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心肌梗死后心脏氧化应激、炎症细胞因子反应、心脏泵功能与预后的关系。

The relationship between cardiac oxidative stress, inflammatory cytokine response, cardiac pump function, and prognosis post-myocardial infarction.

机构信息

Department of Emergency, Affiliated Hospital of Hebei Engineering University, Handan, Hebei, China.

Publicity and Development Department, Affiliated Hospital of Hebei Engineering University, Handan, Hebei, China.

出版信息

Sci Rep. 2024 Apr 18;14(1):8985. doi: 10.1038/s41598-024-59344-5.

Abstract

This study delves into the potential connections between cardiac oxidative stress, inflammatory cytokine response, cardiac pump function, and prognosis in individuals following myocardial infarction. A total of 276 patients were categorized into two groups: the control group (n = 130) and the observation group (n = 146), based on the drug intervention strategies. The control group received standard drug treatment, while the observation group received early drug intervention targeting antioxidant and anti-inflammatory treatment in addition to standard treatment. Serum levels of inflammatory factors, including tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β), and interleukin-9 (IL-6), were assessed using enzyme-linked immuno sorbent assay (ELISA) kits. The Forkhead Box Protein A2 (FOX2) reagent was used to determine the overall oxidation level. Left Ventricular End-Diastolic Diameter (LVEDD), Left Ventricular Ejection Fraction (LVEF), and End-Systolic Diameter (ESD) were measured using Doppler ultrasound. The observation group exhibited significantly reduced serum levels of TNF-α, IL-1β, and IL-6 compared to the control group (P < 0.05). Moreover, the observation group exerted lower total oxidation levels, OSI, EDD, and ESD compared to the control group (P < 0.05), while the LVEF and TAS levels in the observation group were higher than those in the control group (P < 0.05). Remarkably, the observation group experienced a significant reduction in the incidences of reinfarction, heart failure, arrhythmia, and abnormal valve function compared to the control group (P < 0.05). Decreased cardiac pump function and a more unfavorable prognosis were associated with elevated levels of cardiac oxidative stress and inflammatory factors (P < 0.05). Timely intervention with appropriate medications have a crucial effect in decreasing inflammatory marker levels, mitigating oxidative pressure, and enhancing cardiac pumping capacity and overall prognosis.

摘要

本研究深入探讨了心肌梗死后个体中心脏氧化应激、炎症细胞因子反应、心脏泵功能和预后之间的潜在联系。根据药物干预策略,将 276 名患者分为两组:对照组(n=130)和观察组(n=146)。对照组接受标准药物治疗,观察组在标准治疗的基础上,早期进行抗氧化和抗炎药物干预。采用酶联免疫吸附试验(ELISA)试剂盒检测炎症因子肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)和白细胞介素-6(IL-6)的血清水平。使用 Forkhead Box Protein A2(FOX2)试剂测定总体氧化水平。采用多普勒超声测量左心室舒张末期直径(LVEDD)、左心室射血分数(LVEF)和收缩末期直径(ESD)。观察组的 TNF-α、IL-1β 和 IL-6 血清水平明显低于对照组(P<0.05)。此外,观察组的总氧化水平、OSI、EDD 和 ESD 均低于对照组(P<0.05),而观察组的 LVEF 和 TAS 水平高于对照组(P<0.05)。观察组与对照组相比,再梗死、心力衰竭、心律失常和瓣膜功能异常的发生率显著降低(P<0.05)。心脏氧化应激和炎症因子水平升高与心脏泵功能下降和预后不良相关(P<0.05)。及时给予适当的药物干预,可降低炎症标志物水平,减轻氧化压力,增强心脏泵功能,改善整体预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9328/11026494/5073ed2c8a6c/41598_2024_59344_Fig1_HTML.jpg

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