The effects of prior calcium channel blocker therapy on creatine kinase-MB levels after percutaneous coronary interventions

Autor: Ilyas Atar, Alp Aydinalp, Mehmet Emin Korkmaz, Asli Atar, Bülent Özin, Aylin Yildirir, Öykü Gülmez, Haldun Muderrisoglu
Rok vydání: 2008
Předmět:
Male
medicine.medical_specialty
Time Factors
Percutaneous
Endocrinology
Diabetes and Metabolism

medicine.medical_treatment
Administration
Oral

Coronary Artery Disease
Creatine
percutaneous coronary interventions
Coronary artery disease
Necrosis
chemistry.chemical_compound
Internal medicine
medicine
Creatine Kinase
MB Form

Humans
Pharmacology (medical)
Angioplasty
Balloon
Coronary

Original Research
Aged
calcium channel blockers
business.industry
Myocardium
Calcium channel
Public Health
Environmental and Occupational Health

Case-control study
Percutaneous coronary intervention
Hematology
General Medicine
Blood flow
Middle Aged
medicine.disease
Vascular Health and Risk Management
Treatment Outcome
chemistry
myonecrosis
Case-Control Studies
Conventional PCI
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Biomarkers
Zdroj: Vascular Health and Risk Management
Scopus-Elsevier
ISSN: 1178-2048
DOI: 10.2147/vhrm.s2998
Popis: Oyku Gulmez, Ilyas Atar, Bülent Ozin, Mehmet Emin Korkmaz, Aslı Atar, Alp Aydinalp, Aylin Yildirir, Haldun MuderrisogluBaskent University Faculty of Medicine, Department of Cardiology, Ankara, TurkeyBackground: Use of intracoronary calcium channel blockers (CCBs) during percutaneous coronary intervention (PCI) has been shown to have favorable effects on coronary blood flow. We aimed to investigate the effects of CCBs administrated perorally on creatine kinase-MB (CK-MB) levels in patients undergoing elective PCI.Methods: A total of 570 patients who underwent PCI were evaluated for CK-MB elevation. Patients who were on CCB therapy when admitted to the hospital constituted the CCB group. No CCBs were given to the rest of the patients during the periprocedural period and these patients served as the control group. Blood samples for CK-MB were obtained before and at 6 h, 24 h, and 36 h after the procedure.Results: 217 patients were in the CCB group (mean age 60.2 ± 9.3 years, 162 males), and 353 were in the control group (mean age 60.0 ± 10.1 years, 262 males). CK-MB levels increased above the normal values in 41 patients (18.9%) of the CCBs group and in 97 patients (27.5%) of the control group (p = 0.02). Median CK-MB levels were significantly higher in the control group for all studied hours (for all p
Databáze: OpenAIRE