Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention

Study objective: Infarct size is a strong predictor of outcomes after ST elevation myocardial infarction (STEMI). Circulating fibrocytes are bone marrow-derived progenitor cells associated with fibrotic processes. We tested whether fibrocytes correlate with infarct size in STEMI patients treated wit...

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Main Authors: Mohammed Elzeneini, Mohammad Al-Ani, Anthony E. Peters, Marie D. Burdick, Ning Yang, Michael Salerno, Borna Mehrad, Ellen C. Keeley
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:American Heart Journal Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666602221000690
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author Mohammed Elzeneini
Mohammad Al-Ani
Anthony E. Peters
Marie D. Burdick
Ning Yang
Michael Salerno
Borna Mehrad
Ellen C. Keeley
author_facet Mohammed Elzeneini
Mohammad Al-Ani
Anthony E. Peters
Marie D. Burdick
Ning Yang
Michael Salerno
Borna Mehrad
Ellen C. Keeley
author_sort Mohammed Elzeneini
collection DOAJ
description Study objective: Infarct size is a strong predictor of outcomes after ST elevation myocardial infarction (STEMI). Circulating fibrocytes are bone marrow-derived progenitor cells associated with fibrotic processes. We tested whether fibrocytes correlate with infarct size in STEMI patients treated with primary percutaneous coronary intervention (PCI). Design: Prospective observational study. Setting: Academic medical center. Participants: Subjects with STEMI treated with primary PCI. Interventions: Peripheral blood draw and cardiac magnetic resonance imaging (CMR). Main outcome measure: Correlation of fibrocyte levels with infarct size. Methods: Peripheral blood fibrocytes were quantified at discharge from STEMI hospitalization and at 6 months follow-up using flow cytometry. Infarct size was determined within 2 weeks of discharge and at 6 months follow-up using late gadolinium enhancement on CMR. Results: Among 14 patients (median age 54 years, 79% men) with STEMI, there was a statistically significant positive correlation between fibrocyte levels at 6 months and 6-month infarct size on CMR (r = 0.58, p = 0.031). In addition, there was positive correlation between peak troponin I level (r = 0.85, p < 0.001), and white blood cell count (r = 0.55, p = 0.042) during the hospital stay and 6-month infarct size on CMR. Conclusions: Circulating fibrocytes measured 6 months after STEMI positively correlate with 6-month infarct size assessed by CMR.
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spelling doaj.art-885651fbc262405490159c1f33a518812022-12-21T23:18:47ZengElsevierAmerican Heart Journal Plus2666-60222021-12-0112100071Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary interventionMohammed Elzeneini0Mohammad Al-Ani1Anthony E. Peters2Marie D. Burdick3Ning Yang4Michael Salerno5Borna Mehrad6Ellen C. Keeley7Department of Medicine, University of Florida, Gainesville, FL, USA; Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USADepartment of Medicine, University of Florida, Gainesville, FL, USA; Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USADepartment of Internal Medicine, University of Virginia, Charlottesville, VA, USADepartment of Internal Medicine, University of Virginia, Charlottesville, VA, USADepartment of Medicine, University of Florida, Gainesville, FL, USA; Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, USADepartment of Internal Medicine, University of Virginia, Charlottesville, VA, USA; Division of Cardiovascular Medicine, University of Virginia, Charlottesville, VA, USADepartment of Medicine, University of Florida, Gainesville, FL, USA; Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, USADepartment of Medicine, University of Florida, Gainesville, FL, USA; Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USA; Corresponding author at: Division of Cardiovascular Medicine, University of Florida, 1600 SW Archer Road, P.O. Box 100277, Gainesville, FL 32610-0277, USA.Study objective: Infarct size is a strong predictor of outcomes after ST elevation myocardial infarction (STEMI). Circulating fibrocytes are bone marrow-derived progenitor cells associated with fibrotic processes. We tested whether fibrocytes correlate with infarct size in STEMI patients treated with primary percutaneous coronary intervention (PCI). Design: Prospective observational study. Setting: Academic medical center. Participants: Subjects with STEMI treated with primary PCI. Interventions: Peripheral blood draw and cardiac magnetic resonance imaging (CMR). Main outcome measure: Correlation of fibrocyte levels with infarct size. Methods: Peripheral blood fibrocytes were quantified at discharge from STEMI hospitalization and at 6 months follow-up using flow cytometry. Infarct size was determined within 2 weeks of discharge and at 6 months follow-up using late gadolinium enhancement on CMR. Results: Among 14 patients (median age 54 years, 79% men) with STEMI, there was a statistically significant positive correlation between fibrocyte levels at 6 months and 6-month infarct size on CMR (r = 0.58, p = 0.031). In addition, there was positive correlation between peak troponin I level (r = 0.85, p < 0.001), and white blood cell count (r = 0.55, p = 0.042) during the hospital stay and 6-month infarct size on CMR. Conclusions: Circulating fibrocytes measured 6 months after STEMI positively correlate with 6-month infarct size assessed by CMR.http://www.sciencedirect.com/science/article/pii/S2666602221000690Infarct sizeST elevation myocardial infarctionFibrocyteBiomarker
spellingShingle Mohammed Elzeneini
Mohammad Al-Ani
Anthony E. Peters
Marie D. Burdick
Ning Yang
Michael Salerno
Borna Mehrad
Ellen C. Keeley
Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention
American Heart Journal Plus
Infarct size
ST elevation myocardial infarction
Fibrocyte
Biomarker
title Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention
title_full Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention
title_fullStr Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention
title_full_unstemmed Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention
title_short Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention
title_sort circulating fibrocyte levels correlate with infarct size in patients with st elevation myocardial infarction treated with primary percutaneous coronary intervention
topic Infarct size
ST elevation myocardial infarction
Fibrocyte
Biomarker
url http://www.sciencedirect.com/science/article/pii/S2666602221000690
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