Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia

Extensive research has established that community acquired pneumonia has negative impact on clinical course on coronary heart disease (CHD), but the pathogenic mechanism was not understood. Aim. To study the pro-inflammatory biomarkers and endothelial dysfunction, its interrelation with CHD clini...

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Main Authors: N. S. Mykhailovska, T. O. Kulynych
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2015-12-01
Series:Patologìâ
Subjects:
Online Access:http://pat.zsmu.edu.ua/article/view/56117/54459
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author N. S. Mykhailovska
T. O. Kulynych
author_facet N. S. Mykhailovska
T. O. Kulynych
author_sort N. S. Mykhailovska
collection DOAJ
description Extensive research has established that community acquired pneumonia has negative impact on clinical course on coronary heart disease (CHD), but the pathogenic mechanism was not understood. Aim. To study the pro-inflammatory biomarkers and endothelial dysfunction, its interrelation with CHD clinical course in patients with community acquired pneumonia, 90 patients were recruited. Methods and results. The I (main) subcohort included 60 CHD patients with community acquired pneumonia, the II subcohort included 30 stable angina pectoris without community acquired pneumonia and 21 community acquired pneumonia patients, ІІІ clinical group – without CHD. Using immunoassay high-sensitive C-reactive protein, neopterine and pregnancy-associated protein A were assessed. Among patients with CHD and community acquired pneumonia the significant increasing of all biomarkers was observed at the beginning and after 1 month of disease. The increasing of these biomarkers was associated with was associated with poorer prognosis in CHD patients during 1 year follow-up. Conclusions. The direct correlation between high-sensitive C-reactive protein and neopterine, РАРР-А was found, which suggests the pathogenic ties between immune inflammation and endothelial dysfunction among patients with CHD and community acquired pneumonia.
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spelling doaj-art-d3a4b4a6f3e74073bfec82f5457154c32025-08-20T03:24:12ZengZaporizhzhia State Medical and Pharmaceutical UniversityPatologìâ2306-80272310-12372015-12-013303510.14739/2310-1237.2015.3.56117Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumoniaN. S. Mykhailovska T. O. KulynychExtensive research has established that community acquired pneumonia has negative impact on clinical course on coronary heart disease (CHD), but the pathogenic mechanism was not understood. Aim. To study the pro-inflammatory biomarkers and endothelial dysfunction, its interrelation with CHD clinical course in patients with community acquired pneumonia, 90 patients were recruited. Methods and results. The I (main) subcohort included 60 CHD patients with community acquired pneumonia, the II subcohort included 30 stable angina pectoris without community acquired pneumonia and 21 community acquired pneumonia patients, ІІІ clinical group – without CHD. Using immunoassay high-sensitive C-reactive protein, neopterine and pregnancy-associated protein A were assessed. Among patients with CHD and community acquired pneumonia the significant increasing of all biomarkers was observed at the beginning and after 1 month of disease. The increasing of these biomarkers was associated with was associated with poorer prognosis in CHD patients during 1 year follow-up. Conclusions. The direct correlation between high-sensitive C-reactive protein and neopterine, РАРР-А was found, which suggests the pathogenic ties between immune inflammation and endothelial dysfunction among patients with CHD and community acquired pneumonia.http://pat.zsmu.edu.ua/article/view/56117/54459Coronary DiseasePneumoniaC-Reactive ProteinNeopterinPregnancy-Associated Plasma Protein-A
spellingShingle N. S. Mykhailovska
T. O. Kulynych
Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia
Patologìâ
Coronary Disease
Pneumonia
C-Reactive Protein
Neopterin
Pregnancy-Associated Plasma Protein-A
title Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia
title_full Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia
title_fullStr Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia
title_full_unstemmed Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia
title_short Interrelation between systemic inflammation markers, endothelial dysfunction and coronary heart disease clinical course after community-acquired pneumonia
title_sort interrelation between systemic inflammation markers endothelial dysfunction and coronary heart disease clinical course after community acquired pneumonia
topic Coronary Disease
Pneumonia
C-Reactive Protein
Neopterin
Pregnancy-Associated Plasma Protein-A
url http://pat.zsmu.edu.ua/article/view/56117/54459
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AT tokulynych interrelationbetweensystemicinflammationmarkersendothelialdysfunctionandcoronaryheartdiseaseclinicalcourseaftercommunityacquiredpneumonia