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Published on: January 28, 2020
Increased plasma C-reactive protein and interleukin-6 concentrations in patients with slow coronary flow
Jian-Jun Li1, Xue-Wen Qin, Zi-Cheng Li
1Department of Cardiology, Fu Wai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, People's Republic of China. lijnjn@yahoo.com.cn
Insights
Inflammation may play a role in slow coronary flow (SCF). Patients with SCF showed higher levels of C-reactive protein (CRP) and interleukin-6 (IL-6), which correlated with reduced coronary flow.
Area of Science:
- Cardiology
- Inflammation Research
Background:
- Slow coronary flow (SCF) is detected during angiography without stenosis.
- Inflammation is implicated in atherosclerosis.
- The link between inflammation and SCF is unexplored.
Purpose of the Study:
- To investigate if inflammatory markers are elevated in patients with SCF.
Main Methods:
- 42 patients with SCF (using TIMI frame count) and 30 controls were studied.
- Plasma levels of high-sensitivity C-reactive protein (CRP) and interleukin-6 (IL-6) were measured.
- Commercial kits were used for plasma concentration evaluation.
Main Results:
- No clinical differences were observed between groups.
- SCF patients had higher CRP and IL-6 levels than controls (p < 0.01).
- TIMI frame count positively correlated with CRP and IL-6 levels (p < 0.01).
Conclusions:
- Elevated CRP and IL-6 levels are present in SCF patients.
- These inflammatory markers correlate with reduced coronary flow.
- Further research is needed to explore the role of inflammation in SCF pathogenesis.
Background:
Slow coronary filling of epicardial coronary arteries in the absence of stenosis is not infrequently detected finding during routine coronary angiography. There is mounting evidence suggested that an inflammatory process play an important role in atherosclerotic pathogenesis appeared in different clinical settings. However, the possible association between inflammation and slow coronary flow (SCF) has not been investigated. We examined whether the increased inflammatory markers are present in patients with SCF.
Methods:
Forty-two patients with SCF detected by coronary angiography via the Thrombosis In Myocardial Infarction (TIMI) frame count method were enrolled in this study. The plasma concentration of high-sensitivity C-reactive protein (CRP) and interleukin-6 (IL-6) were evaluated using commercial available kits. Data were compared with 30 control subjects with angiographically normal coronary flow.
Results:
There are no differences regarding clinical characteristics between the 2 groups. The data showed, however, that plasma CRP and IL-6 concentrations were higher in patients with SCF compared with normal control subject (CRP: 0.27 +/- 0.16 vs. 0.22 +/- 0.11mg/l; and IL-6: 8.7 +/- 0.8 vs. 5.4 +/- 0.4pg/ml, p < 0.01 respectively). In addition, mean TIMI frame count was positively correlated with plasma CRP and IL-6 concentrations (CRP: gamma = 0.551; IL-6: gamma = 0.573, p < 0.01 respectively).
Conclusions:
Plasma concentration of CRP and IL-6 concentrations increased, and was positive correlated with TIMI frame count in patients with SCF compared with normal coronary flow subject. Therefore, whether the increased inflammatory markers are related to the pathogenesis of SCF in these patients deserved further investigation.
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