Back to Search
Start Over
Oxidative stress and severity of coronary artery disease in young smokers with acute myocardial infarction
- Source :
- Cardiology Journal. 19:381-386
- Publication Year :
- 2012
- Publisher :
- VM Media SP. zo.o VM Group SK, 2012.
-
Abstract
- Cigarette smoking increases the oxidative stress mediated vascular dysfunction in young adults. We aimed to investigate the relation between the oxidative stress indices and coronary artery disease (CAD) severity in young patients presenting with acute myocardial infarction (AMI).Young patients (aged 〈 35 years) who were admitted consecutively to our hospital with a diagnosis of AMI were included in the study. Age matched healthy subjects were selected as controls. Oxidative stress indices including lipid hydroperoxide (LOOH), total antioxidant status (TAS), total oxidant status (TOS), oxidative stress index (OSI), paraoxonase (PON) and arylesterase (ARE) activities were measured in serum. CAD severity was assessed by calculating the SYNTAX (Synergy Between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery Study) score. We analyzed the association between the oxidative indices and CAD severity.Forty two young patients were admitted to the hospital with AMI (age 32.4 ± 2.6 years; 39 males, 3 females). Current and heavy smoking was commonly observed among the patients (79%). All patients underwent emergency coronary angiography. Twenty-eight healthy subjects were selected as controls. Patients had significantly higher OSI and TOS levels (median, interquartile range) [0.44 (0.26-1.75) vs 0.25 (0.22-0.30), p0.001 and 6.0 (4.4-20.8) vs 4.1 (3.7-4.6), p0.001], respectively, and lower TAS and LOOH levels [1.6 ± 0.1 vs 1.7 ± 0.1, p = 0.02 and 3.0 ± 0.8 vs 3.6 ± 0.4, p = 0.001], respectively, compared to the control group. CAD severity correlated positively with OSI (r = 0.508, p = 0.001) and TOS levels (r = 0.471, p = 0.002). Subjects with an intermediate to high SYNTAX score (≥ 22) demonstrated significantly higher OSI (median, interquartile range) [0.40 (0.34-1.75) vs 0.34 (0.26-0.68), p = 0.01] and TOS [6.9 (4.4-20.8) vs 5.8 (4.5-11.4), p = 0.01] levels compared to subjects with low SYNTAX score.Oxidative stress is an important contributor to CAD severity among young smokers. Elevated OSI and TOS levels reflect disease severity and vascular damage related to heavy smoking in early onset CAD.
- Subjects :
- Adult
Male
Lipid Peroxides
medicine.medical_specialty
Turkey
Myocardial Infarction
Coronary Artery Disease
Coronary Angiography
Risk Assessment
Severity of Illness Index
Coronary artery disease
Predictive Value of Tests
Risk Factors
Interquartile range
Internal medicine
Severity of illness
medicine
Humans
Myocardial infarction
Age of Onset
Young adult
Aryldialkylphosphatase
business.industry
Smoking
Case-control study
General Medicine
medicine.disease
Oxidative Stress
Cross-Sectional Studies
Case-Control Studies
Predictive value of tests
Multivariate Analysis
Linear Models
Cardiology
Female
Age of onset
Cardiology and Cardiovascular Medicine
business
Carboxylic Ester Hydrolases
Biomarkers
Subjects
Details
- ISSN :
- 18975593
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- Cardiology Journal
- Accession number :
- edsair.doi.dedup.....25cd8751b83b82aa1561f4f0881f31a8