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332582

The Effect of Remote Ischemic Preconditioning on The Outcome of Elective Percutaneous Coronary Intervention

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

Applied and Basic Science.

Abstract

Background: Remote In the setting of elective percutaneous coronary intervention, ischemia preconditioning (IPC) may serve as a cardioprotective approach (PCI). The purpose of this research was to determine whether or not cardiac troponin I (cTnI) levels before and after a procedure are predictive of major adverse cardiac events (MACE) in the 6-month follow-up period. The purpose of this research was to determine whether remote IPC may decrease cTnI levels, ischemic symptoms, ECG indications of ischemia, and the incidence of MACE if given before elective PCI. Methods: This Two hundred individuals with severe coronary artery stenosis who had undergone elective PCI were included in a prospective research. A subset of patients (Group A) received remote IPC in the form of blood pressure cuff inflations and deflations, whereas patients in Group B (the control group) did not. Patient characteristics, cardiac risk factors, electrocardiogram (ECG) results, lesion complexity, and major adverse cardiac events (MACE) rate were all evaluated. Results: Both groups had comparable baseline characteristics, including similar ages, sexes, cardiac risk factors, electrocardiogram (ECG) results, and lesion complexity. The incidence of unstable angina and MACE was reduced and cTnI levels were significantly lower 24 hours after PCI when remote IPC was used. Other procedural results and adverse events did not vary significantly across the groups.Conclusions: This research demonstrates that remote IPC provided prior to elective PCI has the potential to ameliorate post-procedural cardiac damage, as demonstrated by lowered cTnI levels, and may be related with a lower risk of MACE.

DOI

10.21608/bjas.2023.247368.1278

Keywords

Remote Major Adverse Cardiac Events, ischemic preconditioning, PCI, Cardiac Troponin I

Authors

First Name

Hesham

Last Name

Rasheed

MiddleName

-

Affiliation

Cardiovascular Medicine Dept., Faculty of Medicine, Benha University

Email

heshamkhalid@gmail.com

City

-

Orcid

-

First Name

Ali

Last Name

Attia

MiddleName

-

Affiliation

Cardiovascular Medicine Dept., Faculty of Medicine, Benha University

Email

aliibrahim@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Ibrahim

MiddleName

-

Affiliation

Cardiovascular Medicine Dept., Faculty of Medicine, Benha University

Email

ahmedyousef22@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Shaheen

MiddleName

-

Affiliation

Cardiovascular Medicine Dept., Faculty of Medicine, Benha University

Email

ahmed990shaheen990@gmail.com

City

-

Orcid

-

Volume

8

Article Issue

11

Related Issue

44870

Issue Date

2023-11-01

Receive Date

2023-11-01

Publish Date

2023-11-29

Page Start

79

Page End

86

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_332582.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=332582

Order

11

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

The Effect of Remote Ischemic Preconditioning on The Outcome of Elective Percutaneous Coronary Intervention

Details

Type

Article

Created At

28 Dec 2024