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Effects of Tirofiban on Inflammation Factors in Pigs with Myocardial Infarction Reperfusion

  

  • Received:2010-07-26 Revised:2010-09-17 Published:2010-12-15 Online:2010-12-15
  • Contact: Jian Li

Abstract: Objective:To investigate the effect of tirofiban on inflammation f actors in pigs with myocardial infarction reperfusion . Methods:19 Chinese mini pigs were randomized into control group (n=10)and tirofiban-treating group(n=9). Acute myocardial infarction was induced by method of PTCA. All the successful models accepted DE-MSCT examinations at 1 hour, 24 hours, 48 hours, and 72 hours after reperfusion. All pigs was taken blood at seven different points: 30min before AMI, 30min after AMI, 10min, 2h, 24h, 48h, 72h after reperfusion. The serum levels of IL-6, IL-10, HIF-1αwere measured by enzyme linked immunosorbent assay(ELISA). Result :(1)The infarct myocardium volume percent was significantly reduced in tirofiban-treating group compared with control group at 24h, 48 and 72h after reperfusion; while the no-reflow volume percent was significantly reduced in tirofiban-treating group compared with control group from 1h to 72h after reperfusion. (2)In tirofiban-treating group, the levels of serum IL-6 were significantly lower than those in control group(p<0.05),while the levels of serum IL-10 were higher than those in control group(p<0.05).(3) There were no statistical differences between the two groups(p>0.05).Conclusion:Inflammation reaction occurs in ischemic myocardium after AMI and reperfusion ; tirofiban is effective in anti-inflammation, reducing the progress of myocardial necrosis.

Key words: acute myocardial infarction, infarction reperfusion, no-reflow, inflammation factors, R5 glycoproteinⅡb/Ⅲa inhibitor/tirofiban