Does Diagnostic Coronary Angiography Induce Significant Coronary Microembolization in Stable, Ischemic Patients? A Prospective Study
Autor: | Evangelia Karvouni, Demosthenes G. Katritsis, Alexander Haliassos, Eleftherios Giazitzoglou, George Paxinos, Socrates Korovesis |
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Rok vydání: | 2006 |
Předmět: |
Male
Coronary angiography medicine.medical_specialty Percutaneous medicine.medical_treatment Embolism Myocardial Ischemia Coronary Angiography Necrosis Interquartile range Internal medicine Troponin I medicine Creatine Kinase MB Form Humans Radiology Nuclear Medicine and imaging Prospective Studies Embolization Prospective cohort study Aged Subclinical infection medicine.diagnostic_test business.industry Middle Aged Coronary Vessels Research Design Angiography Cardiology Female Cardiology and Cardiovascular Medicine business |
Zdroj: | Journal of Interventional Cardiology. 19:346-349 |
ISSN: | 1540-8183 0896-4327 |
DOI: | 10.1111/j.1540-8183.2006.00159.x |
Popis: | Background: Although microembolization during percutaneous coronary interventions is a frequent event, the extent of possible microembolization during diagnostic coronary angiography is unknown. The aim of the study was to investigate whether diagnostic coronary angiography results in coronary microembolization and consequent subtle, subclinical myocardial necrosis with enzyme elevations. Methods: Fifty-three consecutive patients underwent diagnostic coronary angiography due to inducible ischemia. Creatine kinase MB isoenzyme (CK MB) and cardiac troponin I (cTnI) were used as sensitive surrogate markers of myocardial necrosis. Serial measurements, before, and 6 and 24 hours following a diagnostic procedure, were performed. Results: Baseline cTnI was below the limits of detection in all patients ( |
Databáze: | OpenAIRE |
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