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Changes in anti-heat shock protein 27 antibody and C-reactive protein levels following cardiac surgery and their association with cardiac function in patients with cardiovascular disease

机译:心血管疾病患者心脏手术后抗热休克蛋白27抗体和C反应蛋白水平的变化及其与心功能的关系

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The relationship between serum anti-heat shock protein (Hsp)27 antibody and high sensitive C-reactive protein (hs-CRP) levels and indices of cardiac function were investigated in patients undergoing coronary artery bypass grafting (CABG) or heart valve replacement. The changes in anti-Hsp27 antibody titers and hs-CRP levels were compared among patients undergoing off-pump and on-pump CABG or valvular heart replacement. Fifty-three patients underwent off-pump, on-pump CABG, and heart valvular replacement in each group. Serum anti-Hsp27 titers and hs-CRP values were measured 24?h before and after the operation and at discharge. Echocardiography was performed before surgery and before discharge. The results were compared with values from 83 healthy controls. hs-CRP levels increased and anti-Hsp27 antibody decreased following surgery (P?
机译:研究了接受冠状动脉旁路移植术(CABG)或心脏瓣膜置换术的患者的血清抗热休克蛋白(Hsp)27抗体与高敏C反应蛋白(hs-CRP)水平和心脏功能指标之间的关系。比较了接受非体外循环和体外循环CABG或瓣膜心脏置换术的患者中抗Hsp27抗体滴度和hs-CRP水平的变化。每组中有53例患者接受了泵外,泵上CABG和心脏瓣膜置换术。术前和术后以及出院时24 h测量血清抗Hsp27滴度和hs-CRP值。在手术前和出院前进行超声心动图检查。将结果与83个健康对照的值进行比较。手术后hs-CRP水平升高,抗Hsp27抗体降低(分别P 0.001和P 0.05),尽管这些变化与手术程序无关(P <= 0.361和P <= 0.120,分别)。出院时抗Hsp27抗体水平较高(P≥0.016)。仅在冠心病患者中,抗Hsp27抗体水平与肺毛细血管楔压的标志物E / E'呈负相关(r?=?0.268,P?=?0.022)。总之,抗Hsp27抗体水平与冠心病患者的心功能指标相关。心肺搭桥术对诱导Hsp27水平变化没有明显影响。此外,术后所有组中的抗Hsp27抗体水平均下降。这可能是由于抗原-抗体免疫复合物的形成,并且出院时抗体水平较高。

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