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Published on: January 28, 2020
Indicators of inflammation in the pathogenesis of unstable angina
Yevheniia H Zaremba1, Olha V Smaliukh1, Olena V Zaremba-Fedchyshyn1
1Department of Family Medicine From Faculty of Postgraduate Education, Danylo Halytsky National Medical University, Lviv, Ukraine.
Insights
Patients with unstable angina show elevated inflammatory markers and abnormal blood lipid profiles. These findings suggest an activated inflammatory process and lipid disorders, necessitating dietary changes and hypolipidemic agents.
Area of Science:
- Cardiology
- Biochemistry
- Immunology
Background:
- Coronary heart disease (CHD) involves complex pathophysiological processes.
- Inflammation and lipid metabolism disorders are key contributors to CHD development.
Purpose of the Study:
- To investigate the blood lipid spectrum.
- To assess levels of anti-inflammatory cytokines and C-reactive protein in CHD patients.
Main Methods:
- Studied 61 patients with unstable angina and 20 healthy controls.
- Measured blood lipid profiles, C-reactive protein, fibrinogen, and pro-inflammatory cytokines.
Main Results:
- Patients with unstable angina exhibited significantly increased total cholesterol, LDL cholesterol, VLDL cholesterol, triglycerides, and atherogenicity coefficient.
- Elevated levels of C-reactive protein and pro-inflammatory cytokines (interleukin-1β, -6, -17, TNF-α) were observed.
Conclusions:
- Unstable angina is associated with heightened inflammation, indicated by increased cytokines and C-reactive protein.
- Significant disruptions in blood lipid spectrum were found in these patients.
- Dietary modifications and hypolipidemic agents are recommended for managing lipid disorders in unstable angina.
Objective:
The aim: Research of blood lipid spectrum, level of anti-inflammatory cytokines and C-reactive protein of coronary heart disease patients.
Patients And Methods:
Materials and methods: There was examined 61 patients with unstable angina, who had been on hospital care in the cardiology department of the Lviv National Emergency Hospital. Their average age was 68.3 ± 1.9 years. The control group included 20 generally healthy persons. There was estimated blood lipid spectrum, C-reactive protein, fibrinogen and proinflammatory cytokine of patients.
Results:
Results: There was determined considerable increase total cholesterol, low density lipoprotein cholesterol, very low density lipoprotein cholesterol, triglycerides and coefficient of atherogenicity. High level of C-reactive protein and pro-inflammatory cytokines were detected in patients with unstable angina.
Conclusion:
Conclusions: In patients with unstable angina was revealed a significant increase of proinflammatory cytokines levels in the blood serum: interleukin-1β, interleukin-6, interleukin-17, TNF-α and C-reactive protein, fibrinogen, which indicates activation of the inflammatory process. In patients with unstable angina was detected a significant disorder of blood lipid spectrum. For its correction should be recommended diet and hypolipidemic agents.
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