A pilot randomized trial of pentoxifylline for the reduction of periprocedural myocardial injury in patients undergoing elective percutaneous coronary intervention

A pilot randomized trial of pentoxifylline for the reduction of periprocedural myocardial injury in patients undergoing elective percutaneous coronary intervention


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: ناصر اصلان آبادی , صمد غفاری باویل

کلمات کلیدی: Pentoxifylline . Periprocedural myocardial injury . PCI . Cardiac biomarkers . Creatine kinase-MB . Troponin-I

نشریه: 11177 , 2 , 71 , 2014

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نویسنده ثبت کننده مقاله صمد غفاری باویل
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه مرکز تحقیقات قلب وعروق
کد مقاله 74374
عنوان فارسی مقاله A pilot randomized trial of pentoxifylline for the reduction of periprocedural myocardial injury in patients undergoing elective percutaneous coronary intervention
عنوان لاتین مقاله A pilot randomized trial of pentoxifylline for the reduction of periprocedural myocardial injury in patients undergoing elective percutaneous coronary intervention
ناشر 9
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق)
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Purpose Periprocedural myocardial injury (PMI) following percutaneous coronary intervention (PCI) has received great attention due to its significant association with mortality and morbidity. Accordingly, cardioprotection during PCI is one of the important therapeutic concerns. Regarding the potential cardiovascular benefits of pentoxifylline this study was performed to evaluate whether the pretreatment pentoxifylline could reduce PMI in patients who are undergoing elective PCI. Methods A randomized clinical trial on 85 patients undergoing elective PCI was performed. The intervention group (n=41) received 1200 mg pentoxifylline in divided doses plus the standard treatment before PCI, while the control group (n=44) received the standard treatment. For assessing myocardial damage during PCI, the levels of CK-MB and troponin-I were measured at baseline, 8, and 24 h after the procedure. Then, patients were followed up for a 1-month period regarding the major adverse cardiac effect. Results Comparing with the control group, no significant change of CK-MB at 8 (p=0.315) and 24 h (p=0.896) after PCI was documented in pentoxifylline group. Similarly, no significant change was found in troponin-I at 8 (p=0.141) and 24 h (p=0.256) after PCI. Conclusions This study could not support the pretreatment with pentoxifylline in the prevention of PMI in patients undergoing elective PCI. However, the trend was toward the potential benefit of pentoxifylline.

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نویسنده نفر چندم مقاله
ناصر اصلان آبادیاول
صمد غفاری باویلپنجم

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