Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio

Objectives: Enhanced matrix metalloproteinase-8 (MMP-8) activity in the early post-myocardial infarction (MI) period has been related to early remodeling. However, it has been demonstrated that plasma MMP-8 level has a biphasic profile, and the relation between the late plasma levels and remodeling...

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Main Authors: Ayhan Erkol, Selçuk Pala, Vecih Oduncu, Alev Kılıcgedik, Filiz Kızılırmak, Can Yücel Karabay, Ahmet Güler, Cevat Kırma
Format: Article
Language:English
Published: KARE Publishing 2013-10-01
Series:Türk Kardiyoloji Derneği Arşivi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68625
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author Ayhan Erkol
Selçuk Pala
Vecih Oduncu
Alev Kılıcgedik
Filiz Kızılırmak
Can Yücel Karabay
Ahmet Güler
Cevat Kırma
author_facet Ayhan Erkol
Selçuk Pala
Vecih Oduncu
Alev Kılıcgedik
Filiz Kızılırmak
Can Yücel Karabay
Ahmet Güler
Cevat Kırma
author_sort Ayhan Erkol
collection DOAJ
description Objectives: Enhanced matrix metalloproteinase-8 (MMP-8) activity in the early post-myocardial infarction (MI) period has been related to early remodeling. However, it has been demonstrated that plasma MMP-8 level has a biphasic profile, and the relation between the late plasma levels and remodeling is unclear. We evaluated the plasma MMP-8 levels and its correlates 20+-3 months after acute MI. Study design: 58 post-MI patients and 26 control subjects underwent quantitative single-photon emission computed tomography (SPECT) and echocardiography. The plasma MMP-8 levels were measured and its correlates were investigated. Results: The MMP-8 levels were significantly higher in post- MI patients [median 3.88 ng/ml, interquartile range (1.88- 6.43) vs. 0.67 ng/ml (0.34-2.47); p<0.001]. Plasma MMP-8 levels were significantly correlated with left ventricular ejection fraction (LVEF) (ρ=0.34, p=0.009), end diastolic volume index (EDVi) (ρ=-0.39, p=0.002) and end systolic volume index (ESVi) (ρ=-0.40, p=0.002). Conclusion: Plasma MMP-8 levels were found to still be high in post-MI patients 20+-3 months after the index event. The levels were significantly correlated with left ventricular volume indices and LVEF. We speculate that, in contrast to the relation between the higher early MMP-8 activity and the extent of cardiac remodeling, higher late levels may be associated with relative preservation of left ventricular systolic function.
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spelling doaj.art-a4aa42bc6ba646ddb292441d445124f32023-02-15T16:10:19ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692013-10-0141761762410.5543/tkda.2013.68625TKDA-68625Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractioAyhan Erkol0Selçuk Pala1Vecih Oduncu2Alev Kılıcgedik3Filiz Kızılırmak4Can Yücel Karabay5Ahmet Güler6Cevat Kırma7Department of Cardiology, Kocaeli Derince Training and Research Hospital, Kocaeli, TurkeyDepartment of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiology Fatih Medikal Park Hospital, IstanbulDepartment of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiology, Medipol University Hospital, IstanbulDepartment of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Istanbul, TurkeyDepartment of Cardiology, Kartal Kosuyolu Heart Training and Research Hospital, Istanbul, TurkeyObjectives: Enhanced matrix metalloproteinase-8 (MMP-8) activity in the early post-myocardial infarction (MI) period has been related to early remodeling. However, it has been demonstrated that plasma MMP-8 level has a biphasic profile, and the relation between the late plasma levels and remodeling is unclear. We evaluated the plasma MMP-8 levels and its correlates 20+-3 months after acute MI. Study design: 58 post-MI patients and 26 control subjects underwent quantitative single-photon emission computed tomography (SPECT) and echocardiography. The plasma MMP-8 levels were measured and its correlates were investigated. Results: The MMP-8 levels were significantly higher in post- MI patients [median 3.88 ng/ml, interquartile range (1.88- 6.43) vs. 0.67 ng/ml (0.34-2.47); p<0.001]. Plasma MMP-8 levels were significantly correlated with left ventricular ejection fraction (LVEF) (ρ=0.34, p=0.009), end diastolic volume index (EDVi) (ρ=-0.39, p=0.002) and end systolic volume index (ESVi) (ρ=-0.40, p=0.002). Conclusion: Plasma MMP-8 levels were found to still be high in post-MI patients 20+-3 months after the index event. The levels were significantly correlated with left ventricular volume indices and LVEF. We speculate that, in contrast to the relation between the higher early MMP-8 activity and the extent of cardiac remodeling, higher late levels may be associated with relative preservation of left ventricular systolic function.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68625cardiac volumecoronary diseasebiological markers/ bloodelectrocardiography; ejection fraction; heart ventricles; matrix metalloproteinase 8; myocardial infarction/blood/enzymology.
spellingShingle Ayhan Erkol
Selçuk Pala
Vecih Oduncu
Alev Kılıcgedik
Filiz Kızılırmak
Can Yücel Karabay
Ahmet Güler
Cevat Kırma
Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
Türk Kardiyoloji Derneği Arşivi
cardiac volume
coronary disease
biological markers/ blood
electrocardiography; ejection fraction; heart ventricles; matrix metalloproteinase 8; myocardial infarction/blood/enzymology.
title Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
title_full Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
title_fullStr Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
title_full_unstemmed Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
title_short Relation of plasma matrix metalloproteinase-8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
title_sort relation of plasma matrix metalloproteinase 8 levels late after myocardial infarction with left ventricular volumes and ejection fractio
topic cardiac volume
coronary disease
biological markers/ blood
electrocardiography; ejection fraction; heart ventricles; matrix metalloproteinase 8; myocardial infarction/blood/enzymology.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-68625
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