Different effect of percutaneous and surgical coronary revascularization on cardiac autonomic function and inflammation in patients with stable angina

Int J Cardiol. 2008 Jul 4;127(2):269-70. doi: 10.1016/j.ijcard.2007.04.015. Epub 2007 May 29.

Abstract

We assessed heart rate variability (HRV) and high-sensitivity C-reactive protein (CRP) serum levels in 77 patients with chronic stable angina (CSA), 47 of whom had obstructive coronary artery disease (CAD) and 30 normal or near-normal coronary arteries (NCA). The effect of percutaneous coronary interventions (PCI) and bypass surgery (CABG) on HRV and CRP was assessed in 36 patients (18 PCI, 18 CABG) 6 months after the intervention. A significant inverse correlation was found between CRP levels and HRV variables in CAD patients (best r value=-0.31, p=0.036 for very low frequency amplitude), but not in NCA patients. At follow-up, however, no significant correlation was found between CRP and HRV in PCI and CABG treated patients. Thus, while confirming the presence of a relation between cardiac autonomic dysfunction and inflammation in CAD patients, our data show that the association is lost after revascularization procedures.

Publication types

  • Letter

MeSH terms

  • Angina Pectoris / blood
  • Angina Pectoris / physiopathology*
  • Angina Pectoris / surgery*
  • Angioplasty, Balloon, Coronary*
  • C-Reactive Protein / metabolism
  • Coronary Angiography
  • Coronary Artery Bypass*
  • Coronary Disease / blood
  • Coronary Disease / physiopathology*
  • Coronary Disease / surgery*
  • Electrocardiography, Ambulatory
  • Female
  • Heart Rate / physiology
  • Humans
  • Inflammation
  • Male
  • Middle Aged

Substances

  • C-Reactive Protein