THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT

Purpose. The aim of the trial was to study the importance of immuno-inflammatory processes and hemo-rheological changes in patients suffering from stable coronary heart disease after coronary angioplasty and stenting, as well as establishing the clinical effect of treatment optimized with anti-infla...

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Main Author: N. A. Panahova
Format: Article
Language:Russian
Published: InterMedservice 2018-12-01
Series:Евразийский Кардиологический Журнал
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Online Access:https://www.heartj.asia/jour/article/view/310
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author N. A. Panahova
author_facet N. A. Panahova
author_sort N. A. Panahova
collection DOAJ
description Purpose. The aim of the trial was to study the importance of immuno-inflammatory processes and hemo-rheological changes in patients suffering from stable coronary heart disease after coronary angioplasty and stenting, as well as establishing the clinical effect of treatment optimized with anti-inflammatory drugs and immune-correctors.Material and methods. The study included 103 patients in total and 64 patients with an implanted stent. Within 2-28 months after stent implantation, an angiographic study was performed with the definition of a coagulogram, C-reactive protein (CRP), fibrinogen, and pro-inflammatory cytokines - tumor necrosis factor (FNA-α), interleukins (IL), IL-6, IL-8 in the serum of patients with coronary artery disease.Results. After coronary angioplasty and stenting in patients with coronary artery disease, the average concentrations of CRP and cytokines were significantly higher compared with both the control group and the group without restenosis. This indicator in the groups with and without restenosis was 16.4±1.2 (intragroup variation 6-36) mg/L and 6.8±0.4 (intragroup variation 5-10) mg/L, respectively; p<0.001. And from cytokines, the concentration of IL-6 in groups with and without restenosis was respectively 3.5+0.2 and 18.7+3.1 (p<0.01). In the correlative analysis in the group with restenosis, the expected close relationship between TNF-alpha and IL-6 is equal to r = 0.707, p<0.01, between CRB and IL-6, equal to r = 0.575, p<0.01, and between TNF-alpha and IL-8, equal to r = 0.610, p<0.05.
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spelling doaj-art-4cdce92e1c0145c99419d45b28a0b1b02025-08-20T02:53:44ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482018-12-0104808710.38109/2225-1685-2018-4-80-87309THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENTN. A. Panahova0Azerbaijan Medical University; The-scientific-research institute of cardiology named by acad. C. AbdullayevPurpose. The aim of the trial was to study the importance of immuno-inflammatory processes and hemo-rheological changes in patients suffering from stable coronary heart disease after coronary angioplasty and stenting, as well as establishing the clinical effect of treatment optimized with anti-inflammatory drugs and immune-correctors.Material and methods. The study included 103 patients in total and 64 patients with an implanted stent. Within 2-28 months after stent implantation, an angiographic study was performed with the definition of a coagulogram, C-reactive protein (CRP), fibrinogen, and pro-inflammatory cytokines - tumor necrosis factor (FNA-α), interleukins (IL), IL-6, IL-8 in the serum of patients with coronary artery disease.Results. After coronary angioplasty and stenting in patients with coronary artery disease, the average concentrations of CRP and cytokines were significantly higher compared with both the control group and the group without restenosis. This indicator in the groups with and without restenosis was 16.4±1.2 (intragroup variation 6-36) mg/L and 6.8±0.4 (intragroup variation 5-10) mg/L, respectively; p<0.001. And from cytokines, the concentration of IL-6 in groups with and without restenosis was respectively 3.5+0.2 and 18.7+3.1 (p<0.01). In the correlative analysis in the group with restenosis, the expected close relationship between TNF-alpha and IL-6 is equal to r = 0.707, p<0.01, between CRB and IL-6, equal to r = 0.575, p<0.01, and between TNF-alpha and IL-8, equal to r = 0.610, p<0.05.https://www.heartj.asia/jour/article/view/310immuno-inflammatory reactionscytokine imbalanceinflammatory mediatorsc-reactive proteinfibrinogenstent restenosis
spellingShingle N. A. Panahova
THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT
Евразийский Кардиологический Журнал
immuno-inflammatory reactions
cytokine imbalance
inflammatory mediators
c-reactive protein
fibrinogen
stent restenosis
title THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT
title_full THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT
title_fullStr THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT
title_full_unstemmed THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT
title_short THE ROLE OF INFLAMMATORY REACTIONS AND HEMORHEOLOGICAL INDICATIONS IN PATIENTS WITH RESTENOSIS AFTER CORONARY ANGIOPLASTY, OPTIMIZATION OF TREATMENT
title_sort role of inflammatory reactions and hemorheological indications in patients with restenosis after coronary angioplasty optimization of treatment
topic immuno-inflammatory reactions
cytokine imbalance
inflammatory mediators
c-reactive protein
fibrinogen
stent restenosis
url https://www.heartj.asia/jour/article/view/310
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