PMID- 16394591 OWN - NLM STAT- MEDLINE DCOM- 20060224 LR - 20191109 IS - 1349-2365 (Print) IS - 1349-2365 (Linking) VI - 46 IP - 6 DP - 2005 Nov TI - Influence of primary coronary intervention on myocardial collagen metabolism and left ventricle remodeling predicted by collagen metabolism markers. PG - 949-59 AB - The aims of the present study were to analyze cardiac collagen metabolism changes in vivo during acute and nonacute phases of ST elevation myocardial infarction (STEMI) in patients who were treated with primary coronary intervention (PCI) only, and to determine the predictive significance of collagen I and III synthesis markers (PICP, PIIINP) as well as the collagen I degradation marker (ICTP) on left ventricular function and volume changes after STEMI. Serum levels of the carboxy-terminal propeptide of type I procollagen (PICP) and amino-terminal propeptide of type III procollagen (PIIINP) assessed on the 30th day and the carboxyterminal telopeptide located at the C end of collagen type I (ICTP) assessed on the 7th day after STEMI were significantly higher (P = 0.01, P = 0.019, P = 0.04, respectively) in the PCI unsuccessful group than in the PCI successful group. These findings support the theory that early and successful PCI not only limits the amount of muscle necrosis but also protects cardiac collagen from ischemia-related injury. PICP and PIIINP levels assessed on the fourth day after acute STEMI enables us to predict the development of left ventricular function (EF) and end-diastolic volume changes over the course of 6 months, irrespective of the initial EF or revascularization success. FAU - Jirmar, Radovan AU - Jirmar R AD - Cardiocenter, Department of Cardiology, 3rd Medical School, Charles University and University Hospital, Kralovske Vinohrady, Czech Repiblic. FAU - Pelouch, Vaclav AU - Pelouch V FAU - Widimsky, Petr AU - Widimsky P FAU - Capek, Jan AU - Capek J FAU - Andel, Michal AU - Andel M FAU - Prusa, Richard AU - Prusa R FAU - Pechova, Martina AU - Pechova M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Japan TA - Int Heart J JT - International heart journal JID - 101244240 RN - 0 (Biomarkers) RN - 0 (Peptide Fragments) RN - 0 (Procollagen) RN - 0 (procollagen Type III-N-terminal peptide) RN - 0 (procollagen type I carboxy terminal peptide) RN - 9007-34-5 (Collagen) SB - IM MH - Aged MH - *Angioplasty, Balloon, Coronary MH - Biomarkers/metabolism MH - Collagen/*metabolism MH - Electrocardiography MH - Extracellular Matrix/metabolism MH - Female MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/metabolism/*physiopathology/therapy MH - Myocardium/*metabolism MH - Peptide Fragments/metabolism MH - Procollagen/metabolism MH - Ventricular Function, Left MH - *Ventricular Remodeling EDAT- 2006/01/06 09:00 MHDA- 2006/02/25 09:00 CRDT- 2006/01/06 09:00 PHST- 2006/01/06 09:00 [pubmed] PHST- 2006/02/25 09:00 [medline] PHST- 2006/01/06 09:00 [entrez] AID - JST.JSTAGE/ihj/46.949 [pii] AID - 10.1536/ihj.46.949 [doi] PST - ppublish SO - Int Heart J. 2005 Nov;46(6):949-59. doi: 10.1536/ihj.46.949.