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Endothelial dysfunction and inflammation after percutaneous coronary intervention

We studied 30 consecutive patients who underwent coronary stenting with respect to postprocedure endothelial dysfunction and levels of pre- and postprocedure cytokines. Patients with severe impairment of flow-mediated dependent dilation, but not flow- mediated independent dilation, had higher concen...

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Bibliographic Details
Published in:The American journal of cardiology 2004-12, Vol.94 (11), p.1420-1423
Main Authors: Blum, Arnon, Schneider, David J., Sobel, Burton E., Dauerman, Harold L.
Format: Article
Language:English
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Summary:We studied 30 consecutive patients who underwent coronary stenting with respect to postprocedure endothelial dysfunction and levels of pre- and postprocedure cytokines. Patients with severe impairment of flow-mediated dependent dilation, but not flow- mediated independent dilation, had higher concentrations of C-reactive protein before percutaneous coronary intervention (12.9 ± 20.2 vs 5.6 ± 13.0 μg/ml, p = 0.04) and 24 hours after stenting (18.8 ± 20.8 vs 11.8 ± 20.0 μg/ml, p = 0.05) than patients without severe abnormities of systemic endothelial function. Thus, endothelium-dependent dilation abnormalities were related to the systemic inflammatory state, whereas endothelium-independent dilation abnormalities were not related to the inflammatory status of the patient.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2004.07.146