Is periprocedural CK-MB a better indicator of prognosis after emergency and elective percutaneous coronary intervention compared with post-procedural cardiac troponins?

被引:12
|
作者
Gollop, Nicholas D. [1 ]
Dhullipala, Anumita [2 ]
Nagrath, Nalin [3 ]
Myint, Phyo K. [1 ,4 ]
机构
[1] Norfolk & Norwich Univ Hosp, Norwich NR4 7UY, Norfolk, England
[2] Univ Glasgow, Undergrad Sch Med, Wolfson Med Sch, Glasgow, Lanark, Scotland
[3] Univ Aberdeen, Sch Med & Dent, Aberdeen, Scotland
[4] Univ E Anglia, Norwich Med Sch, Norwich NR4 7TJ, Norfolk, England
关键词
Creatinine kinase myocardial band; Troponin; Percutaneous coronary intervention; CREATINE KINASE-MB; I ELEVATION; IMPACT;
D O I
10.1093/icvts/ivt303
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A best evidence topic in interventional cardiac surgery was written according to a structured protocol. The question we addressed related to the elevation of markers of cardiac damage associated with percutaneous coronary intervention (PCI). We explored and compared the clinical and prognostic relevance of the elevation of creatinine kinase-myocardial band (CK-MB) and cardiac troponin (cTn) levels during the periprocedural period and the post-procedural period, respectively, following an emergency or elective PCI. We found in excess of 390 papers after a systematic literature search, of which 10 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. From the best evidence available it appears that the monitoring of cardiac biomarkers following a PCI can provide important clinical information about the health of the myocardium, as well as prognostic information on short to mid-term outcomes of mortality up to 3 years. The narrow evidence base advocates the use of periprocedural CK-MB monitoring, recommending that an elevation in CK-MB is a significant predictor of adverse events. Troponins remain a precise and reliable marker of cardiac damage; however, current evidence argues that cTn holds little prognostic relevance until the degree of elevation is almost five times the upper limit of normal (ULN). Thus, the best evidence recommends the use of periprocedural CK-MB routinely during PCI to provide clinical and prognostic information about the degree of myocardial injury and risk of post-procedural morbidity and mortality.
引用
收藏
页码:867 / 871
页数:5
相关论文
共 40 条
  • [1] Does hyperlipidaemia at the time of percutaneous coronary intervention correlate with periprocedural CK-MB elevation?
    Kini, AS
    Nebu, C
    Reich, D
    Mitre, CA
    Suleman, J
    Sharma, SK
    EUROPEAN HEART JOURNAL, 2000, 21 : 629 - 629
  • [2] High coronary calcium score and post-procedural CK-MB are noninvasive predictors of coronary stent restenosis
    Lee, Jae-Beom
    Choi, Yun-Seok
    Chung, Woo-Baek
    Kwon, Ami
    Park, Chul-Soo
    Lee, Man-Young
    CLINICAL INTERVENTIONS IN AGING, 2017, 12 : 399 - 404
  • [3] A prospective comparison of periprocedural troponin I versus CK-MB elevation after percutaneous coronary intervention.
    Kini, A
    Duffy, M
    Tolentino, A
    Tan, R
    Kamran, M
    Mitre, C
    Reich, D
    Marmur, JD
    Sharma, SK
    AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (8A): : 81I - 82I
  • [4] Impact of metabolic syndrome on post-procedural myocardial infarction after percutaneous coronary intervention
    Amano, Tetsuya
    Matsubara, Tatsuaki
    Uetani, Tadayuki
    Ando, Hirohiko
    Yokoi, Kiminobu
    Arai, Kosuke
    Marui, Noboyuki
    Nanki, Michio
    Ishii, Hideki
    Izawa, Hideo
    Murohara, Yoyoaki
    CIRCULATION, 2006, 114 (18) : 403 - 404
  • [5] Assessment of Echo-Attenuated Plaque by Optical Coherence Tomography and its Impact on Post-procedural CK-MB Elevation in Elective Stent Implantation
    Lee, Tetsumin
    Yonetsu, Taishi
    Takahashi, Kentarou
    Koura, Kenji
    Yamamoto, Ginga
    Hishikari, Keiichi
    Fujiwara, Hideomi
    Kakuta, Tsunekazu
    CIRCULATION, 2010, 122 (21)
  • [6] POST-PROCEDURAL HYPOTENSION AFTER PRIMARY PERCUTANEOUS CORONARY INTERVENTION IN ST ELEVATION MYOCARDIAL INFARCTION
    Kwon, Jee-Eun
    Kim, Sang-Wook
    Lee, Wang-Soo
    Hyeon, Seong Hyeop
    Hong, Joon Hwa
    Kumar, Sharath
    Kim, Eun Young
    Lee, Kwang Je
    Kim, Chee Jeong
    Cho, Dai Yun
    Kim, Tae Ho
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2014, 63 (12) : A173 - A173
  • [7] The prognostic value of CK-MB elevation after percutaneous coronary intervention in patients with chronic renal insufficiency
    Gruberg, L
    Ahmed, JM
    Suddath, WO
    Hongsheng, W
    Jaffi, MR
    McCarthy, NE
    Adamian, M
    Cioara, C
    Laird, JR
    CIRCULATION, 2000, 102 (18) : 390 - 390
  • [8] Relationship Between Attenuated Lipid Plaque in Target Lesions and Incidence of Post-Procedural Myocardial Injury After Elective Percutaneous Coronary Intervention
    Sahashi, Yuki
    Kawasaki, Masanori
    Tanaka, Toshiki
    Kanamori, Hiromitsu
    CIRCULATION, 2018, 138
  • [9] Quantitative Assessment of Echo-Attenuated Plaque by Optical Coherence Tomography and its Impact on Post-Procedural CK-MB Elevation in Elective Stent Implantation
    Lee, Tetsumin
    Yonetsu, Taishi
    Murai, Tadashi
    Koura, Kenji
    Takagi, Takamitsu
    Iwai, Toshiyuki
    Iesaka, Yoshito
    Kakuta, Tsunekazu
    CIRCULATION, 2011, 124 (21)
  • [10] Periprocedural bleeding is a strong independent predictor of long-term prognosis after elective percutaneous coronary intervention
    Motovska, Z.
    Miklik, R.
    Bilkova, D.
    Skalicka, H.
    Petr, R.
    Doktorova, M.
    Maly, M.
    Kala, P.
    Simek, S.
    Widimsky, P.
    EUROPEAN HEART JOURNAL, 2011, 32 : 396 - 396