English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    L.A. Vozniuk, I.O. Doroshkevych, O.O. Klekоt, O.V. Kyrychenko

    VALUE OF ENDOTHELIUM DYSFUNCTION AND INFLAMMATORY MARKERS LEVEL FOR PREDICTING RISK ASSESSMENT IN UNFAVORABLE COURSE OF ISCHEMIC HEART DISEASE


    About the author: L.A. Vozniuk, I.O. Doroshkevych, O.O. Klekоt, O.V. Kyrychenko
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation Study of the coronary artery disease course suggests that along with proatherogenic changes in the blood lipid composition in patients with coronary artery disease, an increase in the C-reactive protein (CRP) concentration and proinflammatory cytokines (TNF-α) was observed in comparison with the control group. Characterized by the patterns of the correlations existing between the degree of increase in the level of CRP and ESR, particularly in patients with ACS (r = 0.48, p <0.01). The degree of increase in von Willebrand factor was revealed in the group of patients with fatal and nonfatal myocardial infarction, which was significantly higher than in the group of patients with uncomplicated CHD. An increase in the CRP level was not inferior in frequency to dyslipidemia and was observed in the majority of CHD patients (65.3%). Correlations between the severity of extracranial artery remodeling and the content of TNF-α (r = 0.30, <0.05) and a less pronounced connection with the concentration of interleukins (IL-6) (r = 0.25, p <0.05) were determined.
    Tags coronary heart disease, proinflammatory cytokines, PSA, von Willebrand factor, cholesterol
    Bibliography
    • Aronov DM, Lupanov VP. Nekotoryie aspekty patogeneza ateroskleroza. Ateroskleroz i dislipidemii. 2011; 1:  48 - 56. [in Russian]
    • Zorin NA, Arkhipova SV, Zorina VN, Podhomutnikov VM, Ryabicheva TG, Yankin MYu. Tsitokiny pri infarkte miokarda. Immunologiya. 2009; 2:104 - 107. [in Russian]
    • Kachkovskiy MA, Ragozina EYu. Otsenka sistemnoy vospalitelnoy reaktsii pri ostrom infarkte miokarda: sovremennoe sostoyaniye problemy. Racionalnaya farmakoterapiya v kardiologii. 2013; 9 (6): 690 - 697. [in Russian]
    • Ragino JuI, Kuimov AD, Polonskaya YaV, Kashtanova EV, Lozhkina NG, Balabushevich TA, Yeremenko NE, Negmadzhonov  UN. Dinamika izmeneniy vospalitelno-okislitelnykh biomarkerov v krovi pri ostrom koronarnom sindrome. Kardiologiya. 2012; 2: 18 - 22. [in Russian]
    • Andrié R P, Becher U M, Frommold  R, Tiyerili  V, Schrickel  J W, Nickenig G, Schwab J O. Interleukin-6 is the strongest predictor of 30-day mortality in patients with cardiogenic shock due to myocardial infarction. Critical Care. 2012; 16 (4): 152 - 154.
    • Biswas S, Ghoshal PK, Mandal SC, Mandal NJ. Relation of anti- to pro-inflammatory cytokine ratios with acute myocardial infarction.  Korean J Intern Med. 2010; 25(1): 44 - 50.
    • Christian M. Biomarkers and acute coronary syndromes: an update. European Heart Journal. 2014; 35, (38): 552 - 556.
    • Damani S, Bacconi A, Libiger O. Characterization of circulating endothelial cells in acute myocardial infarction . Sci Transl Med. 2012; 4 (126): 126 - 33.
    • Empana JP, Canoui-Poitrine X, Canoui-Poitrine F, Luc G, Tafflet M, Haas B, Arveiler D, Ferrieres J, Ruidavets JB, Montaye M, Yarnell J, Morange P, Kee F, Evans A, Amouyel P, Ducimetiere P. C-reactive protein, interleukin 6, fibrinogen and risk of sudden death in European middle-aged men: the PRIME study. Arterioscler Thromb Vasc Biol. 2010; 30(10): 2047 - 2052.
    • Hu WS, Hwang JM. Association of serum cytokines, human growth hormone, insulin-like growth factor (IGF)-I, IGF-II and IGF-binding protein (IGFBP)-3 with coronary artery disease. Chin J Physiol. 2012; 31, 55(4): 267 – 73.
    • Prondzinsky R, Unverzagt S, Lemm  H, Wegener  N, Heinroth  K, Buerke  U, Fiedler M, Thiery J, Haerting J, Werdan K, Buerke M. Acute myocardial infarction and cardiogenic shock: prognostic impact of cytokines: INF-γ, TNF-α, MIP-1β, G-CSF, and MCP-1β. Med. Klin. Intensivmed Notfmed. 2012;  107. 6: 476 - 784.
    • Stephen K, Sreenivasa R, Shu J. Inflammatory cytokines and risk of coronary heart disease: new prospective study and updated meta-analysis.  European Heart Journal. 2014;  35:  57 - 589.
    • Maqbool A, Spary AJ, Manfield IW, Ruhmann M, Zuliani-Alvarez L, Gamboa-Esteves FO, Porter KE, Drinkhill MJ, Midwood KS, Turner NA. Tenascin C upregulates interleukin-6 expression in human cardiac myofibroblasts via toll-like receptor 4.World J Cardiol.2016; May 26. 8 (5):  340-50.
    • 14. Tousoulis D, Hatzis G, Papageorgiou N, Androulakis E, Bouras G, Giolis A, Bakogiannis C, Siasos G, Latsios G, Antoniades C, Stefanadis C. Source Assessment of acute coronary syndromes: focus on novel biomarkers.  Curr Med Chem. 2012;  19 (16): 2572 - 2587.
    • 15. Valensi P, Lorgis L, Cottin Y. Prevalence, incidence, predictive factors and prognosis of silent myocardial infarction: a review of the literature.  Arch Cardiovasc Dis. 2011; 104 (3): 178 - 188.
    Publication of the article «World of Medicine and Biology» №1(67), 2019 year, 017-021 pages, index UDK 616.12-009.72:612.017.1:616.379-008.64
    DOI 10.26724/2079-8334-2019-1-67-17