Document Detail


Different effect of percutaneous and surgical coronary revascularization on cardiac autonomic function and inflammation in patients with stable angina.
MedLine Citation:
PMID:  17532490     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We assessed heart rate variability (HRV) and high-sensitivity C-reactive protein (CRP) serum levels in 77 patients with chronic stable angina (CSA), 47 of whom had obstructive coronary artery disease (CAD) and 30 normal or near-normal coronary arteries (NCA). The effect of percutaneous coronary interventions (PCI) and bypass surgery (CABG) on HRV and CRP was assessed in 36 patients (18 PCI, 18 CABG) 6 months after the intervention. A significant inverse correlation was found between CRP levels and HRV variables in CAD patients (best r value=-0.31, p=0.036 for very low frequency amplitude), but not in NCA patients. At follow-up, however, no significant correlation was found between CRP and HRV in PCI and CABG treated patients. Thus, while confirming the presence of a relation between cardiac autonomic dysfunction and inflammation in CAD patients, our data show that the association is lost after revascularization procedures.
Authors:
Pasquale Santangeli; Gregory Angelo Sgueglia; Alfonso Sestito; Priscilla Lamendola; Luca Mariani; Fabio Infusino; Giampaolo Niccoli; Filippo Crea; Gaetano Antonio Lanza
Publication Detail:
Type:  Letter     Date:  2007-05-29
Journal Detail:
Title:  International journal of cardiology     Volume:  127     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-16     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  269-70     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Angina Pectoris / blood,  physiopathology*,  surgery*
Angioplasty, Transluminal, Percutaneous Coronary*
C-Reactive Protein / metabolism
Coronary Angiography
Coronary Artery Bypass*
Coronary Disease / blood,  physiopathology*,  surgery*
Electrocardiography, Ambulatory
Female
Heart Rate / physiology
Humans
Inflammation
Male
Middle Aged
Chemical
Reg. No./Substance:
9007-41-4/C-Reactive Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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