Significance of detection of inflammatory markers for assessing patient’s condition in patients with coronary heart disease
10.3969/j.issn.1008-0074.2013.01.05
- VernacularTitle:检测冠心病患者炎性标志物对评估病情的临床意义
- Author:
Dongming HE
;
Hongkun LI
- Publication Type:Journal Article
- Keywords:
Coronary artery disease;
C-reactive protein;
Tumor necrosis factor-alpha;
Interleukin-8
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2013;22(1):18-22
- CountryChina
- Language:English
-
Abstract:
Objective: To study significance of detection of serum levels of high sensitive C reactive protein (hsCRP), tumor necrosis factor-α (TNF-α) and interleukin-8 (IL-8) for assessing patient’s condition in patients with coronary heart disease (CHD). Methods: Serum levels of hsCRP, TNF-α and IL-8 were measured in 78 CHD patients undergoing percutaneous coronary intervention (PCI) before and three months after PCI. Among CHD patients, there were 17 patients with acute myocardial infarction (AMI), 36 patients with unstable angina pectoris (UAP) and 25 patients with stable angina pectoris (SAP). Their levels of above indicators were compared with those of 47 healthy subjects (normal control group). Results: （1）Compared with normal control group, there were significant increase in serum levels of hsCRP [ (1.96±0.60) mg/L vs. (22.43±9.68) mg/L, (18.27±8.56) mg/L], TNF-α [ (11.26±3.82) ng/L vs. (60.12±19.37) ng/L, (40.33±15.48) ng/L] and IL-8 [ (48.26±20.87) ng/L vs. (120.36±33.32) ng/L, (105.92±34.2) ng/L] in AMI group and UAP group before treatment (P<0.01 all), and Pearson linear correlation analysis showed that hsCRP was positively correlated with levels of TNF-α and IL-8 (r=0.873~0.956, P<0.01 all); （2）Serum level of hsCRP in SAP group [(6.04±2.38) mg/L] was significantly higher than that of normal control group (P<0.01); （3）Compared with before PCI, there were significant decrease in serum levels of hsCRP[(13.89±6.13) mg/L vs. (2.06±1.42) mg/L], TNF-α[(38.26±14.27) ng/L vs. (13.76±4.12) ng/L] and IL-8[(98.96±32.9) ng/L vs. (50.12±19.85) ng/L] in CHD patients three-month after PCI (P<0.01 all), and they were no significant difference compared with normal control group (P>0.05 all). Conclusions: Detections of serum levels of hsCRP, TNF-α and IL-8 in CHD patients are of certain significance for diagnosis, treatment and prognosis prediction of CHD.
- Full text:P020130514531959523552.doc
