The purpose of this study is to investigate the efficacy and mechanism of Adipokines Cardiac Protection in Obese Patients With acute myocardial infarction (AMI) Who Have Undergone Percutaneous Coronary Intervention (PCI).
Adipokines (or adipocytokines) can be defined as a group of more than 600 bioactive molecules made from adipose tissue that acts as paracrine and endocrine hormones. Adipokines are involved in maintaining varieties of processes such as, appetite and satiety, energy expenditure activity, endothelial function, blood pressure, hemostasis, adipogenesis, insulin sensitivity, energy metabolism in insulin-sensitive tissues, fat distribution and insulin secretion in pancreatic β-cells. Adipokines may contribute to reduce scar formation and improve cardiac function in acute myocardial infarction (AMI). Reperfusion therapy such as percutaneous coronary intervention (PCI) should be administered to all eligible patients with AMI symptom onset within the prior 12 hours. However, our previous work showed that obese patients may benefit more from PCI. Thus, the aim of the present study was to investigate the efficacy and mechanism of adipokines cardiac protection for obese and non-obese patients with acute myocardial infarction (AMI) who have undergone PCI.
Study Type
OBSERVATIONAL
Enrollment
120
percutaneous coronary intervention (PCI)
Xijing hospital
Xi'an, Shaanxi, China
Number of patient death during the follow up period
Time frame: 1 year
Left ventricular ejection fraction
Time frame: 1 year
Myocardial perfusion scores as evaluated by Single-photon emission computed tomography (SPECT)
Time frame: 1 year
Infarct size as evaluated by Single-photon emission computed tomography (SPECT)
Time frame: 1 year
Number of target vessel revascularization
Time frame: 1 year
Angina class according to the canadian cardiovascular society (CCS) classification
Time frame: 1 year
Scores on the Seattle angina questionnaire
Time frame: 1 year
six-min walk distance (6MWD)
Time frame: 1 year
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