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10.1093/eurheartj/ehu096

http://scihub22266oqcxt.onion/10.1093/eurheartj/ehu096
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suck abstract from ncbi


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pmid24639423
      Eur+Heart+J 2014 ; 35 (19 ): 1255-62
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  • Intravenous sodium nitrite in acute ST-elevation myocardial infarction: a randomized controlled trial (NIAMI) #MMPMID24639423
  • Siddiqi N ; Neil C ; Bruce M ; MacLennan G ; Cotton S ; Papadopoulou S ; Feelisch M ; Bunce N ; Lim PO ; Hildick-Smith D ; Horowitz J ; Madhani M ; Boon N ; Dawson D ; Kaski JC ; Frenneaux M
  • Eur Heart J 2014[May]; 35 (19 ): 1255-62 PMID24639423 show ga
  • AIM: Despite prompt revascularization of acute myocardial infarction (AMI), substantial myocardial injury may occur, in part a consequence of ischaemia reperfusion injury (IRI). There has been considerable interest in therapies that may reduce IRI. In experimental models of AMI, sodium nitrite substantially reduces IRI. In this double-blind randomized placebo controlled parallel-group trial, we investigated the effects of sodium nitrite administered immediately prior to reperfusion in patients with acute ST-elevation myocardial infarction (STEMI). METHODS AND RESULTS: A total of 229 patients presenting with acute STEMI were randomized to receive either an i.v. infusion of 70 ?mol sodium nitrite (n = 118) or matching placebo (n = 111) over 5 min immediately before primary percutaneous intervention (PPCI). Patients underwent cardiac magnetic resonance imaging (CMR) at 6-8 days and at 6 months and serial blood sampling was performed over 72 h for the measurement of plasma creatine kinase (CK) and Troponin I. Myocardial infarct size (extent of late gadolinium enhancement at 6-8 days by CMR-the primary endpoint) did not differ between nitrite and placebo groups after adjustment for area at risk, diabetes status, and centre (effect size -0.7% 95% CI: -2.2%, +0.7%; P = 0.34). There were no significant differences in any of the secondary endpoints, including plasma troponin I and CK area under the curve, left ventricular volumes (LV), and ejection fraction (EF) measured at 6-8 days and at 6 months and final infarct size (FIS) measured at 6 months. CONCLUSIONS: Sodium nitrite administered intravenously immediately prior to reperfusion in patients with acute STEMI does not reduce infarct size.
  • |Biomarkers/metabolism [MESH]
  • |Cardiotonic Agents/*administration & dosage [MESH]
  • |Double-Blind Method [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Infusions, Intravenous [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Myocardial Infarction/*drug therapy/pathology [MESH]
  • |Myocardial Reperfusion Injury/pathology/prevention & control [MESH]
  • |Myocardial Reperfusion/methods [MESH]
  • |Percutaneous Coronary Intervention/methods [MESH]
  • |Sodium Nitrite/*administration & dosage [MESH]


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