The Plausible Predictive Outcome of Intravenous Thrombolysis by High Levels of CRP on Admission in Patients with Myocardial Infarction

Mohammad Ali Ostovan; A  Ahmadi; AA  Zolghadrasli

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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The Plausible Predictive Outcome of Intravenous Thrombolysis by High Levels of CRP on Admission in Patients with Myocardial Infarction

Author(s):

Mohammad Ali Ostovan¹,

A Ahmadi²,

AA Zolghadrasli^1,*

1Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2Department of internal medicine, Shiraz University of Medical Sciences, Shiraz, Iran

International Cardiovascular Research Journal:Vol. 4, issue 4; e60793

Published online:Dec 01, 2010

Article type:Research Article

Received:Sep 20, 2017

Accepted:Dec 01, 2010

How to Cite:Mohammad Ali OstovanA AhmadiAA ZolghadrasliThe Plausible Predictive Outcome of Intravenous Thrombolysis by High Levels of CRP on Admission in Patients with Myocardial Infarction.Int Cardiovasc Res J.4(4):e60793.

Abstract

Background: Although primary percutaneous transluminal coronary angioplasty is the method of choice for reperfusion in ST-elevation myocardial infarction, the intravenous thrombolysis is a more frequently used method. Thus it is important to identify the risks of reperfusion failure. In this regard, CRP as an inflammatory marker has shown promising value. The aim of this study is to investigate whether CRP level on admission is indicative of intravenous thrombolysis failure.
Methods: This study comprised 84 patients with STEMI. Samples were taken for CRP before initiation of thrombolysis. The correlation of CRP levels with thrombolysis results was investigated at the end of the study.
Results: The study population was divided according to their plasma CRP level on admission. The first group had CRP levels<0.5 mg/L (22 patients) and the second group had CRP levels≥0.5 mg/L (62 patients). There was a statistically significant difference (P=0.01) between the respondents to thrombolysis in the first (59.1%) and second groups (29.0%).
Conclusion: It was demonstrated that patients with low CRP levels on admission showed better response to intravenous thrombolysis while those with high levels of CRP showed unfavorable response.

Keywords

CRP

Intravenous Thrombolysis

Acute Myocardial Infarction

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