Curcumin for the prevention of myocardial injury following elective percutaneous coronary intervention; a pilot randomized clinical trial

Eur J Pharmacol. 2019 Sep 5:858:172471. doi: 10.1016/j.ejphar.2019.172471. Epub 2019 Jun 19.

Abstract

Due to the potential benefits of curcumin in the ischemic heart disease, this study was performed to evaluate whether pretreatment with curcumin may reduce myocardial injury following elective percutaneous coronary intervention (PCI). A randomized clinical trial was performed on 110 patients undergoing elective PCI. The intervention group (n = 55) received a single dose of 480 mg nanomicelle curcumin orally and the standard treatment before PCI, while the control group (n = 55) received only the standard treatment., Serum concentrations of CK-MB and troponin I was measured before, 8 and 24 h after the procedure to assess myocardial damage during PCI. The results showed that the raise of CK-MB in curcumin group was half of the control group (4 vs. 8 cases) but was not significant. There were no significant differences in CK-MB levels at 8 (P = .24) and 24 h (P = .37) after PCI between the curcumin and the control group. No significant difference was also found in troponin I levels at 8 (P = 1.0) and 24 h (P = .35) after PCI between the groups. This study did not support the potential cardioprotective benefit of curcumin against pre-procedural myocardial injury in patients undergoing elective PCI.

Keywords: Cardiac biomarkers; Creatine kinase MB; Curcumin; Myocardial injury; PCI; Troponin I.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Curcumin / pharmacology*
  • Elective Surgical Procedures / adverse effects*
  • Female
  • Heart Injuries / etiology*
  • Heart Injuries / metabolism
  • Heart Injuries / prevention & control*
  • Humans
  • Male
  • Middle Aged
  • Percutaneous Coronary Intervention / adverse effects*
  • Pilot Projects
  • Time Factors
  • Troponin I / metabolism

Substances

  • Troponin I
  • Curcumin