PMID- 35079723 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220430 IS - 2666-6022 (Electronic) IS - 2666-6022 (Linking) VI - 12 DP - 2021 Dec TI - Circulating fibrocyte levels correlate with infarct size in patients with ST elevation myocardial infarction treated with primary percutaneous coronary intervention. LID - 100071 [pii] LID - 10.1016/j.ahjo.2021.100071 [doi] AB - 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. FAU - Elzeneini, Mohammed AU - Elzeneini M AD - Department of Medicine, University of Florida, Gainesville, FL, USA. AD - Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USA. FAU - Al-Ani, Mohammad AU - Al-Ani M AD - Department of Medicine, University of Florida, Gainesville, FL, USA. AD - Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USA. FAU - Peters, Anthony E AU - Peters AE AD - Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA. FAU - Burdick, Marie D AU - Burdick MD AD - Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA. FAU - Yang, Ning AU - Yang N AD - Department of Medicine, University of Florida, Gainesville, FL, USA. AD - Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, USA. FAU - Salerno, Michael AU - Salerno M AD - Department of Internal Medicine, University of Virginia, Charlottesville, VA, USA. AD - Division of Cardiovascular Medicine, University of Virginia, Charlottesville, VA, USA. FAU - Mehrad, Borna AU - Mehrad B AD - Department of Medicine, University of Florida, Gainesville, FL, USA. AD - Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL, USA. FAU - Keeley, Ellen C AU - Keeley EC AD - Department of Medicine, University of Florida, Gainesville, FL, USA. AD - Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, USA. LA - eng GR - R01 AI135128/AI/NIAID NIH HHS/United States GR - R01 HL098329/HL/NHLBI NIH HHS/United States GR - U01 EB024501/EB/NIBIB NIH HHS/United States PT - Journal Article DEP - 20211127 PL - United States TA - Am Heart J Plus JT - American heart journal plus : cardiology research and practice JID - 101779333 PMC - PMC8786221 MID - NIHMS1770793 OTO - NOTNLM OT - Biomarker OT - Fibrocyte OT - Infarct size OT - ST elevation myocardial infarction COIS- Declaration of competing interest No authors reported conflict of interest. EDAT- 2022/01/27 06:00 MHDA- 2022/01/27 06:01 PMCR- 2021/11/27 CRDT- 2022/01/26 05:31 PHST- 2022/01/26 05:31 [entrez] PHST- 2022/01/27 06:00 [pubmed] PHST- 2022/01/27 06:01 [medline] PHST- 2021/11/27 00:00 [pmc-release] AID - 100071 [pii] AID - 10.1016/j.ahjo.2021.100071 [doi] PST - ppublish SO - Am Heart J Plus. 2021 Dec;12:100071. doi: 10.1016/j.ahjo.2021.100071. Epub 2021 Nov 27.