PMID- 32403934 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 2048-8734 (Electronic) IS - 2048-8726 (Print) IS - 2048-8726 (Linking) VI - 9 IP - 4 DP - 2020 Jun TI - Pentraxin 3 in primary percutaneous coronary intervention for ST elevation myocardial infarction is associated with early irreversible myocardial damage : Kinetic profile, relationship to interleukin 6 and infarct size. PG - 302-312 LID - 10.1177/2048872620923641 [doi] AB - BACKGROUND: The inflammatory marker long pentraxin 3 (PTX3) has been shown to be a strong predictor of 30-day and one-year mortality after acute myocardial infarction. The aim of this study was to evaluate the kinetic profile of PTX3 and its relationship with interleukin 6 (IL-6), high-sensitive C-reactive protein (hs-CRP) and infarct size. METHODS: PTX3, IL-6 and hs-CRP were measured at predefined time points, at baseline (before percutaneous coronary intervention (PCI)), at 12 and 72 hours after PCI in 161 patients with first-time ST elevation myocardial infarction (STEMI). RESULTS: PTX3 and IL-6 levels increased in the early phase, followed by a gradual decrease between 12 and 72 hours. There were statistically significant correlations between PTX3 and IL-6 in general, for all time points and for changes over time (0-72 hours). In a linear mixed model, PTX3 predicted IL-6 (p < 0.001). PTX3 is also correlated with hs-CRP in general, and at each time point post PCI, except at baseline. PTX3, IL-6 and hs-CRP were all significantly correlated with infarct size in general, and at the peak time point for maximum troponin I. In addition, there was a modest correlation between IL-6 levels at baseline and infarct size at 72 hours after PCI (rho = 0.23, p = 0.006). CONCLUSIONS: PTX3 had a similar kinetic profile to IL-6, with an early increase and decline, and was statistically significantly correlated with markers of infarct size in STEMI patients post primary PCI. Baseline levels of IL-6 only predicted infarct size at 72 hours post PCI. FAU - Butt, Noreen AU - Butt N AD - Department of Clinical Science, University of Bergen, Norway. AD - Department of Cardiology, Stavanger University Hospital, Norway. FAU - Bache-Mathiesen, L K AU - Bache-Mathiesen LK AD - Department of Research, Section of Biostatistics Stavanger, University Hospital, Norway. FAU - Ushakova, A AU - Ushakova A AD - Department of Research, Section of Biostatistics Stavanger, University Hospital, Norway. FAU - Nordrehaug, J E AU - Nordrehaug JE AD - Department of Clinical Science, University of Bergen, Norway. AD - Department of Cardiology, Stavanger University Hospital, Norway. FAU - Jensen, S E AU - Jensen SE AD - Cardiology, Aalborg University Hospital, Denmark. FAU - Munk, P S AU - Munk PS AD - Department of Cardiology, Sorlandet Hospital, Norway. FAU - Danchin, N AU - Danchin N AD - Cardiology, Hopital Europeen Georges Pompidou, Universite Paris Descartes, France. FAU - Dubois-Rande, J L AU - Dubois-Rande JL AD - Cardiology and Clinical Investigation Center, University Hospital Henri Mondor, France. FAU - Hansen, H S AU - Hansen HS AD - Odense University Hospital, Denmark. FAU - Paganelli, F AU - Paganelli F AD - Hospital Nord of Marseille, France. FAU - Corvoisier, P Le AU - Corvoisier PL AD - Cardiology and Clinical Investigation Center, University Hospital Henri Mondor, France. FAU - Firat, H AU - Firat H AD - Firalis SA, France. FAU - Erlinge, D AU - Erlinge D AD - Lund University, Sweden. FAU - Atar, D AU - Atar D AD - Department of Cardiology, Oslo University Hospital Ulleval and University of Oslo, Norway. FAU - Larsen, A I AU - Larsen AI AD - Department of Clinical Science, University of Bergen, Norway. AD - Department of Cardiology, Stavanger University Hospital, Norway. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20200514 PL - England TA - Eur Heart J Acute Cardiovasc Care JT - European heart journal. Acute cardiovascular care JID - 101591369 RN - 0 (Biomarkers) RN - 0 (Interleukin-6) RN - 0 (Serum Amyloid P-Component) RN - 0 (Troponin I) RN - 0 (Troponin T) RN - 148591-49-5 (PTX3 protein) RN - 9007-41-4 (C-Reactive Protein) SB - IM MH - Aged MH - Biomarkers/blood MH - C-Reactive Protein/*metabolism MH - Female MH - Follow-Up Studies MH - Humans MH - Interleukin-6/*blood MH - Male MH - Middle Aged MH - Myocardium/*metabolism MH - *Percutaneous Coronary Intervention MH - Retrospective Studies MH - ST Elevation Myocardial Infarction/*blood/diagnosis/surgery MH - Serum Amyloid P-Component/*metabolism MH - Severity of Illness Index MH - Troponin I/blood MH - Troponin T/blood PMC - PMC7549329 OTO - NOTNLM OT - STEMI OT - high-sensitive C-reactive protein OT - inflammation OT - interleukin 6 OT - pentraxin 3 OT - primary percutaneous coronary intervention EDAT- 2020/05/15 06:00 MHDA- 2021/04/28 06:00 PMCR- 2020/10/12 CRDT- 2020/05/15 06:00 PHST- 2020/05/15 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/05/15 06:00 [entrez] PHST- 2020/10/12 00:00 [pmc-release] AID - 10.1177_2048872620923641 [pii] AID - 10.1177/2048872620923641 [doi] PST - ppublish SO - Eur Heart J Acute Cardiovasc Care. 2020 Jun;9(4):302-312. doi: 10.1177/2048872620923641. Epub 2020 May 14.