Avtor/Urednik     Šebeštjen, Miran; Šabovič, Mišo; Eržen, Barbara; Simčič, Saša; Žegura, Branka; Poredoš, Pavel; Keber, Irena
Naslov     Role of endothelial function and inflammation in patients with cardiovascular risk factors, with and without a history od myocardial infarction
Tip     članek
Vir     Cardiology
Vol. in št.     Letnik 107, št. 1
Leto izdaje     2007
Obseg     str. 1-7
Jezik     eng
Abstrakt     Background: Endothelial dysfunction and inflammation, in particular their lack of improvement after risk reduction, might better reflect advanced atherosclerosis than just the presence of risk factors. The aim ofthis study was to compare endothelial function and inflammatory parameters in highrisk patients who had no history of myocardial infarction and in patients in a stable phase after myocardial infarction. Methods: We compared endothelial function ofthe brachial artery, measured using high-resolution ultrasound, in 45 patients with hyperlipidaemia (Group 1), and in 45 patients in a stable period after myocardial infarction (Group 2). Fortyfive healthy individuals served as a control group (Group 3). ftesults: Compared to patients with treated hyperlipidaemia, patients after myocardial infarction had lower values of total and LDL cholesterol (p = 0.015; 0.005) and homocysteine (p < 0.005), but marginally higher IL-6 levels (p = 0.1). Other measurements were comparable. However, flow-mediated dilation of the brachiai artery was significantly diminished in patients after myocardial infarction (10.6 ± 3.0; 5.9 ± 4.0; 14.0 ± 1.9% for Groups 1-3; ANOVA p = 0.0001; respectively). Conclusions: We found that patients with previous myocardial infarction have substantially lower endothelial function and increased some inflammatory parameters than patients with a similar level of atherosclerotic risk profile but without clinically evident coronary artery disease.
Deskriptorji     CORONARY DISEASE
ENDOTHELIUM, VASCULAR
INFLAMMATION
BRACHIAL ARTERY
HYPERLIPIDEMIA
MYOCARDIAL INFARCTION
HOMOCYSTEINE
LIPOPROTEINS, LDL CHOLESTEROL
INTERLEUKIN-6
INTERLEUKIN-8
C-REACTIVE PROTEIN