Predictive value of oxidative, antioxidative, and inflammatory status for left ventricular systolic recovery after percutaneous coronary intervention for ST-segment elevation myocardial infarction

Rev Assoc Med Bras (1992). 2022 Nov 21;68(10):1369-1375. doi: 10.1590/1806-9282.20220300. eCollection 2022.

Abstract

Objective: This study aimed to evaluate the association between left ventricular ejection fraction recovery and the total oxidant status, total antioxidant capacity, and high-sensitivity C-reactive protein levels.

Methods: A total of 264 ST-elevation myocardial infarction patients were classified into two groups according to baseline and 6-month follow-up left ventricular systolic function: reduced and recovery systolic function. Predictors of the recovery of left ventricular ejection fraction were determined by multivariate regression analyses.

Results: Multivariable analysis indicated that oxidative status index, baseline left ventricular ejection fraction and peak creatine-kinase myocardial bundle level, and high-sensitivity C-reactive protein were independently associated with the decreased of left ventricular ejection fraction at 6-month follow-up.

Conclusion: Oxidative stress and inflammation parameters were detrimental to the recovery of left ventricular ejection fraction in patients with ST-elevation myocardial infarction.

MeSH terms

  • Antioxidants
  • C-Reactive Protein
  • Humans
  • Myocardial Infarction* / complications
  • Myocardial Infarction* / surgery
  • Oxidative Stress
  • Percutaneous Coronary Intervention*
  • ST Elevation Myocardial Infarction* / complications
  • ST Elevation Myocardial Infarction* / surgery
  • Stroke Volume
  • Ventricular Function, Left

Substances

  • Antioxidants
  • C-Reactive Protein