Aging adversely affects postinfarction inflammatory response and early left ventricular remodeling after reperfused acute anterior myocardial infarction

Keitaro Mahara, Toshihisa Anzai, Tsutomu Yoshikawa, Yuichiro Maekawa, Teruo Okabe, Yasushi Asakura, Toru Satoh, Hideo Mitamura, Masahiro Suzuki, Akira Murayama, Satoshi Ogawa

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background and Aims: We have demonstrated that an increased peak serum C-reactive protein (CRP) level after acute myocardial infarction (AMI) was a major predictor of left ventricular (LV) remodeling. We sought to clarify the effect of aging on the postinfarction inflammatory response and LV remodeling. Methods: We studied 102 patients who underwent primary angioplasty for a first anterior Q-wave AMI. Serum CRP levels, plasma neuro-hormones and interleukin-6 (IL-6) levels, and LV volume by left ventriculography were serially measured. Patients were divided into two groups according to their age (≥ 70 years, n = 33; <70 years, n = 69). Results: There was no difference in use of cardiovascular drugs and coronary angiographic findings. Older patients had a greater increase in LV end-diastolic volume during 2 weeks after AMI (p = 0.0007) and a higher peak CRP level (12.4 ± 7.3 vs.5.5 ± 4.2 mg/dl, p<0.0001), although peak CK level was comparable between the two groups. Plasma atrial natriuretic peptide, brain natriuretic peptide and IL-6 levels were higher in older patients at 2 weeks and 6 months after AMI. Conclusions: Augmented and prolonged activation of the inflammatory system after AMI was observed in older patients, in association with exaggerated LV remodeling. Aging may adversely affect LV remodeling through modification of the inflammatory response after AMI.

Original languageEnglish
Pages (from-to)67-74
Number of pages8
JournalCardiology
Volume105
Issue number2
DOIs
Publication statusPublished - 2006 Feb

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Ventricular Remodeling
Myocardial Infarction
C-Reactive Protein
Blood Proteins
Interleukin-6
Cardiovascular Agents
Brain Natriuretic Peptide
Atrial Natriuretic Factor
Angioplasty
Stroke Volume
Hormones

Keywords

  • Aging
  • Inflammation
  • Myocardial infarction
  • Remodeling

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Aging adversely affects postinfarction inflammatory response and early left ventricular remodeling after reperfused acute anterior myocardial infarction. / Mahara, Keitaro; Anzai, Toshihisa; Yoshikawa, Tsutomu; Maekawa, Yuichiro; Okabe, Teruo; Asakura, Yasushi; Satoh, Toru; Mitamura, Hideo; Suzuki, Masahiro; Murayama, Akira; Ogawa, Satoshi.

In: Cardiology, Vol. 105, No. 2, 02.2006, p. 67-74.

Research output: Contribution to journalArticle

Mahara, K, Anzai, T, Yoshikawa, T, Maekawa, Y, Okabe, T, Asakura, Y, Satoh, T, Mitamura, H, Suzuki, M, Murayama, A & Ogawa, S 2006, 'Aging adversely affects postinfarction inflammatory response and early left ventricular remodeling after reperfused acute anterior myocardial infarction', Cardiology, vol. 105, no. 2, pp. 67-74. https://doi.org/10.1159/000089542
Mahara, Keitaro ; Anzai, Toshihisa ; Yoshikawa, Tsutomu ; Maekawa, Yuichiro ; Okabe, Teruo ; Asakura, Yasushi ; Satoh, Toru ; Mitamura, Hideo ; Suzuki, Masahiro ; Murayama, Akira ; Ogawa, Satoshi. / Aging adversely affects postinfarction inflammatory response and early left ventricular remodeling after reperfused acute anterior myocardial infarction. In: Cardiology. 2006 ; Vol. 105, No. 2. pp. 67-74.
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AU - Anzai, Toshihisa

AU - Yoshikawa, Tsutomu

AU - Maekawa, Yuichiro

AU - Okabe, Teruo

AU - Asakura, Yasushi

AU - Satoh, Toru

AU - Mitamura, Hideo

AU - Suzuki, Masahiro

AU - Murayama, Akira

AU - Ogawa, Satoshi

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AB - Background and Aims: We have demonstrated that an increased peak serum C-reactive protein (CRP) level after acute myocardial infarction (AMI) was a major predictor of left ventricular (LV) remodeling. We sought to clarify the effect of aging on the postinfarction inflammatory response and LV remodeling. Methods: We studied 102 patients who underwent primary angioplasty for a first anterior Q-wave AMI. Serum CRP levels, plasma neuro-hormones and interleukin-6 (IL-6) levels, and LV volume by left ventriculography were serially measured. Patients were divided into two groups according to their age (≥ 70 years, n = 33; <70 years, n = 69). Results: There was no difference in use of cardiovascular drugs and coronary angiographic findings. Older patients had a greater increase in LV end-diastolic volume during 2 weeks after AMI (p = 0.0007) and a higher peak CRP level (12.4 ± 7.3 vs.5.5 ± 4.2 mg/dl, p<0.0001), although peak CK level was comparable between the two groups. Plasma atrial natriuretic peptide, brain natriuretic peptide and IL-6 levels were higher in older patients at 2 weeks and 6 months after AMI. Conclusions: Augmented and prolonged activation of the inflammatory system after AMI was observed in older patients, in association with exaggerated LV remodeling. Aging may adversely affect LV remodeling through modification of the inflammatory response after AMI.

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