Ergonovine-induced changes of coronary artery diameter in patients with nonsignificant coronary artery stenosis : relation with lipid profile.

Abstract:

BACKGROUND AND PURPOSE:Serum cholesterol is positively associated with the risk of developing coronary heart disease. The aim of this study was to determine the relation between response of coronary arteries to ergonovine provocation and lipid profile in patients with nonsignificant coronary artery disease. PATIENTS AND METHODS:105 patients (46 male, 59 female, mean age 52 +/- 8 years) with chest pain syndrome and nonsignificant coronary artery stenosis (< 50% diameter stenosis) were analyzed. Ergonovine test was performed at the end of diagnostic catheterization. Coronary spasm was defined as total or near total obstruction of the coronary artery. By quantitative coronary arteriography, changes of minimal luminal diameter (MLD) during ergonovine provocation were evaluated. Total cholesterol, LDL and HDL cholesterol, and triglycerides were measured. RESULTS:There was a significant negative correlation between resting MLD and LDL cholesterol (r = -0.215; p = 0.034), and a significant positive correlation between MLD decrease provoked by ergonovine and total cholesterol (r = 0.275; p = 0.006), as well as LDL cholesterol (r = 0.284; p = 0.004), but not for HDL cholesterol and triglycerides (p = NS [not significant]). CONCLUSION:In patients with nonsignificant coronary artery stenosis evaluated by ergonovine provocation, there was not only a significant negative correlation between MLD and LDL cholesterol, but also a positive correlation between coronary vasoconstriction induced by ergonovine provocation and both total and LDL cholesterol.

journal_name

Herz

journal_title

Herz

authors

Nedeljkovic MA,Ostojic MC,Beleslin BD,Nedeljkovic I,Milic N,Vukcevic V,Stojkovic S,Saponjski J,Orlic D,Djordjevic-Dikic A,Stepanovic J,Giga V,Petrasinovic Z,Arandjelovic A,Beleslin B,Kanjuh V

doi

10.1007/s00059-007-2831-4

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

329-35

issue

4

eissn

0340-9937

issn

1615-6692

journal_volume

32

pub_type

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