Document Detail


Oxidative stress and antioxidative defense parameters early after reperfusion therapy for acute myocardial infarction.
MedLine Citation:
PMID:  18568574     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reperfusion of ischemic myocardium evokes rapid release of free radicals in experimental models. The aim of the study was to investigate the oxidative stress and antioxidative defense during first minutes after reopening of the infarct related artery in patients treated for acute myocardial infarction. The study group consisted of 15 patients with first ST elevation myocardial infarction (STEMI) due to left anterior descending artery occlusion. The control group included ten patients with stable ischemic heart disease (IHD). Blood samples from coronary sinus were drawn before, immediately after and about 15 min after angioplasty. Activity of superoxide dysmutase (SOD), concentration of glutathione as well as the concentrations of lipid peroxides, malodialdehyde (MDA) and 4-hydroxy-2-nonenal (HNE) were measured. There was significantly higher concentration of MDA and HNE and higher SOD activity in STEMI patients before the reperfusion, as compared to the stable IHD group. After the reperfusion concentration of HNE in erythrocytes from STEMI patients was higher than in IHD group. At the same time the activity of SOD significantly decreased in patients with impaired tissue perfusion (myocardial blush grade <2). In conclusion, there is a slightly higher concentration of oxidative stress parameters in patients with STEMI. Diminished antioxidative defense after reperfusion is associated with impaired myocardial perfusion.
Authors:
K Kaminski; T Bonda; I Wojtkowska; S Dobrzycki; P Kralisz; K Nowak; P Prokopczuk; E Skrzydlewska; M Kozuch; W J Musial
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Acute cardiac care     Volume:  10     ISSN:  1748-2941     ISO Abbreviation:  Acute Card Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-06-23     Completed Date:  2008-11-04     Revised Date:  2009-11-17    
Medline Journal Info:
Nlm Unique ID:  101276603     Medline TA:  Acute Card Care     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  121-6     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Medical University of Bialystok, Bialystok, Poland. fizklin@mp.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aldehydes / blood
Antioxidants / metabolism*
Biological Markers / blood*
Coronary Angiography
Electrocardiography
Follow-Up Studies
Glutathione / blood
Humans
Lipid Peroxides / blood
Malondialdehyde / blood
Middle Aged
Myocardial Infarction / blood*,  diagnosis,  therapy
Myocardial Reperfusion / methods*
Oxidative Stress*
Prognosis
Superoxide Dismutase / blood
Chemical
Reg. No./Substance:
0/Aldehydes; 0/Antioxidants; 0/Biological Markers; 0/Lipid Peroxides; 29343-52-0/4-hydroxy-2-nonenal; 542-78-9/Malondialdehyde; 70-18-8/Glutathione; EC 1.15.1.1/Superoxide Dismutase

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


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