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[Coronary angiography and change in antioxidative status]
R Thiele1, K Winnefeld, U Lotze
1Klinik für Innere Medizin III, Friedrich-Schiller-Universität Jena.
Summary
Coronary angiography in patients with stable angina pectoris led to a significant reduction in selenium levels. This antioxidant depletion may increase free radical formation, suggesting potential benefits from antioxidant supplementation.
Area of Science:
- Cardiology
- Biochemistry
- Oxidative Stress
Background:
- Stable angina pectoris is a common cardiovascular condition.
- Coronary angiography is a diagnostic procedure for assessing coronary artery disease.
- Antioxidant status plays a role in cardiovascular health and oxidative stress.
Purpose of the Study:
- To investigate the changes in antioxidant status markers following coronary angiography in patients with stable angina pectoris.
- To compare antioxidant status between patients with severe and moderate coronary alterations.
Main Methods:
- Prospective study involving 53 patients with stable angina pectoris.
- Measurement of serum and whole blood antioxidant markers (glutathione peroxidase, glutathione, superoxide dismutase, malondialdehyde, selenium) before and after coronary angiography.
- Classification of patients into severe (n=16) and moderate coronary alterations groups based on angiography results.
Main Results:
- A significant reduction in serum and whole blood selenium was observed in both patient groups post-angiography.
- Levels of glutathione peroxidase, superoxide dismutase, glutathione, and malondialdehyde showed only minor changes.
Conclusions:
- The observed reduction in selenium may contribute to increased free radical formation during coronary reperfusion or due to the angiography procedure itself.
- Further research is warranted to explore the implications of these findings.
- The potential benefits of antioxidant supplementation (Vitamins A, B, C, and selenium) for improving antioxidant status should be considered.