Peri-procedural myocardial injury during percutaneous coronary intervention: an important target for cardioprotection
Open Access
- 29 October 2010
- journal article
- review article
- Published by Oxford University Press (OUP) in European Heart Journal
- Vol. 32 (1), 23-31
- https://doi.org/10.1093/eurheartj/ehq393
Abstract
Percutaneous coronary intervention (PCI) has become the predominant procedure for coronary revascularization in patients with both stable and unstable coronary artery disease (CAD). Over the past two decades, technical advances in PCI have resulted in a better and safer therapeutic procedure with minimal procedural complications. However, about 30% of patients undergoing elective PCI sustain myocardial injury arising from the procedure itself, the extent of which is significant enough to carry prognostic importance. The peri-procedural injury which accompanies PCI might therefore reduce some of the beneficial effects of coronary revascularization. The availability of more sensitive serum biomarkers of myocardial injury such as creatine phosphokinase MB isoenzyme (CK-MB), Troponin T, and Troponin I has enabled the quantification of previously undetectable myocardial injury. Peri-procedural myocardial injury (PMI) can also be visualized by cardiac magnetic resonance imaging, a technique which allows the detection and quantification of myocardial necrosis following PCI. The identification of CAD patients at greatest risk of sustaining PMI during PCI would allow targeted treatment with novel therapies capable of limiting the extent of PMI or reducing the number of patients experiencing PMI.Keywords
This publication has 128 references indexed in Scilit:
- Protective effect of an acute oral loading dose of trimetazidine on myocardial injury following percutaneous coronary interventionHeart, 2007
- Prevalence of persistent platelet reactivity despite use of aspirin: A systematic reviewAmerican Heart Journal, 2007
- Preprocedural C-reactive protein levels predict myocardial necrosis after successful coronary stenting in patients with stable anginaAmerican Heart Journal, 2006
- Side branch occlusion after coronary stent implantation in patients presenting with ST-elevation myocardial infarction: Clinical impact and angiographic predictorsAmerican Heart Journal, 2006
- Stent implantation, but not pathogen burden, is associated with plasma C-reactive protein and interleukin-6 levels after percutaneous coronary intervention in patients with stable angina pectorisAmerican Heart Journal, 2005
- Preprocedural white blood cell count and death after percutaneous coronary interventionAmerican Heart Journal, 2003
- Cytokine response after percutaneous coronary intervention in stable angina: Effect of selective glycoprotein IIb/IIIa receptor antagonismAmerican Heart Journal, 2003
- Intracoronary electrocardiogram during coronary angioplastyAmerican Heart Journal, 1992
- Aspirin and Dipyridamole in the Prevention of Re-Stenosis after Percutaneous Transluminal Coronary AngioplastyNew England Journal of Medicine, 1988
- Effects of percutaneous transluminal coronary angioplasty on lesion-associated branchesAmerican Heart Journal, 1985