Elevated preoperative HMGB1 as predictor of myocardial injury post-percutaneous coronary intervention.

Medicine (Baltimore)

Department of Cardiology, China National Petroleum Corporation Central Hospital, Langfang, Hebei, China Department of Cardiology, Affiliated Hospital of Hebei University, Baoding, Hebei, China.

Published: November 2016

In this study, we evaluated the impact of preoperative high mobility group box 1 (HMGB1) on myocardial injury post-percutaneous coronary intervention.We evaluated 302 consecutive patients who underwent percutaneous coronary intervention. They were divided into equal tertiles based on their preoperative HMGB1 levels. Creatine kinase-MB and troponin I levels were measured at baseline, 8- and 24-hours after the procedure, while clinical outcomes were followed up for 1 year.The occurrence of post-procedural myocardial injury was significantly higher in the tertile comprising of patients with elevated HMGB1 levels. Moreover, these patients showed significantly higher post-procedural peak values of creatine kinase-MB and troponin I in comparison to patients with lower HMGB1 levels. Event-free survival was significantly associated with HMGB1 levels, with worst event-free survival in patients with elevated HMGB1 levels.Elevated preoperative HMGB1 was a predictor of myocardial injury after percutaneous coronary intervention, and was associated with the worst clinical outcomes during 1-year follow up.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5120896PMC
http://dx.doi.org/10.1097/MD.0000000000005149DOI Listing

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