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Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention
OBJECTIVE: To observe the effect of Danhong injection (DI) in patients with acute ST-segment elevation myocardial infarction (STEMI) at a high risk of no-reflow (NR) during primary percutaneous coronary intervention (PCI). METHODS: Patients were placed in a DI group and control group. The DI group w...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Science Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558573/ https://www.ncbi.nlm.nih.gov/pubmed/31217794 http://dx.doi.org/10.11909/j.issn.1671-5411.2019.05.001 |
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author | You, Qi Wang, Jing Dong, Wei Tian, Feng Liu, Hong-Xu Jing, Jing Chen, Yun-Dai |
author_facet | You, Qi Wang, Jing Dong, Wei Tian, Feng Liu, Hong-Xu Jing, Jing Chen, Yun-Dai |
author_sort | You, Qi |
collection | PubMed |
description | OBJECTIVE: To observe the effect of Danhong injection (DI) in patients with acute ST-segment elevation myocardial infarction (STEMI) at a high risk of no-reflow (NR) during primary percutaneous coronary intervention (PCI). METHODS: Patients were placed in a DI group and control group. The DI group was given DI and the control group was given physiologic saline. The administration lasted 4 to 6 days in both groups after PCI. Cardiac magnetic resonance (CMR) was carried out during the perioperative period (7 ± 2 days). The primary endpoint of the study was myocardial infarct size (IS) imaged on delayed-enhancement CMR. The secondary endpoint was major adverse cardiac events observed 6 months after PCI. RESULTS: In total, 160 high-risk NR patients were enrolled, and 110 patients completed the CMR examination. According to postoperative CMR, the Myocardial Salvage Index and left ventricular ejection fraction were higher in the DI group (0.57 ± 0.13 vs. 0.48 ± 0.17, P < 0.01; 49.3% ± 6.9% vs. 46.2% ± 7.7%, P = 0.03, respectively), whereas the IS was lower (19.7% ± 5.6% vs. 22.2% ± 6.5%, P = 0.04), compared with that in the control group. These differences were observed to be significant. After 6 months, the prevalence of major adverse cardiac events in the DI group decreased compared with that in the control group, but the differences were not observed to be significant (P > 0.05). CONCLUSION: The application of DI can reduce the myocardial infarct size in STEMI patients at a high risk of NR during primary PCI. |
format | Online Article Text |
id | pubmed-6558573 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Science Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-65585732019-06-19 Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention You, Qi Wang, Jing Dong, Wei Tian, Feng Liu, Hong-Xu Jing, Jing Chen, Yun-Dai J Geriatr Cardiol Research Article OBJECTIVE: To observe the effect of Danhong injection (DI) in patients with acute ST-segment elevation myocardial infarction (STEMI) at a high risk of no-reflow (NR) during primary percutaneous coronary intervention (PCI). METHODS: Patients were placed in a DI group and control group. The DI group was given DI and the control group was given physiologic saline. The administration lasted 4 to 6 days in both groups after PCI. Cardiac magnetic resonance (CMR) was carried out during the perioperative period (7 ± 2 days). The primary endpoint of the study was myocardial infarct size (IS) imaged on delayed-enhancement CMR. The secondary endpoint was major adverse cardiac events observed 6 months after PCI. RESULTS: In total, 160 high-risk NR patients were enrolled, and 110 patients completed the CMR examination. According to postoperative CMR, the Myocardial Salvage Index and left ventricular ejection fraction were higher in the DI group (0.57 ± 0.13 vs. 0.48 ± 0.17, P < 0.01; 49.3% ± 6.9% vs. 46.2% ± 7.7%, P = 0.03, respectively), whereas the IS was lower (19.7% ± 5.6% vs. 22.2% ± 6.5%, P = 0.04), compared with that in the control group. These differences were observed to be significant. After 6 months, the prevalence of major adverse cardiac events in the DI group decreased compared with that in the control group, but the differences were not observed to be significant (P > 0.05). CONCLUSION: The application of DI can reduce the myocardial infarct size in STEMI patients at a high risk of NR during primary PCI. Science Press 2019-05 /pmc/articles/PMC6558573/ /pubmed/31217794 http://dx.doi.org/10.11909/j.issn.1671-5411.2019.05.001 Text en Institute of Geriatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License, which allows readers to alter, transform, or build upon the article and then distribute the resulting work under the same or similar license to this one. The work must be attributed back to the original author and commercial use is not permitted without specific permission. |
spellingShingle | Research Article You, Qi Wang, Jing Dong, Wei Tian, Feng Liu, Hong-Xu Jing, Jing Chen, Yun-Dai Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
title | Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
title_full | Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
title_fullStr | Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
title_full_unstemmed | Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
title_short | Protective effect of Danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
title_sort | protective effect of danhong injection in patients with acute myocardial infarction at a high risk of no-reflow during primary percutaneous coronary intervention |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558573/ https://www.ncbi.nlm.nih.gov/pubmed/31217794 http://dx.doi.org/10.11909/j.issn.1671-5411.2019.05.001 |
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