Document Detail


Effect of rotational coronary atherectomy on peripheral endothelin-1, atrial natriuretic peptide, and cyclic adenosine monophosphate plasma levels.
MedLine Citation:
PMID:  9784903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated the effects of coronary rotational atherectomy (PTCRA) on plasma levels of endothelin-1 (ET-1), atrial natriuretic peptide (ANP), and cyclic adenosine monophosphate (cAMP). We studied 14 patients undergoing PTCRA and compared them with 14 patients undergoing plain balloon angioplasty. Blood samples were taken from the femoral vein at baseline, after the end of the atherectomy, after the first balloon inflation, after the end of the procedure, and 4 hours later. ET-1 increased in the angioplasty group from 6.3 +/- 3.2 pmol/L at baseline to 8.5 +/- 3.9 pmol/L at the end of the procedure (F = 3.83, P = .02), whereas it did not change in the PTCRA group. ANP increased in the PTCRA group from 78.1 +/- 15.7 pmol/L at baseline to 89.7 +/- 24.0 pmol/L at the end of the procedure (F = 6.75, P = .0001), whereas it did not change in the angioplasty group. cAMP decreased in the PTCRA group, whereas it did not change in the angioplasty group. In conclusion, ET-1 increases less, ANP increases more, and cAMP decreases more during atherectomy than during plain balloon angioplasty.
Authors:
Z S Kyriakides; M Markianos; A Antoniadis; E Sbarouni; N Nikolaou; E Zarvalis; L Michalis; K Triantafillou; D T Kremastinos
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Cardiovascular drugs and therapy / sponsored by the International Society of Cardiovascular Pharmacotherapy     Volume:  12     ISSN:  0920-3206     ISO Abbreviation:  Cardiovasc Drugs Ther     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-12-30     Completed Date:  1998-12-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8712220     Medline TA:  Cardiovasc Drugs Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  245-50     Citation Subset:  IM    
Affiliation:
Second Department of Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Aged
Atherectomy, Coronary / methods*
Atrial Natriuretic Factor / blood*
Cyclic AMP / blood*
Endothelin-1 / blood*
Female
Humans
Male
Middle Aged
Prospective Studies
Rotation
Chemical
Reg. No./Substance:
0/Endothelin-1; 60-92-4/Cyclic AMP; 85637-73-6/Atrial Natriuretic Factor

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


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