Total thiols and MDA levels in Patients with Acute Myocardial Infarction Before and After reperfusion therapy (original) (raw)
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Studia Universitatis Babeș-Bolyai Chemia, 2018
The current study analysed the dynamics of oxidative stress markers in patients with acute ST-elevation myocardial infarction treated by primary percutaneous intervention. Excessive reactive oxygen species production is known to induce myocardial reperfusion injury. There are few studies that evaluated oxidative stress markers in the interventional era, the historical papers were all based on thrombolysis as a mean of reperfusion. Thirty-seven patients were included. Peripheral venous blood samples were obtained prior to coronary angioplasty, at 1 hour and 24 hours after that. Plasma malondialdehyde, reduced glutathione / oxidised glutathione ratio and total antioxidant capacity were determined. Malondialdehyde was significantly lower at 1 hour (3.1 ± 0.96 nmol/ml vs 2.68 ± 0.81 nmol/ml, p<0.01) and 24 hours (3.1 ± 0.96 nmol/ml vs 2.15 ± 0.95 nmol/ml, p<0.01). Also, reduced glutathione / oxidised glutathione ratio dropped significantly at 1 hour (3.25 Q1-Q3 2.17-5.19 vs 2.33 Q1-Q3 1.53-2.82, p<0.01) and at 24 hours (3.25 Q1-Q3 2.17-5.19 vs 1.96 Q1-Q3 1.28-2.85, p<0.01). Total antioxidant capacity had non-significant variation. There was no correlation between these markers and time from symptom-onset or left ventricular ejection fraction. Reperfusion of the occluded coronary artery by percutaneous coronary intervention in acute myocardial infarction led to a rapid decrease of reduced glutathione / oxidised glutathione ratio, that may indicate a depletion of antioxidants as a consequence of overproduction of reactive oxygen species in the damaged area. However, the malondialdehyde level significantly decreased after vessel opening. This may suggest low reperfusion injury after angioplasty.
Oxidative stress parameters in erythrocytes of post-reperfused patients with myocardial infarction
Journal of Enzyme Inhibition and Medicinal Chemistry, 2005
The effect of reperfusion of patients with myocardial infarction on the levels of some anti-oxidant enzymes, total thiols, malondialdehyde formation in erythrocytes and plasma ascorbate levels have been investigated. Significantly decreased activities of catalase and superoxide dismutase and decreased levels of total thiols in RBC's and ascorbic acid in plasma suggest that reperfusion of the infarcted myocardium leads to oxidative stress conditions wherein anti-oxidant mechanisms become less effective in coping with the oxidative insult. This view is further supported by the observation that in the post reperfused patients there is a highly significant enhancement in the levels of malondialdehyde.
Acute Cardiac Care, 2008
Reperfusion of ischemic myocardium evokes rapid release of free radicals in experimental models. The aim of the study was to investigate the oxidative stress and antioxidative defense during first minutes after reopening of the infarct related artery in patients treated for acute myocardial infarction. The study group consisted of 15 patients with first ST elevation myocardial infarction (STEMI) due to left anterior descending artery occlusion. The control group included ten patients with stable ischemic heart disease (IHD). Blood samples from coronary sinus were drawn before, immediately after and about 15 min after angioplasty. Activity of superoxide dysmutase (SOD), concentration of glutathione as well as the concentrations of lipid peroxides, malodialdehyde (MDA) and 4-hydroxy-2-nonenal (HNE) were measured. There was significantly higher concentration of MDA and HNE and higher SOD activity in STEMI patients before the reperfusion, as compared to the stable IHD group. After the reperfusion concentration of HNE in erythrocytes from STEMI patients was higher than in IHD group. At the same time the activity of SOD significantly decreased in patients with impaired tissue perfusion (myocardial blush grade B2). In conclusion, there is a slightly higher concentration of oxidative stress parameters in patients with STEMI. Diminished antioxidative defense after reperfusion is associated with impaired myocardial perfusion.
2005
The present study has been undertaken to assess the levels of some free radical scavenging and antioxidant systems of plasma in patients reperfused after myocardial infarction. The study included 30 patients and a control group consisting of 40 age-and sex-matched healthy persons. The findings show a significant decrease in the activity of free radical scavenging enzyme, superoxide dismutase (54%) and levels of ascorbic acid (63%) and total thiols (42%), with significant increase in the levels of malondialdehyde (285%), a marker of oxidative stress, in the patients reperfused after myocardial infarction compared to controls. The findings show that reperfusion of the infarcted myocardium results in a burst of oxygen consumption with enhanced generation of free radicals and free radical-mediated damage. At the same time, there is decrease in the levels both of enzymatic free radical scavenger and antioxidants.
Journal of Medical Biochemistry
Background: Coronary ischemia can lead to myocardial damage and necrosis. The pathogenesis of cardiovascular diseases often includes increased oxidative stress and decreased antioxidant defense. The study aimed to assess levels of ischemia modified albumin (IMA), malondialdehyde acid (MDA), superoxide dismutase (SOD), and catalase in individuals diagnosed with ST elevated myocardial infarction (STEMI) and non-STEMI. Methods: The present study prospectively included 50 STEMI patients, 55 NSTEMI patients, and 55 healthy subjects. Only patients who were recently diagnosed with STEMI or NSTEMI were included in this study. IMA, MDA, SOD, and catalase activities were measured spectrophotometrically. Significant coronary artery lesions were determined by angiography. Results: Patients with ACS had significantly greater IMA and MDA values than the healthy controls (p<0.001). Besides, patients with STEMI had IMA levels that were significantly greater than those of the patients with NSTEMI...
Study of pro-oxidant status in acute myocardial infarction
Asian Journal of Medical Sciences, 2018
Background: Apart from several well documented risk factors; oxidative stress may play an important role in the pathogenesis of myocardial infarction. Our study has been designed to investigate the pro-oxidant status in AMI patients who have no previous history of diabetes, hypertension and habit of smoking.Aims and Objectives: To measure the level of serum thiobarbituric acid reactive substances(TBARS) to assess the extent of oxidative damage in recently diagnosed cases of AMI and to look for any correlation between this stress marker and some of the lipid profile markers.Materials and Methods: A cross sectional study was conducted in a tertiary care hospital with 50 non-diabetic, non-hypertensive, non-smoker AMI patients of either sex as Cases and 50 age and sex matched healthy Controls. The biochemical parameters were measured by validated techniques.Results: Level of serum TBARS (4.78 ± 1.06 nmol/ml) has significantly increased…