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Published on: May 14, 2013
[Antioxidant status and restenosis after stenting of coronary arteries]
Insights
Antioxidant status may influence coronary artery restenosis after stenting. Higher levels of certain antioxidants correlate with better outcomes, while increased oxidative stress markers are linked to greater restenosis severity.
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Oxidative Stress Research
Background:
- Coronary artery restenosis remains a significant complication following percutaneous coronary intervention with stenting.
- The role of oxidative stress and antioxidant status in restenosis pathogenesis requires further elucidation.
Purpose of the Study:
- To investigate the potential association between antioxidant status markers and the severity of coronary artery restenosis after transluminal coronary angioplasty with stenting.
Main Methods:
- Quantitative coronary angiography was performed 6 months post-stenting in men with ischemic heart disease.
- Blood samples were analyzed for lipid peroxidation markers (lag phase, LDL lipoperoxides, MDA) and antioxidant enzyme activities (SOD, GP, catalase).
Main Results:
- Positive correlations were found between antioxidant markers (lag phase, GP activity) and minimal artery diameter post-stenting.
- Conversely, markers of oxidative stress (LDL lipoperoxides, MDA) correlated positively with stenosis severity and negatively with minimal artery diameter.
Conclusions:
- Antioxidant status appears to play a role in modulating the degree of coronary artery restenosis after stenting.
- These findings suggest that assessing oxidative stress markers could be valuable in predicting restenosis risk.
Aim:
To investigate possibility of effect of antioxidant status on severity of restenosis of coronary arteries after transluminal coronary angioplasty with stenting.
Material And Methods:
Men with ischemic heart disease and coronary angiography performed in 6 months after coronary artery stenting with bare stents were included in this study. Coronary angiograms were subjected to quantitative computer analysis. Samples of venous blood were obtained before control angiography. We assessed duration of lag phase of copper induced free radical oxidation of low density lipoproteins (LDL), and measured level of lipoperoxides in LDL, content of malone dialdehyde (MDA) in LDL, activity of superoxide dismutase (SOD), glutathione peroxidase (GP), and erythrocyte catalase.
Results:
We revealed positive correlations of lag phase duration and activity of GP with minimal artery diameter 6 months after stenting (r=0.41, p < 0.002 and r=0.24, p < 0.05, respectively), of lipoperoxide level in LDL and MDA content in LDL with degree of stenosis (r=0.32, p < 0.009, and r=0.37, p < 0002, respectively). We also found negative correlations between lag phase duration and GP activity with degree of restenosis (r= - 0.38, p < 0.04, and r= - 0.39, p < 0.001, respectively), level of lipoperoxides in LDL and MDA content in LDL with artery minimal diameter (r= - 0.33, p < 0.007, and r=0.32, p < 0.008, respectively).
Conclusion:
Our study confirms possibility of influence of antioxidant status on degree of coronary artery restenosis in patients after coronary artery stenting.
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