Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction
We investigated the effects of clopidogrel on reperfusion and inflammatory process in STEMI. A total of 175 STEMI patients with similar clinical characteristics were included to this study. One was the standard pharmacological reperfusion therapy group (group 1, n : 90), who received 300 mg aspirin,...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Mediators of Inflammation |
| Online Access: | http://dx.doi.org/10.1155/2009/932515 |
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| author | Mehmet Akbulut Makbule Kutlu Yılmaz Ozbay Veli Polat Mehmet Nail Bilen Adil Baydas Yakup Altas |
| author_facet | Mehmet Akbulut Makbule Kutlu Yılmaz Ozbay Veli Polat Mehmet Nail Bilen Adil Baydas Yakup Altas |
| author_sort | Mehmet Akbulut |
| collection | DOAJ |
| description | We investigated the effects of clopidogrel on reperfusion and inflammatory process in STEMI. A total of 175 STEMI patients with similar clinical characteristics were included to this study. One was the standard pharmacological reperfusion therapy group (group 1, n : 90), who received 300 mg aspirin, 70 U/kg bolus, and 12 U/kg/hr continuous infusion of unfractioned heparin and accelerated t-PA. Clopidogrel 450 mg loading and 75 mg/d thereafter was added to standard reperfusion therapy in the other group (group 2, n : 85). The ST-segment resolution, CK-MB, and high-sensitive CRP (hs-CRP) parameters were measured. Complete ST resolution was observed in 32 patients (36.8%) in group 1 and 53 patients (63.8%) in group 2 (𝑃<.001). Also in the first 24 hours, the CK-MB levels of patients in group 1 were significantly higher than those of group 2 (𝑃=.001). The hs-CRP values were greater in group 1 than group 2 at 48th hour (gruop 1: 9.4±0.1 mg/L, group 2: 3.7±1.4 mg/L; 𝑃=.000). We concluded that adding clopidogrel to standard treatment in STEMI patients provided early reperfusion and suppression of inflammatory response. |
| format | Article |
| id | doaj-art-7d205db633f84e5aa83ab1707fb406e1 |
| institution | Kabale University |
| issn | 0962-9351 1466-1861 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Mediators of Inflammation |
| spelling | doaj-art-7d205db633f84e5aa83ab1707fb406e12025-08-20T03:35:28ZengWileyMediators of Inflammation0962-93511466-18612009-01-01200910.1155/2009/932515932515Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial InfarctionMehmet Akbulut0Makbule Kutlu1Yılmaz Ozbay2Veli Polat3Mehmet Nail Bilen4Adil Baydas5Yakup Altas6Department of Cardiology, Faculty of Medicine, Fırat University, 23100 Elazığ, TurkeyCardiology Clinic, Harput State Hospital, 23110 Elazığ, TurkeyDepartment of Cardiology, Faculty of Medicine, Fırat University, 23100 Elazığ, TurkeyDepartment of Cardiology, Faculty of Medicine, Fırat University, 23100 Elazığ, TurkeyDepartment of Cardiology, Faculty of Medicine, Fırat University, 23100 Elazığ, TurkeyDepartment of Cardiology, Faculty of Medicine, Fırat University, 23100 Elazığ, TurkeyDepartment of Cardiology, Faculty of Medicine, Fırat University, 23100 Elazığ, TurkeyWe investigated the effects of clopidogrel on reperfusion and inflammatory process in STEMI. A total of 175 STEMI patients with similar clinical characteristics were included to this study. One was the standard pharmacological reperfusion therapy group (group 1, n : 90), who received 300 mg aspirin, 70 U/kg bolus, and 12 U/kg/hr continuous infusion of unfractioned heparin and accelerated t-PA. Clopidogrel 450 mg loading and 75 mg/d thereafter was added to standard reperfusion therapy in the other group (group 2, n : 85). The ST-segment resolution, CK-MB, and high-sensitive CRP (hs-CRP) parameters were measured. Complete ST resolution was observed in 32 patients (36.8%) in group 1 and 53 patients (63.8%) in group 2 (𝑃<.001). Also in the first 24 hours, the CK-MB levels of patients in group 1 were significantly higher than those of group 2 (𝑃=.001). The hs-CRP values were greater in group 1 than group 2 at 48th hour (gruop 1: 9.4±0.1 mg/L, group 2: 3.7±1.4 mg/L; 𝑃=.000). We concluded that adding clopidogrel to standard treatment in STEMI patients provided early reperfusion and suppression of inflammatory response.http://dx.doi.org/10.1155/2009/932515 |
| spellingShingle | Mehmet Akbulut Makbule Kutlu Yılmaz Ozbay Veli Polat Mehmet Nail Bilen Adil Baydas Yakup Altas Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction Mediators of Inflammation |
| title | Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction |
| title_full | Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction |
| title_fullStr | Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction |
| title_full_unstemmed | Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction |
| title_short | Efficacy of Clopidrogel on Reperfusion and High-Sensitivity C-Reactive Protein in Patients with Acute Myocardial Infarction |
| title_sort | efficacy of clopidrogel on reperfusion and high sensitivity c reactive protein in patients with acute myocardial infarction |
| url | http://dx.doi.org/10.1155/2009/932515 |
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