factor VIIa. Results: While the concentrations of soluble CD40 ligand (2.84 ± 3.74 vs 0.98 ± 0.63 ng/mL, p = 0.004), IL-6 (33.67 ± 32.63 vs 17.08 ± 21.41 pg/mL, p < 0.001), serotonin (2.05 ± 0.76 vs 0.92 ± 0.60 ng/mL, p < 0.001), tissue factor (257.17 ± 84.34 vs 154.60 ± 87.99 pg/mL, p < 0.001) and factor VIIa (34.30 ± 27.30 vs 24.19 ± 28.00 ng/mL, p = 0.016) were significantly higher in the culprit coronary artery than in the femoral artery, CRP levels did not differ. The locally elevated concentrations of various factors were successfully reduced after multiple aspirations of blood using the PercuSurge GuideWire system. Conclusions: We found increased levels of soluble CD40 ligand, IL-6, serotonin, tissue factor and factor VII in the culprit coronary artery compared to those in peripheral blood. The clinical impact of such locally increased soluble factors in the culprit coronary artery needs to be investigated in further studies.

AB - Background: Besides distal embolization of thrombus and plaque debris, locally increased inflammatory markers at the site of ruptured plaque in acute myocardial infarction (AMI) are thought to have an adverse impact on myocardial reperfusion during primary percutaneous coronary intervention (PCI). However, there is lack of data on such factors. Therefore, we investigated the presence of locally increased inflammatory and vasoactive factors in culprit coronary artery. Methods: We performed primary PCI with PercuSurge GuideWire system in 18 AMI patients. We collected blood samples from the femoral artery before PCI and from culprit coronary artery after first predilation while inflating the distal protection balloon and after completing PCI. We determined concentrations of C-reactive protein, soluble CD40 ligand, Interleukin (IL-6), serotonin, tissue factor, and factor VIIa. Results: While the concentrations of soluble CD40 ligand (2.84 ± 3.74 vs 0.98 ± 0.63 ng/mL, p = 0.004), IL-6 (33.67 ± 32.63 vs 17.08 ± 21.41 pg/mL, p < 0.001), serotonin (2.05 ± 0.76 vs 0.92 ± 0.60 ng/mL, p < 0.001), tissue factor (257.17 ± 84.34 vs 154.60 ± 87.99 pg/mL, p < 0.001) and factor VIIa (34.30 ± 27.30 vs 24.19 ± 28.00 ng/mL, p = 0.016) were significantly higher in the culprit coronary artery than in the femoral artery, CRP levels did not differ. The locally elevated concentrations of various factors were successfully reduced after multiple aspirations of blood using the PercuSurge GuideWire system. Conclusions: We found increased levels of soluble CD40 ligand, IL-6, serotonin, tissue factor and factor VII in the culprit coronary artery compared to those in peripheral blood. The clinical impact of such locally increased soluble factors in the culprit coronary artery needs to be investigated in further studies.

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