Research Article

Peripheral Artery Tonometry Reveals Impaired Endothelial Function before Percutaneous Coronary Intervention in Patients with Periprocedural Myocardial Injury

Table 2

Baseline and procedural characteristics of PMI.

Total (119)Non-PMI (68)PMI (51)

Age63.7 ± 9.564.0 ± 9.863.2 ± 9.30.476
Male91 (76.4)50 (73.5)41 (80.4)0.382
Hypertension81 (68.1)44 (64.7)37 (72.5)0.364
Diabetes25 (21.0)16 (23.5)9 (17.5)0.687
Smoking history49 (41.1)25 (36.8)24 (47.1)0.259
BMI24.8 ± 3.224.7 ± 3.224.9 ± 3.30.573
Syntax score15.2 ± 7.513.4 ± 6.317.4 ± 8.40.008
RHI1.86 ± 0.461.95 ± 0.501.75 ± 0.370.039

Laboratory and auxiliary examinations
NT-proBNP (pg/ml)225.1 ± 582.9229.7 ± 735.7219.2 ± 298.20.006
Creatinine (mg/dl)78.3 ± 15.876.6 ± 15.080.6 ± 16.60.088
CK (U/L)94.6 ± 45.696.0 ± 50.892.9 ± 38.30.658
CK-MB (U/L)12.8 ± 3.812.8 ± 4.312.8 ± 3.10.596
hs-CRP (mg/L)5.07 ± 9.413.95 ± 6.086.46 ± 12.30.691
Hemoglobin (g/L)136.2 ± 14.1135.4 ± 13.8137.3 ± 14.70.512
Platelet (×10^9/L)208.3 ± 68.2205.4 ± 76.4212.3 ± 56.00.262
Total cholesterol (mmol/L)3.86 ± 1.023.70 ± 0.994.08 ± 1.030.032
Low-density lipoprotein (mmol/L)2.04 ± 0.831.88 ± 0.772.24 ± 0.860.024
Triglyceride (mmol/L)1.83 ± 1.701.97 ± 2.101.66 ± 0.920.912
High-density lipoprotein (mmol/L)1.08 ± 0.301.06 ± 0.341.12 ± 0.240.025
Lp (a) (mmol/L)339.2 ± 438.2300.0 ± 298.6391.8 ± 485.20.393
HbA1c (%)6.1 ± 1.26.1 ± 1.46.1 ± 0.90.400

Echocardiography
LA (mm)39.2 ± 4.239.2 ± 4.539.4 ± 3.80.900
LVEDD (mm)46.7 ± 4.046.5 ± 4.547.2 ± 3.20.350
LVESD (mm)30.2 ± 3.430.1 ± 3.630.4 ± 3.10.644
SPAP (mmHg)32.9 ± 7.433.1 ± 8.232.6 ± 6.30.973
EF (%)64.7 ± 6.165.0 ± 6.264.5 ± 6.20.529

Medication
Aspirin115 (96.6)64 (94.1)51 (100)0.134
Statin118 (99.2)67 (98.5)51 (100)1.000
Β-blockade87 (73.1)54 (79.4)34 (66.7)0.117
Nitrates74 (62.2)39 (57.4)35 (68.6)0.060
Calcium channel blockade29 (24.3)16 (23.5)13 (25.5)0.805

PCI
Stent length (mm)44.4 ± 26.338.0 ± 21.552.8 ± 29.80.002
Use of GBI20 (16.8)11 (16.2)9 (17.6)0.832
Average stent diameter (mm)3.06 ± 0.443.11 ± 0.452.99 ± 0.410.149

Target vessel number
196 (80.7)58 (85.3)38 (74.5)0.140
220 (16.8)9 (13.2)11 (21.6)0.229
33 (2.5)1 (1.5)2 (1.7)0.576

Data are shown as mean ± SD or n (%). Slow flow was defined as a reduced thrombolysis in a myocardial infarction (TIMI) flow grade of 2 or lower in coronary angiography. BMI, body mass index; hs-CRP, hypersensitive C-reactive protein; GPI, glycoprotein IIb/IIIa receptor inhibitor; EF, ejection fraction; LA, left atrium; LVEDD, left ventricular end-diastolic diameter; LVESD, left ventricular end-systolic diameter; Lp (a), lipoprotein (a); PCI, percutaneous coronary intervention; SPAP, systolic pulmonary arterial pressure.